Comparative evaluation of efficacy and tolerability of vilazodone, escitalopram, and amitriptyline in patients of major depressive disorder: A randomized, parallel, open-label clinical study

Autor: Vijay M. Motghare, Chaitali S Bajait, Renuka L. Kadam, Prashant Tiple, Smita D Sontakke, Mrunalini Kalikar
Rok vydání: 2018
Předmět:
Adult
Male
medicine.medical_specialty
Time Factors
Hamilton Anxiety Rating Scale
Amitriptyline
Vilazodone Hydrochloride
India
Citalopram
030226 pharmacology & pharmacy
Montgomery–Asberg Depression Rating Scale
03 medical and health sciences
chemistry.chemical_compound
Young Adult
0302 clinical medicine
Internal medicine
Vilazodone
mental disorders
Medicine
Escitalopram
Humans
Pharmacology (medical)
030212 general & internal medicine
Prospective Studies
Adverse effect
Pharmacology
Depressive Disorder
Major

Clinical Research Article
business.industry
Middle Aged
medicine.disease
Antidepressive Agents
17-item Hamilton Depression Rating Scale
Affect
Treatment Outcome
chemistry
Tolerability
antidepressants
Montgomery–Åsberg Depression Rating Scale
depression
Major depressive disorder
Female
business
medicine.drug
Zdroj: Indian Journal of Pharmacology
ISSN: 1998-3751
Popis: OBJECTIVES: To evaluate and compare efficacy and tolerability of Vilazodone with Escitalopram and Amitriptyline in patients of major depressive disorder(MDD). METHODS: This was a randomized, prospective, parallel-group, open label clinical study in which newly diagnosed patients of MDD were randomized to receive Tab Vilazodone 20 mg daily or Tab Escitalopram 20mg daily or Tab Amitriptyline 75mg daily for 12 weeks. Antidepressant activity was assessed by change in score from baseline to week 12 on HAMD-17 and MADRS scales while change in score on HAM-A scale was used to assess antianxiety effect. Change in scores on the three scales was also compared between the three treatment groups. Severity and causality of adverse events were assessed by the modified Hartwig & Siegel scale and Naranjo scale respectively. Data was analyzed in accordance with per protocol analysis. RESULTS: Reduction in HAMD-17 and MADRS scores was significantly more in vilazodone group compared to the other two drugs indicating that vilazodone is more efficacious antidepressant. Number of remitters were also significantly more in the vilazodone group (n=11) compared to escitalopram (n=4) (p
Databáze: OpenAIRE