The most common and most likely answer to this crossword clue is the 14 letter word ANTIDEPRESSANT
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More clues leading to the result ANTIDEPRESSANT
Buddy explains!

The straight part
We know that "Upper" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case upper = antidepressant.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.
What does ANTIDEPRESSANT mean?
ANTIDEPRESSANT noun- An agent that prevents or counteracts depression.
- (pharmaceutical effect) Preventing or counteracting depression.