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• W2109414095 abstract "Introduction: Although antidepressant (AD) monotherapy is recommended first-line for major depressive disorder (MDD), AD + AD co-treatment is common.Areas covered: We conducted the first systematic review searching PubMed/MEDLINE/PsycInfo/Embase from database inception until 1 June 2015 for acute randomized trials in ≥ 20 adults with MDD comparing AD monotherapy with AD + AD co-treatment that reported quantitative data on adverse events (AEs). Meta-analyzing 23 studies (n = 2435, duration = 6.6 weeks) AD monotherapy and AD + AD co-treatment were similar regarding intolerability-related discontinuation (risk ratio [RR] = 1.38, 95% CI = 0.89 – 1.10) and frequency of ≥ 1 AE (RR = 1.19, 95% CI = 0.95 – 1.49). Nevertheless, AD + AD co-treatment was associated with significantly greater burden regarding 4/25 AEs (tremor: RR = 1.55, 95% CI = 1.01 – 2.38; sweating: RR = 1.95, 95% CI = 1.13 –3.38, ≥ 7% weight gain: RR = 3.15, 95% CI = 1.34 – 7.41; weight gain = 2.17, 95% CI = 0.71 – 3.63 kg), but not more CNS, gastrointestinal, sexual or alertness-related AEs. However, 11/25 AEs (44.0%) were reported in only 1 – 2 studies. Adding noradrenergic and specific serotonergic antidepressants (NaSSA) or tricyclic antidepressants (TCA) to selective serotonin reuptake inhibitors (SSRIs) was specifically associated with more AEs.Expert opinion: The potential for increased AEs with AD + AD co-treatment needs to be considered vis-à-vis unclear efficacy benefits of this strategy. In particular, NaSSAs and TCAs should be added to SSRIs with caution. Clearly, more data on side-effect burden of AD + AD co-treatment are needed." @default.
• W2109414095 created "2016-06-24" @default.
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• W2109414095 date "2015-09-10" @default.
• W2109414095 modified "2023-09-29" @default.
• W2109414095 title "Safety and tolerability of antidepressant co-treatment in acute major depressive disorder: results from a systematic review and exploratory meta-analysis" @default.
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• W2109414095 doi "https://doi.org/10.1517/14740338.2015.1085970" @default.
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