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An open treatment trial of venlafaxine for elderly patients with dysthymic disorder.

Abstract
Treatment response and side effects of venlafaxine were evaluated in an open-label trial of elderly outpatients with dysthymic disorder (DD). Patients received flexible dose (up to 300 mg/d) venlafaxine (Effexor XR) for 12 weeks. Of 23 study patients, 18 completed the trial. Fourteen (60.9%) were responders in intent-to-treat analyses with the last observation carried forward, and 77.8% were responders in completer analyses. Nearly half the sample (47.8%) met criteria for remission. In the intent-to-treat sample, increased severity of depression at baseline was associated with superior response, and the presence of cardiovascular disease was associated with poorer response. Venlafaxine open-label treatment was associated with fairly high response rates and generally good tolerability in elderly patients with DD. These results indicate that in elderly patients with DD, placebo-controlled trials of a dual reuptake inhibitor such as venlafaxine would be needed to assess its efficacy or to compare its efficacy to that of other antidepressants.
AuthorsD P Devanand, Nicole Juszczak, Mitchell S Nobler, Nancy Turret, Linda Fitzsimons, Harold A Sackeim, Steven P Roose
JournalJournal of geriatric psychiatry and neurology (J Geriatr Psychiatry Neurol) Vol. 17 Issue 4 Pg. 219-24 (Dec 2004) ISSN: 0891-9887 [Print] Canada
PMID15533993 (Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Cyclohexanols
  • Serotonin Uptake Inhibitors
  • Venlafaxine Hydrochloride
Topics
  • Aged
  • Cyclohexanols (administration & dosage, therapeutic use)
  • Diagnostic and Statistical Manual of Mental Disorders
  • Drug Administration Schedule
  • Dysthymic Disorder (diagnosis, drug therapy)
  • Female
  • Humans
  • Male
  • Middle Aged
  • Serotonin Uptake Inhibitors (administration & dosage, therapeutic use)
  • Venlafaxine Hydrochloride

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