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Reboxetine: a double-blind comparison with fluoxetine in major depressive disorder.

Massana J, Moller HJ, Burrows GD, Montenegro RM

Department of Psychiatry,
Hospital Clinico de Barcelona, Spain.
Int Clin Psychopharmacol 1999 Mar; 14(2):73-80

ABSTRACT

The aim of this study was to compare the efficacy and tolerability of reboxetine, a uniquely selective noradrenaline reuptake inhibitor, with the selective serotonin reuptake inhibitor, fluoxetine.  A double-blind, randomized, parallel-group, multicentre design was employed.  One hundred and sixty-eight patients with acute major depressive episodes were randomized to receive oral reboxetine (8-10 mg/day) or oral fluoxetine (20-40 mg/day).  The treatment period was 8 weeks. Reboxetine and fluoxetine were similarly effective as assessed by the mean reduction in total Hamilton Depression Rating Scale score, the percentage of responders and patients in remission, Clinical Global Impression severity of illness and global improvement scores and Montgomery-Asberg Depression Rating Scale.  A sub-analysis of patients with severe depression indicated that reboxetine had superior efficacy compared with fluoxetine.  Both treatments resulted in some improvement in Social Adaptation Self-evaluation Scale total scores and this was more evident for those patients treated with reboxetine who achieved remission.  Both treatments were well tolerated.  The results indicate that reboxetine is an effective and well tolerated antidepressant, being more effective than fluoxetine in patients with severe depression, and more effective in terms of social functioning in those patients who achieved remission.

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                Reboxetine  research / abstracts

         1.   Reboxetine  role in antidepressant therapy
         2.   Reboxetine  efficacy and tolerability
         3.   Reboxetine  clinical pharmacologic profile
         4.   Inhibiting  the reuptake of noradrenaline and serotonin
         5.   Reboxetine  and depression in the elderly
         6.   Reboxetine  with severe major depressive disorder
         7.   Reboxetine  clinical efficacy in major depression
         8.   Reboxetine  tolerability and safety for major depression
         9.   Reboxetine  comparison with fluoxetine
        10   Reboxetine  versus fluoxetine, impact on social functioning
        11.  Reboxetine  versus fluoxetine, differential effects
        12.  Reboxetine  prevents relapse in  major depression
        13  
Reboxetine  efficacy compared with imipramine
       
14.  Noradrenaline reuptake inhibition
        15.  Antidepressants  noradrenergic versus serotonergic 
        16. 
Reboxetine  in the treatment of bulimia
       
17.  Reboxetine  hemodynamic effects in healthy males
        18. 
Reboxetine  effects of antidepressant therapy
        19.  Reboxetine  place in antidepressant therapy
        20. 
Reboxetine  stimulant effects in patients with narcolepsy
        21. 
Reboxetine  selective noradrenaline reuptake inhibitor (NARI)

 

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