Moclobemide in the treatment of major depressive disorder (DSM-3) following traumatic brain injury.

Abstract

Major depression (MDD) following traumatic brain injury (TBI) is a common phenomenon. There are no adequate studies in the literature defining optimum treatments for this condition following TBI. The opportunity arose to analyse a group of patients who were included in a larger study of an antidepressant (moclobemide). As the treatment, but not the delivery, was known, this has the status of an open study. Twenty-six patients with major depression of late onset (mean 4.67 years post-TBI) were identified (18 male, 8 female), with a mean age at injury 28.49 years. The group was moderately depressed with Hamilton Depression score (HAM-D) of 23.385 and moderately anxious with Hamilton Anxiety score (HAM-A) of 21.231. Mean HAM-D reduction was 81% and HAM-A reduction 81%. Of the 26 subjects 23 were defined as responders. Onset of action was rapid, with 17 responding by day 3. Irritability scores showed a mean reduction of 57% and pain scores a reduction of 39%. It is concluded that moclobemide may be an effective treatment for MDD following TBI, but properly controlled studies must be carried out to confirm this.

• Authors: G Newburn, R Edwards, H Thomas, J Collier, K Fox, C Collins
• Journal: Brain injury (Brain Inj) Vol. 13 Issue 8 Pg. 637-42 (Aug 1999) ISSN: 0269-9052 [Print] England
• PMID: 10901691 (Publication Type: Clinical Trial, Journal Article)

Chemical References

• Moclobemide

Topics

• Adolescent
• Adult
• Brain Injuries (complications, psychology)
• Child
• Depressive Disorder (drug therapy, etiology)
• Female
• Humans
• Male
• Middle Aged
• Moclobemide (therapeutic use)
• Psychiatric Status Rating Scales