Safety and tolerability of antidepressant co-treatment in acute major depressive disorder: results from a systematic review and exploratory meta-analysis

作者: Britta Galling , Amat Calsina Ferrer , Margarita Abi Zeid Daou , Dinesh Sangroula , Katsuhiko Hagi

DOI: 10.1517/14740338.2015.1085970

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摘要: Introduction: Although antidepressant (AD) monotherapy is recommended first-line for major depressive disorder (MDD), AD + co-treatment common.Areas covered: We conducted the first systematic review searching PubMed/MEDLINE/PsycInfo/Embase from database inception until 1 June 2015 acute randomized trials in ≥ 20 adults with MDD comparing that reported quantitative data on adverse events (AEs). Meta-analyzing 23 studies (n = 2435, duration 6.6 weeks) and were similar regarding intolerability-related discontinuation (risk ratio [RR] 1.38, 95% CI 0.89 – 1.10) frequency of AE (RR 1.19, 0.95 1.49). Nevertheless, was associated significantly greater burden 4/25 AEs (tremor: RR 1.55, 1.01 2.38; sweating: 1.95, 1.13 –3.38, 7% weight gain: 3.15, 1.34 7.41; gain 2.17, 0.71 3.63 kg), but not more CNS, gas...

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