P-29 Fluoxetine versus moclobemide in elderly depressed patients

Bugarski‐Kirola, Dragana; Zivkovic, Dj.; Stanković, Žana; Damjanović, Aleksandar

doi:10.1016/0924-977x(96)83841-7

Cited by 2 publications

(2 citation statements)

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“…Burgarski-Kirola et al (37) treated 42 inpatients with either fluoxetine (20 to 40 mg/d) or moclobemide (300 to 600 mg/d). Response rates were not significantly different between the groups: 74% (moclobemide) vs. 69% (fluoxetine).…”

Section: Depression In Elderlymentioning

confidence: 99%

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Moclobemide: Therapeutic Use and Clinical Studies

Bonnet¹

2003

CNS Drug Reviews

205

100

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Moclobemide is a reversible inhibitor of monoamine-oxidase-A (RIMA) and has been extensively evaluated in the treatment of a wide spectrum of depressive disorders and less extensively studied in anxiety disorders. Nearly all meta-analyses and most comparative studies indicated that in the acute management of depression this drug is more efficacious than placebo and as efficacious as tricyclic (or some heterocyclic) antidepressants or selective serotonin reuptake inhibitors (SSRIs). There is a growing evidence that moclobemide is not inferior to other antidepressants in the treatment of subtypes of depression, such as dysthymia, endogenous (unipolar and bipolar), reactive, atypical, agitated, and retarded depression as with other antidepressants limited evidence suggests that moclobemide has consistent long-term efficacy. However, more controlled studies addressing this issue are needed. For patients with bipolar depression the risk of developing mania seems to be not higher with moclobemide than with other antidepressants. The effective therapeutic dose range for moclobemide in most acute phase trials was 300 to 600 mg, divided in 2 to 3 doses. While one controlled trial and one long-term open-label study found moclobemide to be efficacious in social phobia, three controlled trials subsequently revealed either no effect or less robust effects with the tendency of higher doses (600 -900 mg /d) to be more efficacious. Two comparative trials demonstrated moclobemide to be as efficacious as fluoxetine or clomipramine in patients suffering from panic disorder. Placebocontrolled trials in this indication are, however, still lacking.A relationship between the plasma concentration of moclobemide and its therapeutic efficacy is not apparent but a positive correlation with adverse events has been found. Dizziness, nausea and insomnia occurred more frequently on moclobemide than on placebo. Due to negligible anticholinergic and antihistaminic actions, moclobemide has been better tolerated than tri-or heterocyclic antidepressants. Gastrointestinal side effects and, espe-97

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Section: Depression In Elderlymentioning

confidence: 99%

“…Response rates were not significantly different between the groups: 74% (moclobemide) vs. 69% (fluoxetine). Moclobemide had a significantly faster onset of action that was evident during the second week of treatment (37). pressed patients over a 4-week treatment period.…”

Section: Depression In Elderlymentioning

confidence: 99%