A prospective randomized single-blind, multicenter trial comparing the efficacy and safety of paroxetine with and without quetiapine therapy in depression associated with anxiety

OBJECTIVE To evaluate quetiapine as an adjunct to paroxetine in patients with comorbid depression and anxiety. METHOD Prospective, multicenter, single-blind trial of patients with DSM-IV major depression and associated anxiety, who were randomized to an 8-week treatment with paroxetine alone (n=54)...

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Veröffentlicht in:International journal of psychiatry in clinical practice 2004-12, Vol.8 (4), p.205-211
Hauptverfasser: Yargic, L. Ilhan, Corapcioglu, Aytul, Kocabasoglu, Nese, Erdogan, Ayten, Koroglu, Gulsah, Yilmaz, Dilek
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container_end_page 211
container_issue 4
container_start_page 205
container_title International journal of psychiatry in clinical practice
container_volume 8
creator Yargic, L. Ilhan
Corapcioglu, Aytul
Kocabasoglu, Nese
Erdogan, Ayten
Koroglu, Gulsah
Yilmaz, Dilek
description OBJECTIVE To evaluate quetiapine as an adjunct to paroxetine in patients with comorbid depression and anxiety. METHOD Prospective, multicenter, single-blind trial of patients with DSM-IV major depression and associated anxiety, who were randomized to an 8-week treatment with paroxetine alone (n=54) or paroxetine+quetiapine (n=58). Quetiapine was dosed to 200 mg/day and paroxetine to 60 mg/day, as required. RESULTS Decrease in HAM-A scores was significantly greater in the combined therapy group than with paroxetine alone at weeks 2, 4, 6 and LOCF (P
doi_str_mv 10.1080/13651500410005720
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Ilhan ; Corapcioglu, Aytul ; Kocabasoglu, Nese ; Erdogan, Ayten ; Koroglu, Gulsah ; Yilmaz, Dilek</creator><creatorcontrib>Yargic, L. Ilhan ; Corapcioglu, Aytul ; Kocabasoglu, Nese ; Erdogan, Ayten ; Koroglu, Gulsah ; Yilmaz, Dilek</creatorcontrib><description>OBJECTIVE To evaluate quetiapine as an adjunct to paroxetine in patients with comorbid depression and anxiety. METHOD Prospective, multicenter, single-blind trial of patients with DSM-IV major depression and associated anxiety, who were randomized to an 8-week treatment with paroxetine alone (n=54) or paroxetine+quetiapine (n=58). Quetiapine was dosed to 200 mg/day and paroxetine to 60 mg/day, as required. RESULTS Decrease in HAM-A scores was significantly greater in the combined therapy group than with paroxetine alone at weeks 2, 4, 6 and LOCF (P&lt;0.008). Decrease in HAM-D scores was significantly greater in the combined therapy group than with paroxetine alone throughout the study period (P&lt;0.008). Regarding adverse events, it was found that increases in anxiety and insomnia were more prevalent in the paroxetine only group, while increased appetite was more prevalent when quetiapine was added (P&lt;0.05). CONCLUSION Quetiapine added to paroxetine is well tolerated and may speed up and improve response in patients with comorbid depression and anxiety.</description><identifier>ISSN: 1365-1501</identifier><identifier>EISSN: 1471-1788</identifier><identifier>DOI: 10.1080/13651500410005720</identifier><identifier>PMID: 24930548</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>anxiety ; atypical antipsychotic ; depression ; paroxetine ; quetiapine</subject><ispartof>International journal of psychiatry in clinical practice, 2004-12, Vol.8 (4), p.205-211</ispartof><rights>2004 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-8aea4325dac4058042df6c3e72a4cbac0d77636546f11e7d1822a1dbd22d52ac3</citedby><cites>FETCH-LOGICAL-c406t-8aea4325dac4058042df6c3e72a4cbac0d77636546f11e7d1822a1dbd22d52ac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/13651500410005720$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/13651500410005720$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,59620,59726,60409,60515,61194,61229,61375,61410</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24930548$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yargic, L. Ilhan</creatorcontrib><creatorcontrib>Corapcioglu, Aytul</creatorcontrib><creatorcontrib>Kocabasoglu, Nese</creatorcontrib><creatorcontrib>Erdogan, Ayten</creatorcontrib><creatorcontrib>Koroglu, Gulsah</creatorcontrib><creatorcontrib>Yilmaz, Dilek</creatorcontrib><title>A prospective randomized single-blind, multicenter trial comparing the efficacy and safety of paroxetine with and without quetiapine therapy in depression associated with anxiety</title><title>International journal of psychiatry in clinical practice</title><addtitle>Int J Psychiatry Clin Pract</addtitle><description>OBJECTIVE To evaluate quetiapine as an adjunct to paroxetine in patients with comorbid depression and anxiety. METHOD Prospective, multicenter, single-blind trial of patients with DSM-IV major depression and associated anxiety, who were randomized to an 8-week treatment with paroxetine alone (n=54) or paroxetine+quetiapine (n=58). Quetiapine was dosed to 200 mg/day and paroxetine to 60 mg/day, as required. RESULTS Decrease in HAM-A scores was significantly greater in the combined therapy group than with paroxetine alone at weeks 2, 4, 6 and LOCF (P&lt;0.008). Decrease in HAM-D scores was significantly greater in the combined therapy group than with paroxetine alone throughout the study period (P&lt;0.008). Regarding adverse events, it was found that increases in anxiety and insomnia were more prevalent in the paroxetine only group, while increased appetite was more prevalent when quetiapine was added (P&lt;0.05). CONCLUSION Quetiapine added to paroxetine is well tolerated and may speed up and improve response in patients with comorbid depression and anxiety.</description><subject>anxiety</subject><subject>atypical antipsychotic</subject><subject>depression</subject><subject>paroxetine</subject><subject>quetiapine</subject><issn>1365-1501</issn><issn>1471-1788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNp9kc1u1TAQhSNERX_gAdggL1kQajtxEgSbqqKAVIkNrKO59pjryrGD7dCGx-IJmcttkapKXXms883R6Jyqein4W8EHfiqaTgnFeSs456qX_El1JNpe1KIfhqc0k14TIA6r45yvdlDXqWfVoWzfNVy1w1H154zNKeYZdXG_kCUIJk7uNxqWXfjhsd54F8wbNi2-OI2hYGIlOfBMx2mGRBArW2RordOgV0YGLIPFsrJoGRHxBosLyK5d2f5Td0NcCvu5kADzTiOHBPPKXGAG54Q5uxgY5By1g4LmbvnGke_z6sCCz_ji9j2pvl98_Hb-ub78-unL-dllrVvelXoAhLaRygD91cBbaWynG-wltHoDmpu-7yigtrNCYG_EICUIszFSGiVBNyfV670vBUS35jJOLmv0HgLGJY9CNV03UMaSULFHNWWZE9pxTm6CtI6Cj7uqxgdV0c6rW_tlM6H5v3HXDQEf9oALNqYJrmPyZiyw-pgsFaVdHpvH_N_fW98i-LLVkHC8iksKFN0j1_0FUd241w</recordid><startdate>20041201</startdate><enddate>20041201</enddate><creator>Yargic, L. Ilhan</creator><creator>Corapcioglu, Aytul</creator><creator>Kocabasoglu, Nese</creator><creator>Erdogan, Ayten</creator><creator>Koroglu, Gulsah</creator><creator>Yilmaz, Dilek</creator><general>Informa UK Ltd</general><general>Taylor &amp; Francis</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20041201</creationdate><title>A prospective randomized single-blind, multicenter trial comparing the efficacy and safety of paroxetine with and without quetiapine therapy in depression associated with anxiety</title><author>Yargic, L. Ilhan ; Corapcioglu, Aytul ; Kocabasoglu, Nese ; Erdogan, Ayten ; Koroglu, Gulsah ; Yilmaz, Dilek</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-8aea4325dac4058042df6c3e72a4cbac0d77636546f11e7d1822a1dbd22d52ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>anxiety</topic><topic>atypical antipsychotic</topic><topic>depression</topic><topic>paroxetine</topic><topic>quetiapine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yargic, L. Ilhan</creatorcontrib><creatorcontrib>Corapcioglu, Aytul</creatorcontrib><creatorcontrib>Kocabasoglu, Nese</creatorcontrib><creatorcontrib>Erdogan, Ayten</creatorcontrib><creatorcontrib>Koroglu, Gulsah</creatorcontrib><creatorcontrib>Yilmaz, Dilek</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of psychiatry in clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yargic, L. Ilhan</au><au>Corapcioglu, Aytul</au><au>Kocabasoglu, Nese</au><au>Erdogan, Ayten</au><au>Koroglu, Gulsah</au><au>Yilmaz, Dilek</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A prospective randomized single-blind, multicenter trial comparing the efficacy and safety of paroxetine with and without quetiapine therapy in depression associated with anxiety</atitle><jtitle>International journal of psychiatry in clinical practice</jtitle><addtitle>Int J Psychiatry Clin Pract</addtitle><date>2004-12-01</date><risdate>2004</risdate><volume>8</volume><issue>4</issue><spage>205</spage><epage>211</epage><pages>205-211</pages><issn>1365-1501</issn><eissn>1471-1788</eissn><abstract>OBJECTIVE To evaluate quetiapine as an adjunct to paroxetine in patients with comorbid depression and anxiety. METHOD Prospective, multicenter, single-blind trial of patients with DSM-IV major depression and associated anxiety, who were randomized to an 8-week treatment with paroxetine alone (n=54) or paroxetine+quetiapine (n=58). Quetiapine was dosed to 200 mg/day and paroxetine to 60 mg/day, as required. RESULTS Decrease in HAM-A scores was significantly greater in the combined therapy group than with paroxetine alone at weeks 2, 4, 6 and LOCF (P&lt;0.008). Decrease in HAM-D scores was significantly greater in the combined therapy group than with paroxetine alone throughout the study period (P&lt;0.008). Regarding adverse events, it was found that increases in anxiety and insomnia were more prevalent in the paroxetine only group, while increased appetite was more prevalent when quetiapine was added (P&lt;0.05). CONCLUSION Quetiapine added to paroxetine is well tolerated and may speed up and improve response in patients with comorbid depression and anxiety.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>24930548</pmid><doi>10.1080/13651500410005720</doi><tpages>7</tpages></addata></record>
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source Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN
subjects anxiety
atypical antipsychotic
depression
paroxetine
quetiapine
title A prospective randomized single-blind, multicenter trial comparing the efficacy and safety of paroxetine with and without quetiapine therapy in depression associated with anxiety
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