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Int Psychogeriatr. 2001 Jun;13(2):233-40.

A double-blind, placebo-controlled study of fluoxetine in depressed patients with Alzheimer's disease.

Author information

1
Department of Neuropsychiatry and Neuropsychology, Raúl Carrea Institute of Neurological Research-FLENI, Buenos Aires, Argentina. gmp@fleni.org.ar

Abstract

OBJECTIVE:

To examine the efficacy of fluoxetine in the treatment of depression in patients with probable Alzheimer's disease (AD).

METHODS:

This double-blind, parallel-design study included a consecutive series of 41 AD subjects meeting DSM-IV criteria for major or minor depression who were randomized to receive fluoxetine (up to 40 mg/day) or identical-appearing placebo. All patients received biweekly evaluations consisting of the Hamilton Depression Scale (HAM-D) and the Clinical Global Impression as primary efficacy measures, and the Mini-Mental State Exam, Hamilton Rating Scale for Anxiety, and the Functional Independence Measure as secondary efficacy measures.

RESULTS:

Complete remission of depression was found in 47% of subjects treated with fluoxetine and in 33% of subjects treated with placebo. Both the fluoxetine and the placebo groups showed a significant decline in HAM-D scores over time, but the magnitude of mood improvement was similar for both groups. Fluoxetine was well tolerated, and most side effects were mild.

CONCLUSION:

Fluoxetine treatment for depression in AD did not differ significantly from treatment with placebo. Our study also confirms the presence of a placebo effect in the treatment of depression in AD.

PMID:
11495397
[Indexed for MEDLINE]

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