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Escitalopram (10–20 mg/day) is effective and well tolerated in a placebo-controlled study in depression in primary care
Abstract
Escitalopram was compared to placebo in moderately to severely depressed patients in primary care with citalopram as the active reference. Patients were randomized to receive flexible doses of 10–20 mg/day escitalopram (n=155), 20–40 mg/day citalopram (n=160), or placebo (n=154) over an 8-week double-blind period. The primary efficacy parameter was the change from baseline to last assessment in the Montgomery–Asberg Depression Rating Scale total score. Escitalopram produced a statistically significant therapeutic difference of 2.9 points (P=0.002) compared to placebo, and escitalopram was consistently and statistically significantly more efficacious than placebo from week 1 onwards. Analysis of Clinical Global Impression–Severity and Clinical Global Impression–Improvement confirmed the primary efficacy results. By week 8, significantly more patients had responded to treatment with escitalopram than with citalopram (P=0.021) or placebo (P=0.009). Escitalopram was as well tolerated as citalopram and had a similar adverse event profile. Both escitalopram- and citalopram-treated patients had placebo-level adverse event withdrawal rates (3% and 4%, respectively). This study demonstrates the consistent antidepressant efficacy and excellent tolerability of escitalopram 10–20 mg/day in primary care patients with major depressive disorder.
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It generally takes several weeks before symptom relief occurs in patients with depression.
“it generally takes several weeks before symptom relief occurs in patients with depression [28–31].”
From Effects of escitalopram on synaptic density in the healthy human brain: a randomized controlled trial (2023) · cites this paper as [28]
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Metadata
- Authors
- Lepola, U. M., Loft, H., & Reines, E. H.
- Affiliations
- University of Helsinki (FI)
- Lundbeck (Denmark) (DK)
- Corresponding author
- Loft, Henrik
- ORCID
- Reines, Elin Heldbo
- Venue
- International Clinical Psychopharmacology
- Published
- 2003-07
- Volume
- 18
- Issue
- 4
- Pages
- 211-217
- ISSN
- 0268-1315 (ISSN-L)
- OpenAlex
- W4249162025
- Cited by
- 254
- References
- 0
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 6 · 2022: 8 · 2021: 5 · 2020: 4 · 2019: 5 · 2018: 6 · 2017: 9 · 2016: 7 · 2015: 7 · 2014: 7 · 2013: 6 · 2012: 12
- FWCI
- 17.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Clinical Psychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- H. Lundbeck A/S
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- escitalopram, citalopram, major depressive disorder, antidepressant efficacy, tolerability, primary care, flexible dosing, selective serotonin reuptake inhibitors, adverse events, treatment response
- MeSH terms
- Adult, Depressive Disorder, Dose-Response Relationship, Drug, Double-Blind Method, Female, Humans, Male, Middle Aged, Primary Health Care, Psychiatric Status Rating Scales, Stereoisomerism, Citalopram, Treatment Outcome, Selective Serotonin Reuptake Inhibitors, Antidepressive Agents, Second-Generation
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