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Long term treatment
with SSRI and SNRI

Please note: Clicking on the link on the reference numbers, for example [1]
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 SSRI

Fluvoxamine
(
1)

Fluvoxamine vs placebo

Randomised double-blind maintenance treatment

1 year

Fewer recurrences on fluvoxamine than on placebo

Paroxetine
(
2)

Paroxetine vs nortriptyline

Open follow-up

18 months in elderly

Equal efficacy for the two drugs on preventing recurrence

SNRI

Milnacipran
(
3)

Milnacipran vs placebo

Randomised double-blind maintenance treatment

1 year

Fewer recurrences on milnacipran than on placebo

Venlafaxine
(
4)

Venlafaxine vs placebo

Pooled analysis of 4 clinical trials

6 month and 1 year

Fewer recurrences on venlafaxine than placebo

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1. Terra JL, Montgomery SA. Fluvoxamine prevents recurrence of depression: results of a long-term, double-blind, placebo-controlled study. Int Clin Psychopharmacol 1998; 13: 55-62.
2. Bump GM, Mulsant BH, Pollock BG, Mazumdar S, Begley AE, Dew MA, Reynolds CF 3rd. Paroxetine versus nortriptyline in the continuation and maintenance treatment of depression in the elderly. Depress Anxiety 2001; 13: 38-44.
3. Rouillon F, Warner B, Pezous N, Bisserbe JC, and the Milnacipran recurrence prevention study group. Milnacipran efficacy in the prevention of recurrent depression: a 12-month placebo-controlled study. Int Clin Psychopharmacol 2000; 15: 133-140.
4. Entsuah AR, Rudolph RL, Hackett D, Miska S. Efficacy of venlafaxine and placebo during long-term treatment of depression: a pooled analysis of relapse rates. Int Clin Psychopharmacol 1996; 11: 137-45.


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