Efficacy and tolerability of Paroxetine 20 mg daily in the treatment of depression and depression associated anxiety.

作者: H R Chaudhry , Z Qureshi , I A K Tareen , I Yazdani

DOI:

关键词:

摘要: OBJECTIVE To assess the efficacy and tolerability of paroxetine 20mg daily, for treatment depression associated with anxiety. METHOD An open, non-comparative study undertaken at three centers in cities Pakistan. A total 112 in- or out-patients, presenting a major depressive episode were included study. Depression was diagnosed according to DSM IV criteria Hamilton Rating Scale (HAMD-D) score >18 on first 17 items HAM-D-21. After placebo washout period 7 days, patients given 20-mg fixed dose daily morning 6 weeks. baseline, regular assessments made 1, 2, 4 Efficacy measures HAMD-D, Clinical Anxiety Scale, The Global Impression Severity Illness (CGI-S), Improvement (CGI-I). Tolerability assessed by any adverse event. primary therapeutic outcome who achieved 50% greater reduction HAMD-D end final < = 10 points. scores 1 2 CGI-S CGI-I considered as full clinical response. RESULTS Of cases evaluated, 57 males 55 females whose ages ranged from 18 65 years. There clear statistically significant all variables. 88% treatment. HAM-D reduced less 73% weeks this week 76% 92% CGI-I, respectively. mean 12.6 baseline 4.4 Safety data evaluated well tolerated. Adverse events experienced 10% whom 4% dropped Nausea commonest event reported. CONCLUSION shows that is an effective, well-tolerated, safe drug depression.

参考文章(24)
TB Ustün, David Goldberg, John Cooper, Gregory E Simon, Norman Sartorius, New classification for mental disorders with management guidelines for use in primary care: ICD-10 PHC chapter five. British Journal of General Practice. ,vol. 45, pp. 211- 215 ,(1995)
Karl Rickels, Ward T. Smith, Ari Kiev, James L. Claghorn, G. C. Dunbar, Paroxetine versus placebo: a double-blind comparison in depressed patients The Journal of Clinical Psychiatry. ,vol. 53, pp. 434- 438 ,(1992)
D L Dunner, G C Dunbar, Optimal dose regimen for paroxetine. The Journal of Clinical Psychiatry. ,vol. 53, pp. 21- 26 ,(1992)
S. A. Montgomery, J. Henry, G. McDonald, T. Dinan, M. Lader, I. Hindmarch, A. Clare, D. Nutt, Selective serotonin reuptake inhibitors: meta-analysis of discontinuation rates International Clinical Psychopharmacology. ,vol. 9, pp. 47- 53 ,(1994) , 10.1097/00004850-199400910-00008
Y. Lecrubier, R. Judge, , Long‐term evaluation of paroxetine, clomipramine and placebo in panic disorder Acta Psychiatrica Scandinavica. ,vol. 95, pp. 153- 160 ,(1997) , 10.1111/J.1600-0447.1997.TB00389.X
Murray B. Stein, Michael R. Liebowitz, R. Bruce Lydiard, Cornelius D. Pitts, William Bushnell, Ivan Gergel, Paroxetine Treatment of Generalized Social Phobia (Social Anxiety Disorder) JAMA. ,vol. 280, pp. 708- 713 ,(1998) , 10.1001/JAMA.280.8.708
G. C. DUNBAR, D. L. FUELL, The anti-anxiety and anti-agitation effects of paroxetine in depressed patients. International Clinical Psychopharmacology. ,vol. 6, pp. 81- 90 ,(1992) , 10.1097/00004850-199206004-00014
David C. Steffens, K. Ranga R. Krishnan, Michael J. Helms, Are SSRIs better than TCAs? Comparison of SSRIs and TCAs: A meta-analysis Depression and Anxiety. ,vol. 6, pp. 10- 18 ,(1997) , 10.1002/(SICI)1520-6394(1997)6:1<10::AID-DA2>3.0.CO;2-9