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Cited by 162

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A Double-Blind, Randomized, Fixed-Dose Trial of Fluoxetine vs. Amitriptyline in the Treatment of Major Depression Complicating Alzheimer's Disease

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Taragano, Fernando E., Lyketsos, Constantine G., Mangone, Carlos A., Allegri, Ricardo F., Comesaña-Diaz, Enrique·1997·Psychosomatics

Abstract

The objective of this study was to determine the relative efficacy and safety of fluoxetine and amitriptyline in the treatment of major depression complicating Alzheimer's disease (AD). The sample included 37 patients with AD and major depression. The study design was a double-blind, fixed-dose, randomized clinical trial with 45 days of follow-up. The outcome measures were the Hamilton Depression Rating Scale (Ham-D), the Mini-Mental State Exam (MMSE), and the number of dropouts from each arm of the study. Efficacy was similar for fluoxetine and amitriptyline. At Day 45, there was a mean 9.4-point reduction in Ham-D scores (t[df,62] = 9.68, P < 0.0001) and a 2.4-point mean increase in MMSE scores as compared to baseline (t[df,2] = 2.69, P = 0.009). Eleven (58%) of the amitriptyline-treated patients dropped out, compared with 4 (22%) of the fluoxetine-treated patients (chi 2[df,2] = 8.9, P = 0.017). The authors conclude that antidepressant treatment for major depression complicating AD is effective. While fluoxetine and amitriptyline are equally effective, fluoxetine is better tolerated.

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Metadata

Authors
Taragano, F. E., Lyketsos, C. G., Mangone, C. A., Allegri, R. F., & Comesaña-Diaz, E.
Venue
Psychosomatics
Publisher
Elsevier BV
Published
1997-05
Volume
38
Issue
3
Pages
246-252
ISSN
0033-3182 (ISSN-L)
OpenAlex
W1971028729
Cited by
162
References
1
FWCI
3.98
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: A Double-Blind, Randomized, Fixed-Dose Trial of Fluoxetine vs. Amitriptyline in the Treatment of Major Depression Complicating Alzheimer's Disease. https://app.cochat.ai/papers/10.1016/s0033-3182(97)71461-0
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Taragano, F. E., Lyketsos, C. G., Mangone, C. A., Allegri, R. F., & Comesaña-Diaz, E. (1997). A Double-Blind, Randomized, Fixed-Dose Trial of Fluoxetine vs. Amitriptyline in the Treatment of Major Depression Complicating Alzheimer's Disease. Psychosomatics. https://doi.org/10.1016/s0033-3182(97)71461-0

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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