Studied for
2 endpoints · 2 findings · 2 papers · 1 null
- Antidepressant treatment response rateraisesEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.
- Beck Depression Inventory (BDI) total scoreno detected effectEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.
What the evidence says
How to read these marks2 findings · 2 endpoints · 2 papers · 1 null · by evidence strength
What moved
1 finding
Increases antidepressant treatment response rate
ModerateEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.Finding“The proportion of responders was significantly greater with citalopram and escitalopram than placebo and the two effect sizes were of similar magnitude.”
Quoted verbatim from Impact of evergreening on patients and health insurance: a meta analysis and reimbursement cost analysis of citalopram/escitalopram antidepressants.. - Study
- meta-analysis
- Population
- Adults with major depression in placebo-controlled trials of escitalopram (12 trials), eight-week acute treatment, pooled
Impact of evergreening on patients and health insurance: a meta analysis and reimbursement cost analysis of citalopram/escitalopram antidepressants.2012PMID:23167972Permalink
What did not
1 finding
No detected effect on beck Depression Inventory (BDI) total score
ModerateEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.FindingNull result“There were no statistically significant differences between the groups: the mean difference for change in BDI-II severity was − 3.1 (95% confidence interval (CI) -8.66 to 2.53, p = 0.28) for nortriptyline vs. placebo and − 0.7 (95% CI -6.11 to 4.70, p = 0.80) for escitalopram vs. placebo (Supplementary Table 3).”
Quoted verbatim from Placebo-controlled three-armed pilot trial of Escitalopram or Nortriptyline for depressive symptoms in Parkinson's disease (ADepT-PD).. - Study
- RCT
- Duration
- 8 weeks
- Dose
- target 20 mg/day in patients aged 65 or under, 10 mg/day in patients over 65 or with hepatic impairment, titrated from 5 mg in two-weekly steps
- Population
- People with Parkinson's disease and depressive symptoms (BDI-II 14 or above) in a three-arm pilot trial of escitalopram, nortriptyline or placebo; change from baseline to 8 weeks, escitalopram versus placebo
Effect -0.7 mean difference, 95% CI -6.11 to 4.7
Placebo-controlled three-armed pilot trial of Escitalopram or Nortriptyline for depressive symptoms in Parkinson's disease (ADepT-PD).2026PMID:42101650Permalink
Papers screened
565 papers
- Compound
- escitalopram
- Screened
- 565
- Admitted
- 2
- Discarded
- 90
- Not read
- 473
- Showing
- 200 of 565
Produced a finding2 papers
- PMID:231679722026-10-05
- PMID:421016502026-10-05
Discarded: the wrong intervention34 papers
- NCT00048815intervention×1 — no declared intervention names escitalopram2026-09-30
- NCT00057551intervention×1 — no declared intervention names escitalopram2026-09-30
- NCT00129467intervention×1 — no declared intervention names escitalopram2026-09-30
- NCT00200902intervention×1 — no declared intervention names escitalopram2026-09-30
- NCT00387348intervention×1 — no declared intervention names escitalopram2026-09-30
- NCT00562861intervention×1 — no declared intervention names escitalopram2026-09-30
- NCT00612807intervention×1 — no declared intervention names escitalopram2026-09-30
- NCT00655057intervention×1 — no declared intervention names escitalopram2026-09-30
- NCT00666757intervention×1 — no declared intervention names escitalopram2026-09-30
- NCT00794040intervention×1 — no declared intervention names escitalopram2026-09-30
- NCT00826111intervention×1 — no declared intervention names escitalopram2026-09-30
- NCT00898807intervention×1 — no declared intervention names escitalopram2026-09-30
and 22 more.
Discarded: no extractable result30 papers
- PMID:35228575claims extracted but refused by the deterministic validators2026-10-05
- PMID:39168500no claim extracted — direction_not_in_words2026-10-05
- NCT00105586declared_contrast×2 — no posted analysis compares a escitalopram arm with a placebo/no-intervention arm and carries a p-value (Placebo=unmatched, Escitalopram=unmatched)2026-09-30
- NCT00136318declared_contrast×5, reporting_status×3 — no posted analysis compares a escitalopram arm with a placebo/no-intervention arm and carries a p-value (Escitalopram=ACTIVE_COMPARATOR+subject, Placebo=PLACEBO_COMPARATOR)2026-09-30
- NCT00149799declared_contrast×4, arm_count×1 — no posted analysis compares a escitalopram arm with a placebo/no-intervention arm and carries a p-value (Phase II: Escitalopram=unmatched, Phase II: Placebo=unmatched)2026-09-30
- NCT00149825declared_contrast×2 — no posted analysis compares a escitalopram arm with a placebo/no-intervention arm and carries a p-value (MED+CBTI=EXPERIMENTAL+subject, MED+CTRL=ACTIVE_COMPARATOR+subject)2026-09-30
- NCT00166114declared_contrast×1 — no posted analysis compares a escitalopram arm with a placebo/no-intervention arm and carries a p-value (Escitalopram=ACTIVE_COMPARATOR+subject, Desipramine=ACTIVE_COMPARATOR)2026-09-30
- NCT00177216declared_contrast×3 — no posted analysis compares a escitalopram arm with a placebo/no-intervention arm and carries a p-value (Zolpidem=EXPERIMENTAL+subject, Escitalpram=unmatched, Placebo=PLACEBO_COMPARATOR)2026-09-30
- NCT00215137declared_contrast×1 — no posted analysis compares a escitalopram arm with a placebo/no-intervention arm and carries a p-value (Open Label Escitalopram=unmatched, Randomization Placebo=unmatched, Randomization Escitalopram=unmatched)2026-09-30
- NCT00220701declared_contrast×5, outcome_node×1 — no posted analysis compares a escitalopram arm with a placebo/no-intervention arm and carries a p-value (Escitalopram=EXPERIMENTAL+subject, Placebo=PLACEBO_COMPARATOR+subject)2026-09-30
- NCT00352885declared_contrast×6 — no posted analysis compares a escitalopram arm with a placebo/no-intervention arm and carries a p-value (Escitalopram=EXPERIMENTAL+subject, Placebo=PLACEBO_COMPARATOR)2026-09-30
- NCT00360399declared_contrast×6 — no posted analysis compares a escitalopram arm with a placebo/no-intervention arm and carries a p-value (Escitalopram=ACTIVE_COMPARATOR+subject, Duloxetine=ACTIVE_COMPARATOR, Cognitive Behavioral Therapy (CBT)=unmatched)2026-09-30
and 18 more.
Discarded: another reason, stated per paper20 papers
- PMID:30578947no claim extracted — other2026-10-05
- PMID:40596629no claim extracted — cause not determined2026-10-05
- NCT00183677design×1 — allocation NA -- not randomised2026-09-30
- NCT00369746design×1 — studyType OBSERVATIONAL -- only INTERVENTIONAL is extracted2026-09-30
- NCT00404755design×1 — allocation NON_RANDOMIZED -- not randomised2026-09-30
- NCT00556140design×1 — allocation NA -- not randomised2026-09-30
- NCT00887679design×1 — allocation NA -- not randomised2026-09-30
- NCT00918684design×1 — allocation NA -- not randomised2026-09-30
- NCT00953745design×1 — allocation NON_RANDOMIZED -- not randomised2026-09-30
- NCT01115699design×1 — allocation NA -- not randomised2026-09-30
- NCT01123707design×1 — allocation NON_RANDOMIZED -- not randomised2026-09-30
- NCT01271244design×1 — allocation NON_RANDOMIZED -- not randomised2026-09-30
and 8 more.
Discarded: no comparator4 papers
- PMID:16575428no claim extracted — comparator_not_absence2026-10-05
- PMID:19370639no claim extracted — comparator_not_absence2026-10-05
- PMID:20162747no claim extracted — comparator_not_absence2026-10-05
- PMID:38001423no claim extracted — comparator_not_absence2026-10-05
Discarded: an endpoint this vocabulary does not hold2 papers
- PMID:41620762no claim extracted — no_outcome_node — measured: finger gaiting frequency in a grasp-regrasp task (video-scored thumb manipulations per second), and Jebsen-Taylor Hand Function Test subtest 1 completion time in seconds | hand dexterity recovery, finger gaiting frequency (per second) and Jebsen-Taylor subtest 1 completion time (seconds)2026-10-05
- PMID:41849255no claim extracted — no_outcome_node — measured: hypercapnic ventilatory response, minute ventilation at end-tidal CO2 of 55 mmHg under hyperoxia by Duffin's rebreathing, l/min | ventilatory response to hypercapnia, minute ventilation at end-tidal CO2 55 mmHg by Duffin rebreathing (l/min)2026-10-05
Not read yet473 papers
- PMID:157820812026-09-29
- PMID:164187022026-09-29
- PMID:164200822026-09-29
- PMID:164343302026-09-29
- PMID:164775872026-09-29
- PMID:166488072026-09-29
- PMID:170419222026-09-29
- PMID:171072422026-09-29
- PMID:171594582026-09-29
- PMID:173379132026-09-29
- PMID:173565752026-09-29
- PMID:176989422026-09-29
and 461 more.
Measured, not recorded
- Compound
- escitalopram
- Endpoints measured
- 319 endpoints
- Recorded as a finding
- No
Show what was measured
Efficacy versus venlafaxine XR
no effect, n = 240
In analysis by medication class, escitalopram was significantly superior to the SSRIs and comparable to venlafaxine
PMID:16575428 · one of two readings recorded this
MADRS total score, estimated difference in treatment effect at end of study
increases, p = 0.01, n = 2687
estimated difference in treatment effect of 1.07 points (95% confidence interval [CI] 0.42-1.73, p < 0.01)
PMID:16575428 · one of two readings recorded this
MADRS total score treatment effect, response (50% or greater MADRS reduction) and remission (MADRS 12 or below) for escitalopram versus citalopram, fluoxetine, paroxetine, sertraline and venlafaxine XR (abstract only)
increases, estimated difference in treatment effect 1.07 points (95% CI 0.42-1.73); response OR 1.29 (1.07-1.56)
Not recorded as a finding: the comparison was against another active treatment
Escitalopram was superior to all comparators in overall treatment effect, with an estimated difference in treatment effect of 1.07 points (95% confidence interval [CI] 0.42-1.73, p < 0.01), and in response (odds ratio [OR] 1.29, 95% CI 1.07-1.56, p < 0.01) and remission (OR 1.21, 95% CI 1.01-1.46, p < 0.05) rates.
PMID:16575428 · one of two readings recorded this
MADRS total score treatment effect, response (at least 50% MADRS reduction) and remission (MADRS 12 or below), escitalopram versus active controls citalopram, fluoxetine, paroxetine, sertraline and venlafaxine XR (abstract only)
increases, response OR 1.29, 95% CI 1.07-1.56
Not recorded as a finding: the comparison was against another active treatment
Escitalopram was superior to all comparators in overall treatment effect, with an estimated difference in treatment effect of 1.07 points (95% confidence interval [CI] 0.42-1.73, p < 0.01), and in response (odds ratio [OR] 1.29, 95% CI 1.07-1.56, p < 0.01) and remission (OR 1.21, 95% CI 1.01-1.46, p < 0.05) rates.
PMID:16575428 · one of two readings recorded this
Remission (MADRS total score of 12 or less at end of study)
increases, p = 0.05, n = 2687
remission (OR 1.21, 95% CI 1.01-1.46, p < 0.05)
PMID:16575428 · one of two readings recorded this
Response (at least 50% reduction in baseline MADRS total score)
increases, p = 0.01, n = 2687
response (odds ratio [OR] 1.29, 95% CI 1.07-1.56, p < 0.01)
PMID:16575428 · one of two readings recorded this
Withdrawal rate due to adverse events
decreases, p = 0.05
The withdrawal rate due to adverse events was 6.7% for escitalopram compared with 9.1% for the comparators (p < 0.05)
PMID:16575428 · one of two readings recorded this
Constipation
decreases, p = 0.004, n = 557
OR 0.32, 95% CI 0.15 to 0.69, p = 0.004; 2 studies, 557 participants
PMID:19370639 · one of two readings recorded this
Diarrhoea
decreases, p = 0.009, n = 483
OR 0.49, 95% CI 0.28 to 0.84, p = 0.009; 2 trials, 483 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to any cause
no effect, p = 0.9, n = 842
OR 1.02, 95% CI 0.75 to 1.39, p = 0.90; 3 studies, 842 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to any cause
no effect, p = 0.16, n = 1823
OR 0.78, 95% CI 0.56 to 1.10, p = 0.16; 6 studies, 1823 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to any cause
decreases, p = 0.05, n = 1120
OR 0.62, 95% CI 0.38 to 0.99, p = 0.05; 3 studies, 1120 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to any cause
no effect, p = 0.68, n = 813
OR 0.89, 95% CI 0.51 to 1.55, p = 0.68; 4 studies, 813 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to any cause
no effect, p = 0.24, n = 784
OR 0.68, 95% CI 0.36 to 1.29, p = 0.24; 2 studies, 784 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to any cause
no effect, p = 0.37, n = 489
OR 1.24, 95% CI 0.78 to 1.97, p = 0.37; 2 studies, 489 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to any cause
no effect, p = 0.62, n = 495
OR 0.90, 95% CI 0.58 to 1.39, p = 0.62; 2 studies, 495 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to inefficacy
no effect, p = 0.14, n = 276
OR 0.11, 95% CI 0.01 to 2.02, p = 0.14; 1 study, 276 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to inefficacy
no effect, p = 0.56, n = 1604
OR 0.74, 95% CI 0.27 to 2.03, p = 0.56; 5 studies, 1604 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to inefficacy
no effect, p = 0.95, n = 1120
OR 0.95, 95% CI 0.21 to 4.25, p = 0.95; 3 studies, 1120 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to inefficacy
no effect, p = 0.41, n = 813
OR 0.57, 95% CI 0.15 to 2.15, p = 0.41; 4 studies, 813 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to inefficacy
no effect, p = 0.76, n = 784
OR 1.39, 95% CI 0.17 to 11.44, p = 0.76; 2 studies, 784 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to inefficacy
no effect, p = 0.33, n = 274
OR 3.09, 95% CI 0.32 to 30.08, p = 0.33; 1 study, 274 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to inefficacy
no effect, p = 0.14, n = 293
OR 9.06, 95% CI 0.48 to 169.85, p = 0.14; 1 study, 293 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to side effects
no effect, p = 0.36, n = 842
OR 0.65, 95% CI 0.25 to 1.65, p = 0.36; 3 studies, 842 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to side effects
no effect, p = 0.36, n = 1604
OR 0.79, 95% CI 0.47 to 1.31, p = 0.36; 5 studies, 1604 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to side effects
no effect, p = 0.15, n = 1120
OR 0.49, 95% CI 0.18 to 1.29, p = 0.15; 3 studies, 1120 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to side effects
no effect, p = 0.29, n = 813
OR 0.75, 95% CI 0.44 to 1.28, p = 0.29; 4 studies, 813 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to side effects
no effect, p = 0.5, n = 784
OR 0.70, 95% CI 0.25 to 1.96, p = 0.50; 2 studies, 784 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to side effects
no effect, p = 0.89, n = 489
OR 1.08, 95% CI 0.35 to 3.37, p = 0.89; 2 studies, 489 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to side effects
no effect, p = 0.09, n = 495
OR 0.41, 95% CI 0.14 to 1.17, p = 0.09; 2 studies, 495 participants
PMID:19370639 · one of two readings recorded this
Dizziness
decreases, p = 0.01, n = 1111
OR 0.59, 95%CI 0.39 to 0.90, p = 0.01; 3 trials, 1111 participants
PMID:19370639 · one of two readings recorded this
Dry mouth
decreases, p = 0.007, n = 822
OR 0.58, 95% CI 0.39 to 0.87, p = 0.007; 3 studies, 822 participants
PMID:19370639 · one of two readings recorded this
Dry mouth
decreases, p = 0.001, n = 1111
OR 0.55, 95% CI 0.39 to 0.79, p = 0.001; 3 trials, 1111 participants
PMID:19370639 · one of two readings recorded this
Fatigue
increases, p = 0.0003, n = 557
OR 3.48, 95%CI 1.77 to 6.84, p = 0.0003; 2 studies, 557 participants
PMID:19370639 · one of two readings recorded this
Increased sweating
decreases, p = 0.02, n = 487
OR 0.45, 95%CI 0.23 to 0.87, p = 0.02; 2 trials, 487 participants
PMID:19370639 · one of two readings recorded this
Insomnia
decreases, p = 0.02, n = 822
OR 0.55, 95% CI 0.33 to 0.92, p = 0.02; 3 studies, 822 participants
PMID:19370639 · one of two readings recorded this
Insomnia
unclear, p = 0.06, n = 1111
OR 0.58, 95% CI 0.33 to 1.02, p = 0.06; 3 trials, 1111 participants
PMID:19370639 · one of two readings recorded this
Irritability
unclear, p = 0.06, n = 557
OR 0.26, 95% CI 0.06 to 1.04, p = 0.06; 2 trials, 557 participants
PMID:19370639 · one of two readings recorded this
Irritability
unclear, p = 0.05, n = 547
OR 0.39, 95% CI 0.15 to 1.01, p = 0.05; 1 trials, 547 participants
PMID:19370639 · one of two readings recorded this
Jitteriness
decreases, p = 0.03, n = 369
OR 0.16, 95% CI 0.03 to 0.82, p = 0.03; 1 trial, 369 participants
PMID:19370639 · one of two readings recorded this
Lethargy/sedation
unclear, p = 0.05, n = 212
95% CI 0.99 to 13.94, p = 0.05; 1 trial, 212 participants
PMID:19370639 · one of two readings recorded this
Mean change from baseline in depressive symptoms, acute phase
no effect, p = 0.23, n = 793
SMD −0.08, 95% CI −0.22 to 0.05, p = 0.23; 3 studies, 793 participants
PMID:19370639 · one of two readings recorded this
Mean change from baseline in depressive symptoms, acute phase
decreases, p = 0.009, n = 1392
SMD −0.17, 95% CI −0.30 to −0.04, p = 0.009; 5 studies, 1392 participants
PMID:19370639 · one of two readings recorded this
Mean change from baseline in depressive symptoms, acute phase
no effect, p = 0.28, n = 1096
SMD −0.10, 95% CI −0.30 to 0.09, p = 0.28; 3 studies, 1096 participants
PMID:19370639 · one of two readings recorded this
Mean change from baseline in depressive symptoms, acute phase
decreases, p = 0.02, n = 759
SMD −0.17, 95% CI −0.32 to −0.03, p = 0.02; 3 studies, 759 participants
PMID:19370639 · one of two readings recorded this
Mean change from baseline in depressive symptoms, acute phase
no effect, p = 0.76, n = 776
SMD −0.05, 95% CI −0.36 to 0.26, p = 0.76; 2 studies, 776 participants
PMID:19370639 · one of two readings recorded this
Mean change from baseline in depressive symptoms, acute phase
no effect, p = 0.85, n = 477
SMD 0.02, 95% CI −0.16 to 0.20, p = 0.85; 2 studies, 477 participants
PMID:19370639 · one of two readings recorded this
Mean change from baseline in depressive symptoms, acute phase
no effect, p = 0.68, n = 283
SMD −0.07, 95% CI −0.38 to 0.25, p = 0.68; 5 studies, 283 participants
PMID:19370639 · one of two readings recorded this
Nausea
decreases, p = 0.0001, n = 1111
OR 0.56, 95% CI 0.42 to 0.75, p = 0.0001; 3 trials, 1111 participants
PMID:19370639 · one of two readings recorded this
Nausea
decreases, p = 0.05, n = 487
OR 0.37, 95% CI 0.14 to 0.99, p = 0.05; 2 trials, 487 participants
PMID:19370639 · one of two readings recorded this
number of patients who responded to treatment (at least 50% reduction on MADRS or HAM-D), acute phase 6 to 12 weeks, escitalopram versus citalopram and other antidepressants
increases, OR 0.67, 95% CI 0.50 to 0.89 on failure to respond, escitalopram versus citalopram, p = 0.006
Not recorded as a finding: the comparison was against another active treatment
There was a statistically significant difference with escitalopram being more effective than citalopram (OR 0.67, 95% CI 0.50 to 0.89, p = 0.006; 6 studies, 1823 participants) (see Figure 3).
PMID:19370639 · one of two readings recorded this
Patients experiencing at least one side effect
no effect, p = 0.12, n = 822
OR 0.77, 95% CI 0.55 to 1.07, p = 0.12; 3 studies, 822 participants
PMID:19370639 · one of two readings recorded this
Patients experiencing at least one side effect
no effect, p = 0.12, n = 1802
OR 0.79, 95% CI 0.58 to 1.07, p = 0.12; 6 studies, 1802 participants
PMID:19370639 · one of two readings recorded this
Patients experiencing at least one side effect
no effect, p = 0.82, n = 1111
OR 0.96, 95% CI 0.67 to 1.38, p = 0.82; 3 studies, 1111 participants
PMID:19370639 · one of two readings recorded this
Patients experiencing at least one side effect
no effect, p = 0.13, n = 804
OR 0.80, 95% CI 0.59 to 1.07, p = 0.13; 4 studies, 804 participants
PMID:19370639 · one of two readings recorded this
Patients experiencing at least one side effect
no effect, p = 0.23, n = 454
OR 0.78, 95% CI 0.52 to 1.17, p = 0.23; 1 study, 454 participants
PMID:19370639 · one of two readings recorded this
Patients experiencing at least one side effect
no effect, p = 0.15, n = 483
OR 0.62, 95% CI 0.33 to 1.19, p = 0.15; 2 studies, 483 participants
PMID:19370639 · one of two readings recorded this
Patients experiencing at least one side effect
no effect, p = 0.16, n = 487
OR 0.58, 95% CI 0.28 to 1.23, p = 0.16; 2 studies, 487 participants
PMID:19370639 · one of two readings recorded this
Remission, acute phase treatment (6 to 12 weeks)
no effect, p = 0.72, n = 842
OR 0.94, 95% CI 0.67 to 1.32, p = 0.72; 3 studies, 842 participants
PMID:19370639 · one of two readings recorded this
Remission, acute phase treatment (6 to 12 weeks)
increases, p = 0.02, n = 1823
OR 0.57, 95% CI 0.36 to 0.90, p = 0.02; 6 studies, 1823 participants
PMID:19370639 · one of two readings recorded this
Remission, acute phase treatment (6 to 12 weeks)
no effect, p = 0.56, n = 1120
OR 0.90, 95% CI 0.62 to 1.29, p = 0.56; 3 studies, 1120 participants
PMID:19370639 · one of two readings recorded this
Remission, acute phase treatment (6 to 12 weeks)
no effect, p = 0.32, n = 783
OR 0.86, 95% CI 0.65 to 1.15, p = 0.32; 3 studies, 783 participants
PMID:19370639 · one of two readings recorded this
Remission, acute phase treatment (6 to 12 weeks)
no effect, p = 0.67, n = 784
OR 0.87, 95% CI 0.45 to 1.68, p = 0.67; 2 studies, 784 participants
PMID:19370639 · one of two readings recorded this
Remission, acute phase treatment (6 to 12 weeks)
no effect, p = 0.42, n = 489
OR 1.16, 95% CI 0.81 to 1.67, p = 0.42; 2 studies, 489 participants
PMID:19370639 · one of two readings recorded this
Remission, acute phase treatment (6 to 12 weeks)
no effect, p = 0.64, n = 495
OR 0.91, 95% CI 0.63 to 1.33, p = 0.64; 2 studies, 495 participants
PMID:19370639 · one of two readings recorded this
Remission, follow-up (16 to 24 weeks)
no effect, p = 0.18, n = 295
OR 0.72, 95% CI 0.45 to 1.16, p = 0.18; 1 study, 295 participants
PMID:19370639 · one of two readings recorded this
Response, acute phase treatment (6 to 12 weeks)
no effect, p = 0.5, n = 842
OR 0.91, 95% CI 0.69 to 1.20, p = 0.50; 3 studies, 842 participants
PMID:19370639 · one of two readings recorded this
Response, acute phase treatment (6 to 12 weeks)
increases, p = 0.006, n = 1823
OR 0.67, 95% CI 0.50 to 0.89, p = 0.006; 6 studies, 1823 participants
PMID:19370639 · one of two readings recorded this
Response, acute phase treatment (6 to 12 weeks)
no effect, p = 0.21, n = 1120
OR 0.72, 95% CI 0.43 to 1.20, p = 0.21; 3 studies, 1120 participants
PMID:19370639 · one of two readings recorded this
Response, acute phase treatment (6 to 12 weeks)
no effect, p = 0.17, n = 783
OR 0.81, 95% CI 0.60 to 1.10, p = 0.17; 3 studies, 783 participants
PMID:19370639 · one of two readings recorded this
Response, acute phase treatment (6 to 12 weeks)
no effect, p = 0.57, n = 784
OR 0.89, 95% CI 0.61 to 1.32, p = 0.57; 2 studies, 784 participants
PMID:19370639 · one of two readings recorded this
Response, acute phase treatment (6 to 12 weeks)
no effect, p = 0.76, n = 489
OR 1.06, 95% CI 0.73 to 1.53, p = 0.76; 2 studies, 489 participants
PMID:19370639 · one of two readings recorded this
Response, acute phase treatment (6 to 12 weeks)
no effect, p = 0.53, n = 495
OR 0.86, 95% CI 0.53 to 1.39, p = 0.53; 2 studies, 495 participants
PMID:19370639 · one of two readings recorded this
response (at least 50% reduction on HAM-D or MADRS), remission, mean change from baseline and dropout for escitalopram versus citalopram, fluoxetine, paroxetine, sertraline, duloxetine, venlafaxine and bupropion in major depression
increases, OR 0.67, 95% CI 0.50 to 0.89, p = 0.006 for acute-phase response, escitalopram versus citalopram, p = 0.006
Not recorded as a finding: the comparison was against another active treatment
There was a statistically significant difference with escitalopram being more effective than citalopram (OR 0.67, 95% CI 0.50 to 0.89, p = 0.006; 6 studies, 1823 participants) (see Figure 3).
PMID:19370639 · one of two readings recorded this
Response, early (1 to 4 weeks)
no effect, p = 0.73, n = 240
OR 1.15, 95% CI 0.52 to 2.56, p = 0.73; 1 study, 240 participants
PMID:19370639 · one of two readings recorded this
Response, early (1 to 4 weeks)
no effect, p = 0.6, n = 293
OR 0.85, 95% CI 0.47 to 1.55, p = 0.60; 1 study, 293 participants
PMID:19370639 · one of two readings recorded this
Response, follow-up (16 to 24 weeks)
no effect, p = 0.88, n = 357
OR 0.96, 95% CI 0.60 to 1.56, p = 0.88; 1 study, 357 participants
PMID:19370639 · one of two readings recorded this
Response, follow-up (16 to 24 weeks)
no effect, p = 0.25, n = 295
OR 0.72, 95% CI 0.42 to 1.25, p = 0.25; 1 study, 295 participants
PMID:19370639 · one of two readings recorded this
Response, follow-up (16 to 24 weeks)
no effect, p = 0.17, n = 459
OR 0.73, 95% CI 0.47 to 1.15, p = 0.17; 1 study, 459 participants
PMID:19370639 · one of two readings recorded this
Response, sensitivity analysis excluding trials with dropout greater than 20% in both arms
increases, p = 0.0009, n = 1187
OR 0.56, 95% CI 0.40 to 0.79, p = 0.0009; 4 studies, 1187 participants
PMID:19370639 · one of two readings recorded this
Response, sensitivity analysis excluding trials with dropout greater than 20% in both arms
no effect, p = 0.2, n = 578
OR 0.80, 95% CI 0.56 to 1.13, p = 0.20; 2 studies, 578 participants
PMID:19370639 · one of two readings recorded this
Response, sensitivity analysis excluding trials with dropout greater than 20% in only one arm additionally
increases, p = 0.0002, n = 830
OR 0.49, 95% CI 0.34 to 0.72, p = 0.0002; 3 studies, 830 participants
PMID:19370639 · one of two readings recorded this
Yawning
increases, p = 0.007, n = 557
OR 7.71, 95%CI 1.75 to 34.05, p = 0.007; 2 studies, 557 participants
PMID:19370639 · one of two readings recorded this
Discontinuation due to adverse events or inefficacy up to 8 weeks
no effect
Discontinuations due to adverse events or inefficacy up to 8 weeks of treatment were comparable
PMID:20162747 · one of two readings recorded this
MADRS score reduction, proportion of responders, CGI-S reduction and discontinuation for escitalopram versus equimolar citalopram in major depressive disorder (abstract only)
increases, relative risk 1.14, 95% CI 1.04 to 1.26 for response at week 8, escitalopram versus citalopram
Not recorded as a finding: the comparison was against another active treatment
Risk of response was higher with escitalopram at week 8 (relative risk, 1.14; 95% CI, 1.04 to 1.26) but number needed to treat was 14 (95% CI, 7 to 111).
PMID:20162747 · one of two readings recorded this
MADRS score reduction
increases
MADRS reduction was greater with escitalopram
PMID:20162747 · one of two readings recorded this
Number needed to treat for response at week 8
Risk of response was higher with escitalopram at week 8 (relative risk, 1.14; 95% CI, 1.04 to 1.26) but number needed to treat was 14 (95% CI, 7 to 111)
PMID:20162747 · one of two readings recorded this
Response (proportion of responders) at week 8
increases
Risk of response was higher with escitalopram at week 8 (relative risk, 1.14; 95% CI, 1.04 to 1.26) but number needed to treat was 14 (95% CI, 7 to 111)
PMID:20162747 · one of two readings recorded this
Response rate and MADRS reduction at week 8 in severe patients
increases
Data for severe patients (MADRS> or =30) are scarce (only 1 RCT), indicating somewhat greater efficacy (response rate and MADRS reduction at week 8, but not CGI-S reduction) of escitalopram
PMID:20162747 · one of two readings recorded this
response rate at week 8 and MADRS score reduction, escitalopram versus citalopram head-to-head, meta-analysis of randomized trials (abstract only)
increases, relative risk 1.14; 95% CI 1.04 to 1.26 for response at week 8
Not recorded as a finding: the comparison was against another active treatment
Risk of response was higher with escitalopram at week 8 (relative risk, 1.14; 95% CI, 1.04 to 1.26) but number needed to treat was 14 (95% CI, 7 to 111).
PMID:20162747 · one of two readings recorded this
acceptability, proportion of treatment completers, escitalopram versus placebo
random-effects combined OR 0.89 (0.73 to 1.07) for escitalopram
Not recorded as a finding: no outcome node for completion or dropout proportion; sentence also names citalopram
Concerning acceptability, the proportion of treatment completers was lower with citalopram and escitalopram than placebo, with similar effect sizes, see Section 13, Additional file 1, the random-effects combined OR 0.91 (0.75 to 1.10) for citalopram and 0.89 (0.73 to 1.07) for escitalopram.
PMID:23167972 · one of two readings recorded this
Acceptability (treatment completers), adjusted indirect comparison, escitalopram v citalopram
no effect
the adjusted indirect comparison OR for escitalopram versus citalopram was 0.98 (0.75 to 1.28)
PMID:23167972 · one of two readings recorded this
Acceptability (treatment completers), head-to-head trials, escitalopram v citalopram
no effect
For escitalopram versus citalopram, the random-effects combined OR was 1.27 (0.93 to 1.72)
PMID:23167972 · one of two readings recorded this
Acceptability (treatment completers), placebo-controlled trials, citalopram v placebo
no effect
the random-effects combined OR 0.91 (0.75 to 1.10) for citalopram and 0.89 (0.73 to 1.07) for escitalopram
PMID:23167972 · one of two readings recorded this
Acceptability (treatment completers), placebo-controlled trials, escitalopram v placebo
no effect
the random-effects combined OR 0.91 (0.75 to 1.10) for citalopram and 0.89 (0.73 to 1.07) for escitalopram
PMID:23167972 · one of two readings recorded this
Citalopram claims, 2004 to 2006
decreases
substantial decrease in consumption of citalopram between 2004 (2.1 million claims) and 2006 (0.7 million claims)
PMID:23167972 · one of two readings recorded this
Citalopram consumption in DDD units, 2004 to 2010
decreases
for citalopram consumption, the DDD units decreased from 73.9 million in 2004 to 7.6 million in 2010, whereas for escitalopram, the units increased from 15.7 million in 2005 to 193.9 million in 2010
PMID:23167972 · one of two readings recorded this
Escitalopram consumption in DDD units, 2005 to 2010
increases
for citalopram consumption, the DDD units decreased from 73.9 million in 2004 to 7.6 million in 2010, whereas for escitalopram, the units increased from 15.7 million in 2005 to 193.9 million in 2010
PMID:23167972 · one of two readings recorded this
Generic citalopram consumption in DDD units, 2005 to 2010
increases
For generic forms of citalopram, the DDD units were 55.2 million in 2005 and slightly increased to 58.8 million in 2010
PMID:23167972 · one of two readings recorded this
Inconsistency between direct and indirect estimates of acceptability (difference in log ORs)
unclear, p = 0.21
with large inconsistency between the direct and indirect estimates (difference in log ORs 0.26, corresponding to a ratio of OR of 1.30 (P = 0.21)
PMID:23167972 · one of two readings recorded this
Inconsistency between direct and indirect estimates of response (difference in log ORs)
unclear, p = 0.07
We found a large inconsistency between the direct and indirect estimates (difference in log ORs 0.44, corresponding to a ratio of OR of 1.55, P = 0.07
PMID:23167972 · one of two readings recorded this
Monthly reimbursement claims in 2010
unclear
5.4 million claims for escitalopram vs. 0.2 and 1.7 million for citalopram and its generic forms, respectively
PMID:23167972 · one of two readings recorded this
Number needed to treat for additional response, escitalopram v citalopram, higher control response rate
increases
This combined OR would translate to a NNT of 8.5 and 9.6 patients to achieve an additional response with escitalopram compared to citalopram, when the control response rate is lower (47%) or higher (61%)
PMID:23167972 · one of two readings recorded this
Number needed to treat for additional response, escitalopram v citalopram, lower control response rate
increases
This combined OR would translate to a NNT of 8.5 and 9.6 patients to achieve an additional response with escitalopram compared to citalopram, when the control response rate is lower (47%) or higher (61%)
PMID:23167972 · one of two readings recorded this
Overall health cost burden of citalopram, its generic forms and escitalopram, 2010
unclear
Overall, the health cost burden of the three drug forms reached 120.6 million Euros in 2010
PMID:23167972 · one of two readings recorded this
Reimbursement cost burden of citalopram, 2010
unclear
The cost burden of escitalopram continued to increase, to reach 96.8 million Euros in 2010, as compared with citalopram, 4.4 million Euros
PMID:23167972 · one of two readings recorded this
Response, adjusted indirect comparison, citalopram v escitalopram
no effect
the adjusted indirect comparison OR for citalopram versus escitalopram was 1.03 (0.82 to 1.30)
PMID:23167972 · one of two readings recorded this
Response (head-to-head trials, escitalopram v citalopram)
increases
Escitalopram was associated with higher response as compared with citalopram (random-effects model, combined OR 1.60 (95% CI 1.05 to.46))
PMID:23167972 · one of two readings recorded this
Response, placebo-controlled trials, citalopram v placebo
increases
Random-effects combined OR 1.50 (1.27 to 1.78) for citalopram and 1.55 (1.33 to 1.82) for escitalopram
PMID:23167972 · one of two readings recorded this
Response, placebo-controlled trials, escitalopram v placebo
increases
Random-effects combined OR 1.50 (1.27 to 1.78) for citalopram and 1.55 (1.33 to 1.82) for escitalopram
PMID:23167972 · one of two readings recorded this
response proportion, escitalopram versus citalopram head-to-head, 7 trials, combined OR 1.60
increases
Not recorded as a finding: comparator_not_absence: citalopram is an active comparator, so the contrast does not isolate escitalopram against no drug
Escitalopram was associated with higher response as compared with citalopram (random-effects model, combined OR 1.60 (95% CI 1.05 to.46)) (See Section 8, Additional file 1).
PMID:23167972 · one of two readings recorded this
response rate, escitalopram versus citalopram head-to-head, direct meta-analysis of seven trials
increases
Not recorded as a finding: active comparator, not absence of the compound
Escitalopram was associated with higher response as compared with citalopram (random-effects model, combined OR 1.60 (95% CI 1.05 to.46)) (See Section 8, Additional file 1).
PMID:23167972 · one of two readings recorded this
Small-study effect (Egger's test), citalopram v placebo trials
no effect, p = 0.79
Egger's test P = 0.79 for citalopram vs. placebo and P = 0.46 for escitalopram vs. placebo
PMID:23167972 · one of two readings recorded this
Small-study effect (Egger's test), escitalopram v placebo trials
no effect, p = 0.46
Egger's test P = 0.79 for citalopram vs. placebo and P = 0.46 for escitalopram vs. placebo
PMID:23167972 · one of two readings recorded this
treatment acceptability, proportion of completers, escitalopram versus placebo, combined OR 0.89
random-effects combined OR 0.89 (0.73 to 1.07)
Not recorded as a finding: no outcome node for completer proportion or dropout; interval spans 1
Concerning acceptability, the proportion of treatment completers was lower with citalopram and escitalopram than placebo, with similar effect sizes, see Section 13, Additional file 1, the random-effects combined OR 0.91 (0.75 to 1.10) for citalopram and 0.89 (0.73 to 1.07) for escitalopram.
PMID:23167972 · one of two readings recorded this
Rate of employment, PGRN v STAR*D
unclear, p = 0.009
rate of employment (PGRN=81% vs. STAR*D=60%, p-value=0.009)
PMID:30578947 · one of two readings recorded this
SNRI remission, CYP2D6 URM, meta-analysis across PGRN and STAR*D
increases, p = 0.023
In the meta-analysis across the two studies, CYP2D6 URM was significantly associated (p = 0.023) with greater odds of SNRIs remis-sion (OR = 3.9; I2 = 0.0)
PMID:30578947 · one of two readings recorded this
Venlafaxine-XR remission association with CYP2D6 metabolism phenotype
increases, p = 0.027
Venlafaxine-XR remission was associated with CYP2D6 metabolism phenotype (p = 0.027)
PMID:30578947 · one of two readings recorded this
Venlafaxine-XR remission, linear effect of CYP2D6 metabolizer status (PM, IM/EM, URM)
increases, p = 0.018
higher metabolism was associated with greater odds of remission (OR = 4.72, p = 0.018)
PMID:30578947 · one of two readings recorded this
Venlafaxine-XR remission rate by CYP2D6 metabolizer phenotype (URM v PM)
increases
remission rates were higher among URM (n = 5, 71.4%) in comparison to CYP2D6 PM (n = 1, 10%)
PMID:30578947 · one of two readings recorded this
Activities of daily living
no effect
The pooled analysis was not in favor of the escitalopram compared with the control (SMD = 0.42; 95% CI, − 0.32 to 1.16; I2 = 94%
PMID:35228575 · one of two readings recorded this
Anorexia
no effect
the anorexia (RR = 1.66; 95% CI, 0.95 to 2.90; 3 trials; I2 = 2%
PMID:35228575 · one of two readings recorded this
Antidepressant efficiency, single trial report
increases, p = 0.05
the antidepressant efficiency was obvious statistical significance (P < 0.05) in escitalopram group (88.9%) compared with the control (64.7%)
PMID:35228575 · one of two readings recorded this
Anxiety
no effect
the anxiety (RR = 1.98; 95% CI, 0.37 to 10.61; 2 trials; I2 = 48%, P = 0.16
PMID:35228575 · one of two readings recorded this
Bleeding
no effect
the bleeding (RR = 1.02; 95% CI, 0.15 to 7.07; 2 trials; I2 = 0%
PMID:35228575 · one of two readings recorded this
Chest pain
no effect
Only 2 trails reported the chest pain, and the RR was 1.35 (95% CI, 0.68 to 2.70; 2 trials; I2 = 0%, P = 0.57
PMID:35228575 · one of two readings recorded this
Cognitive impairments
no effect
The SMD was 0.56 (95% CI, − 0.23 to 1.34; 3 trials
PMID:35228575 · one of two readings recorded this
depression rating scores pooled across HAMD-17, HAMD-24 and other scales, SMD
decreases, SMD -1.25, 95% CI -1.82 to -0.68
Not recorded as a finding: hdrs-total-score requires the HDRS total; this estimate pools several scales and no pooled-instrument depression node exists
Figure 2 shows that the SMD of depression rating scores was − 1.25 (95% CI, − 1.82 to − 0.68; 7 trials; I2 = 90%) among participants allocated escitalopram compared with control.
PMID:35228575 · one of two readings recorded this
depression rating scores, pooled SMD across HAMD-17 and HAMD-24 and other scales, 7 trials, escitalopram versus placebo or blank control
SMD -1.25 (95% CI, -1.82 to -0.68)
Not recorded as a finding: hdrs-total-score requires the Hamilton total score; the pooled estimate mixes rating scales and the sentence gives only a signed SMD with no direction word
Figure 2 shows that the SMD of depression rating scores was − 1.25 (95% CI, − 1.82 to − 0.68; 7 trials; I2 = 90%) among participants allocated escitalopram compared with control.
PMID:35228575 · one of two readings recorded this
Depression rating scores
decreases
Figure 2 shows that the SMD of depression rating scores was − 1.25 (95% CI, − 1.82 to − 0.68; 7 trials; I2 = 90%) among participants allocated escitalopram compared with control
PMID:35228575 · one of two readings recorded this
Depression rating scores
decreases
the group of 3 ~ 6 months (SMD = -1.23; 95% CI, − 1.50 to − 0.97; I2 = 0%)
PMID:35228575 · one of two readings recorded this
Depression rating scores
decreases
there was obvious statistical significance in the subgroup where follow-up duration was the group of < 3 months (SMD = -1.78; 95% CI, − 2.78 to − 0.77; I2 = 91%)
PMID:35228575 · one of two readings recorded this
Depression rating scores
decreases
But there was moderate heterogeneity among participants who were with depression (SMD = -1.32; 95% CI, − 1.74 to − 0.90; I2 = 57%)
PMID:35228575 · one of two readings recorded this
Depression rating scores
decreases
or not depression (SMD = -1.15; 95% CI, − 2.21 to − 0.09; I2 = 95%)
PMID:35228575 · one of two readings recorded this
Dizziness
no effect
the dizziness (RR = 1.09; 95% CI, 0.90 to 1.32; 3 trials; I2 = 0%, P = 0.95
PMID:35228575 · one of two readings recorded this
Drowsiness
increases
except for the drowsiness (RR = 6.95; 95% CI, 1.61 to 30.09; 3 trials; I2 = 31%, P = 0.23
PMID:35228575 · one of two readings recorded this
Drowsiness
no effect
the drowsiness (SMD = 4.70; 95% CI, 0.17 to 127.25; I2 = 64%, P = 0.09)
PMID:35228575 · one of two readings recorded this
Dry mouth
no effect
the dry mouth (RR = 0.73; 95% CI, 0.52 to 1.03; 3 trials; I2 = 46%
PMID:35228575 · one of two readings recorded this
Dysuria
no effect
the dysuria (RR = 1.38; 95% CI, 0.51 to 3.77; 2 trials; I2 = 0%, P = 0.85
PMID:35228575 · one of two readings recorded this
Falls
no effect
the falls (RR = 1.02; 95% CI, 0.15 to 7.07; 2 trials; I2 = 0%, P = 0.97
PMID:35228575 · one of two readings recorded this
Fatigue
no effect
the fatigue (RR = 1.25; 95% CI, 0.90 to 1.74; 3 trials; I2 = 0%, P = 0.73
PMID:35228575 · one of two readings recorded this
Gastrointestinal adverse events (nausea, diarrhea, abdominal pain, constipation)
no effect
For nausea, diarrhea, abdominal pain and constipation, the RR was 1.31 (95% CI, 0.86 to 1.99; 7 trials; Fig. 5)
PMID:35228575 · one of two readings recorded this
Incidence of poststroke depression
decreases
The incidence of PSD was higher in control compared with escitalopram and with moderate heterogeneity (RR = 0.52; 95% CI, 0.29 to 0.91; 5 trials; I2 = 72%; Fig. 4)
PMID:35228575 · one of two readings recorded this
Increased sweating
no effect
the increased sweating (RR = 1.78; 95% CI, 0.99 to 3.20; 3 trials; I2 = 0%, P = 0.80
PMID:35228575 · one of two readings recorded this
Indigestion
no effect
the indigestion (RR = 1.26; 95% CI, 0.75 to 2.11; 3 trials; I2 = 0%
PMID:35228575 · one of two readings recorded this
Insomnia
no effect
the insomnia (RR = 0.82; 95% CI, 0.48 to 1.39; 4 trials; I2 = 0%, P = 0.71
PMID:35228575 · one of two readings recorded this
motor function pooled across Fugl-Meyer and Hemispheric Stroke Scale, SMD
increases, SMD = 0.47; 95% CI, 0.02 to 0.93
Not recorded as a finding: no motor function outcome node; pooled across two instruments and not robust in sensitivity analysis
There was a better effect in the escitalopram versus the control (SMD = 0.47; 95% CI, 0.02 to 0.93; 4 trials, Supplemental Fig. 19) with high heterogeneity among trials (I2 = 83%; P = 0.0005), between different motor function scales FM (SMD = 0.65; 95% CI, 0.25 to 1.06; I2 = 54%, P = 0.11) vs Hemispheric Stroke Scale (SMD = 0.00; 95% CI, − 0.18 to 0.18).
PMID:35228575 · one of two readings recorded this
motor function, pooled SMD across Fugl-Meyer and Hemispheric Stroke Scale, 4 trials
increases, SMD = 0.47; 95% CI, 0.02 to 0.93
Not recorded as a finding: no outcome node for motor function after stroke; result did not hold in sensitivity analysis
There was a better effect in the escitalopram versus the control (SMD = 0.47; 95% CI, 0.02 to 0.93; 4 trials, Supplemental Fig. 19) with high heterogeneity among trials (I2 = 83%; P = 0.0005), between different motor function scales FM (SMD = 0.65; 95% CI, 0.25 to 1.06; I2 = 54%, P = 0.11) vs Hemispheric Stroke Scale (SMD = 0.00; 95% CI, − 0.18 to 0.18).
PMID:35228575 · one of two readings recorded this
Motor function
increases
There was a better effect in the escitalopram versus the control (SMD = 0.47; 95% CI, 0.02 to 0.93; 4 trials
PMID:35228575 · one of two readings recorded this
Motor function
increases
between different motor function scales FM (SMD = 0.65; 95% CI, 0.25 to 1.06; I2 = 54%, P = 0.11)
PMID:35228575 · one of two readings recorded this
Motor function
no effect
vs Hemispheric Stroke Scale (SMD = 0.00; 95% CI, − 0.18 to 0.18)
PMID:35228575 · one of two readings recorded this
Motor function
no effect
except for the motor function (SMD = 0.36; 95% CI, − 0.40 to 1.13; I2 = 90%, P = 0.002)
PMID:35228575 · one of two readings recorded this
Neurological deficit scores
no effect
The SMD was − 0.97 (95% CI, − 1.97 to 0.03; 4 trials
PMID:35228575 · one of two readings recorded this
Neurological deficit scores
decreases
vs MESSS (SMD = -0.35; 95% CI, − 0.69 to − 0.01)
PMID:35228575 · one of two readings recorded this
Neurological deficit scores
decreases
regarding different scales NFI (Neurologic Function Impairment) (SMD = -3.25; 95% CI, − 3.86 to − 2.64)
PMID:35228575 · one of two readings recorded this
Neurological deficit scores
no effect
vs NIHSS (SMD = -0.15; 95% CI, − 0.46 to 0.17; I2 = 91%, P = 0.15)
PMID:35228575 · one of two readings recorded this
Pain
no effect
the pain (RR = 0.88; 95% CI, 0.48 to 1.63; 2 trials; I2 = 24%, P = 0.25
PMID:35228575 · one of two readings recorded this
Palpitation
no effect
The RR was 1.14 (95% CI, 0.44 to 2.96; 3 trials; I2 = 0%, P = 0.65; Fig. 6) for palpitation
PMID:35228575 · one of two readings recorded this
Publication bias test (Egger) for depression rating scores
no effect, p = 0.478
the Egger tests showed that the outcome of depression rating scores (t = -0.77; P = 0.478 > 0.10) was not affected by publication bias
PMID:35228575 · one of two readings recorded this
Recovery rate of neurological function, single trial report
increases, p = 0.05
the recovery rate of neurological function was obvious statistical significance (P < 0.05) in escitalopram group (86.1%) compared with the control (58.8%)
PMID:35228575 · one of two readings recorded this
Sexual adverse events
no effect
Escitalopram did not affect sexual function versus control (RR = 1.39; 95% CI, 0.94 2.05; I2 = 0%, P = 0.72; 3 trials; Fig. 7)
PMID:35228575 · one of two readings recorded this
Tachycardia
no effect
For tachycardia, the RR was 1.07 (95% CI, 0.90 to 1.28; 2 trials
PMID:35228575 · one of two readings recorded this
Early response, 1 to 4 weeks
no effect
or newer ADs (RR 0.97, 95% CI 0.87 to 1.08)
PMID:38001423 · one of two readings recorded this
Early response, 1 to 4 weeks
no effect
There was no statistically significant difference with escitalopram being more effective than other SSRIs (RR 1.02, 95% CI 0.93 to 1.11)
PMID:38001423 · one of two readings recorded this
Follow-up remission, 16 to 24 weeks
no effect
or newer ADs (RR 0.82, 95% CI 0.61 to 1.10)
PMID:38001423 · one of two readings recorded this
Follow-up remission, 16 to 24 weeks
no effect
There was no statistically significant difference between escitalopram being more effective than other SSRIs (RR 0.84, 95% CI 0.55 to 1.27)
PMID:38001423 · one of two readings recorded this
Follow-up response, 16 to 24 weeks
no effect
no statistically significant difference between escitalopram and newer ADs (RR 0.78, 95% CI 0.51 to 1.19)
PMID:38001423 · one of two readings recorded this
Follow-up response, 16 to 24 weeks
no effect
There was no statistically significant difference between escitalopram and other SSRIs (RR 0.83, 95% CI 0.66 to 1.05, I 2 = 0%)
PMID:38001423 · one of two readings recorded this
Mean change from baseline in depressive symptoms, 6 to 12 weeks
decreases
or newer ADs (SMD -0.41, 95% CI -0.81 to -0.02, I 2 = 97%)
PMID:38001423 · one of two readings recorded this
Mean change from baseline in depressive symptoms, 6 to 12 weeks
decreases
Escitalopram was found to be more efficacious than other SSRIs in reduction of depressive symptoms (SMD -0.13, 95% CI -0.19 to -0.06, I 2 = 34%)
PMID:38001423 · one of two readings recorded this
number of patients who responded to treatment (at least 50% reduction on HAM-D/MADRS or CGI-I), acute phase 6 to 12 weeks, escitalopram versus other SSRIs and versus newer antidepressants
increases
Not recorded as a finding: the comparison was against another active treatment
There was a statistically significant difference with escitalopram being more effective than other SSRIs (RR 0.88, 95% CI 0.82 to 0.95, I 2 = 33%; 14 studies, 4111 participants).
PMID:38001423 · one of two readings recorded this
Remission, acute phase 6 to 12 weeks (RR below 1 favours escitalopram)
no effect
there was no statistically significant difference with escitalopram being more effective than newer ADs (RR 0.96, 95% CI 0.91 to 1.01, I 2 = 36%)
PMID:38001423 · one of two readings recorded this
Remission, acute phase 6 to 12 weeks (RR below 1 favours escitalopram)
decreases
There was statistically significant difference between escitalopram being more effective than other SSRIs (RR 0.89, 95% CI 0.81 to 0.99, I 2 = 69%)
PMID:38001423 · one of two readings recorded this
response (at least 50% reduction on HAM-D or MADRS), remission, mean change in depressive symptoms, and tolerability for escitalopram versus other SSRIs and newer antidepressants in major depressive disorder
RR 0.88, 95% CI 0.82 to 0.95 for response versus other SSRIs
Not recorded as a finding: the comparison was against another active treatment
There was a statistically significant difference with escitalopram being more effective than other SSRIs (RR 0.88, 95% CI 0.82 to 0.95, I 2 = 33%; 14 studies, 4111 participants).
PMID:38001423 · one of two readings recorded this
Response, sensitivity analysis excluding studies with dropout above 20% in both arms
decreases, n = 1893
not only when studies whose dropout rate was greater than 20% in both arms were ruled out (RR 0.81, 95% CI 0.68 to 0.97, I 2 = 68%; 7 studies, 1893 participants; Figure S 12)
PMID:38001423 · one of two readings recorded this
Response, sensitivity analysis excluding studies with dropout above 20% in one arm only
decreases, n = 1062
but also when studies whose dropout rate was greater than 20% in only one arm were additionally ruled out (RR 0.71, 95% CI 0.51 to 0.98, I 2 = 71%; 4 studies, 1062 participants; Figure S 13)
PMID:38001423 · one of two readings recorded this
Response to treatment, acute phase 6 to 12 weeks (RR below 1 favours escitalopram)
decreases, n = 3663
There was a statistically significant difference with escitalopram being more effective than newer ADs (RR 0.90, 95% CI 0.83 to 0.97, I 2 = 43%; 11 studies, 3663 participants)
PMID:38001423 · one of two readings recorded this
Response to treatment, acute phase 6 to 12 weeks (RR below 1 favours escitalopram)
decreases, n = 4111
There was a statistically significant difference with escitalopram being more effective than other SSRIs (RR 0.88, 95% CI 0.82 to 0.95, I 2 = 33%; 14 studies, 4111 participants)
PMID:38001423 · one of two readings recorded this
Tolerability, patients experiencing at least one side effect
no effect
there were no statistically significant differences between escitalopram and newer ADs in terms of tolerability (RR 0.97, 95% CI 0.93 to 1.01, I 2 = 29%)
PMID:38001423 · one of two readings recorded this
Tolerability, patients experiencing at least one side effect
decreases
There were statistically significant differences between escitalopram and other SSRIs in terms of tolerability (RR 0.93, 95% CI 0.89 to 0.97, I 2 = 0%)
PMID:38001423 · one of two readings recorded this
change in depressive symptoms from baseline, HAMD-17 (other scales converted to HAMD-17), escitalopram 10 mg and 20 mg against placebo response in antidepressant trials, Bayesian network meta-analysis
escitalopram 10 mg MD 1.86 (0.21 to 3.50); escitalopram 20 mg MD 1.82 (0.16 to 3.43), credible intervals not crossing zero
Not recorded as a finding: the direction is carried only as a signed number
Additionally, in comparison with placebo response in antidepressant trials, the relative effects of high dose psilocybin (6.52 (3.19 to 9.57)), escitalopram 10 mg (1.86 (0.21 to 3.50)), and escitalopram 20 mg (1.82 (0.16 to 3.43)) did not cross zero.
PMID:39168500 · one of two readings recorded this
change in depressive symptoms from baseline, HAMD-17 (scores converted to HAMD-17), escitalopram 10 mg and 20 mg versus placebo response in antidepressant trials, Bayesian network meta-analysis mean difference
escitalopram 10 mg MD 1.86 (0.21 to 3.50); escitalopram 20 mg MD 1.82 (0.16 to 3.43)
Not recorded as a finding: the direction is carried only as a signed number
Additionally, in comparison with placebo response in antidepressant trials, the relative effects of high dose psilocybin (6.52 (3.19 to 9.57)), escitalopram 10 mg (1.86 (0.21 to 3.50)), and escitalopram 20 mg (1.82 (0.16 to 3.43)) did not cross zero.
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms, extremely low dose psilocybin v placebo response in psychedelic trials
decreases
Notably, placebo response in antidepressant trials (3.79 (95% credibile interval 0.77 to 6.80)) and extremely low dose psilocybin (3.96 (0.61 to 7.17)) were better than placebo response in the psychedelic trials
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms, high dose psilocybin v escitalopram 10 mg
decreases
Importantly, the mean differences of high dose psilocybin compared with escitalopram 10 mg (4.66 (1.36 to 7.74); standardised mean difference 0.22), escitalopram 20 mg (4.69 (1.64 to 7.54); 0.24), high dose MDMA (4.98 (1.23 to 8.67); 0.32), and low dose psilocybin (4.36 (1.20 to 7.51); 0.32)
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms, high dose psilocybin v escitalopram 10 mg
decreases
Notably, the relative effects of high dose psilocybin compared with escitalopram 10 mg (4.96 (1.97 to 7.82)), escitalopram 20 mg (4.97 (2.19 to 7.64)), and low dose psilocybin (3.82 (0.61 to 7.04)) all exceeded 3 and did not cross zero
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms, high dose psilocybin v escitalopram 20 mg
decreases
Importantly, the mean differences of high dose psilocybin compared with escitalopram 10 mg (4.66 (1.36 to 7.74); standardised mean difference 0.22), escitalopram 20 mg (4.69 (1.64 to 7.54); 0.24), high dose MDMA (4.98 (1.23 to 8.67); 0.32), and low dose psilocybin (4.36 (1.20 to 7.51); 0.32)
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms, high dose psilocybin v escitalopram 20 mg
decreases
Notably, the relative effects of high dose psilocybin compared with escitalopram 10 mg (4.96 (1.97 to 7.82)), escitalopram 20 mg (4.97 (2.19 to 7.64)), and low dose psilocybin (3.82 (0.61 to 7.04)) all exceeded 3 and did not cross zero
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms, high dose psilocybin v high dose MDMA
decreases
Importantly, the mean differences of high dose psilocybin compared with escitalopram 10 mg (4.66 (1.36 to 7.74); standardised mean difference 0.22), escitalopram 20 mg (4.69 (1.64 to 7.54); 0.24), high dose MDMA (4.98 (1.23 to 8.67); 0.32), and low dose psilocybin (4.36 (1.20 to 7.51); 0.32)
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms, high dose psilocybin v low dose psilocybin
decreases
Importantly, the mean differences of high dose psilocybin compared with escitalopram 10 mg (4.66 (1.36 to 7.74); standardised mean difference 0.22), escitalopram 20 mg (4.69 (1.64 to 7.54); 0.24), high dose MDMA (4.98 (1.23 to 8.67); 0.32), and low dose psilocybin (4.36 (1.20 to 7.51); 0.32)
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms, high dose psilocybin v low dose psilocybin
decreases
Notably, the relative effects of high dose psilocybin compared with escitalopram 10 mg (4.96 (1.97 to 7.82)), escitalopram 20 mg (4.97 (2.19 to 7.64)), and low dose psilocybin (3.82 (0.61 to 7.04)) all exceeded 3 and did not cross zero
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms, placebo response in antidepressant trials v placebo response in psychedelic trials
decreases
Notably, placebo response in antidepressant trials (3.79 (95% credibile interval 0.77 to 6.80)) and extremely low dose psilocybin (3.96 (0.61 to 7.17)) were better than placebo response in the psychedelic trials
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms, placebo response in psychedelic trials v extremely low dose psilocybin
increases
When compared with extremely low dose psilocybin, only the relative effects of high dose psilocybin (6.35 (95% credibile interval 3.41 to 9.21)) and placebo response in the psychedelic trials (−3.96 (−7.17 to −0.61))
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms, placebo response in psychedelic trials v extremely low dose psilocybin
increases
only the 95% credibile intervals of the relative effects of high dose psilocybin (4.36 (0.54 to 8.27); standardised mean difference 0.30) and placebo response in the psychedelic trials (−6.46 (−10.41 to −2.32), standardised mean difference −0.46) exceeded 3
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms v extremely low dose psilocybin
decreases
When compared with extremely low dose psilocybin, only the relative effects of high dose psilocybin (6.35 (95% credibile interval 3.41 to 9.21)) and placebo response in the psychedelic trials (−3.96 (−7.17 to −0.61))
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms v extremely low dose psilocybin
decreases
only the 95% credibile intervals of the relative effects of high dose psilocybin (4.36 (0.54 to 8.27); standardised mean difference 0.30) and placebo response in the psychedelic trials (−6.46 (−10.41 to −2.32), standardised mean difference −0.46) exceeded 3
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms v placebo response in antidepressant trials
decreases
Additionally, in comparison with placebo response in antidepressant trials, the relative effects of high dose psilocybin (6.52 (3.19 to 9.57)), escitalopram 10 mg (1.86 (0.21 to 3.50)), and escitalopram 20 mg (1.82 (0.16 to 3.43)) did not cross zero
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms v placebo response in antidepressant trials
decreases
Additionally, in comparison with placebo response in antidepressant trials, the relative effects of high dose psilocybin (6.52 (3.19 to 9.57)), escitalopram 10 mg (1.86 (0.21 to 3.50)), and escitalopram 20 mg (1.82 (0.16 to 3.43)) did not cross zero
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms v placebo response in antidepressant trials
decreases
Additionally, in comparison with placebo response in antidepressant trials, the relative effects of high dose psilocybin (6.52 (3.19 to 9.57)), escitalopram 10 mg (1.86 (0.21 to 3.50)), and escitalopram 20 mg (1.82 (0.16 to 3.43)) did not cross zero
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms v placebo response in antidepressant trials
decreases
However, only the mean differences for high dose psilocybin (6.82 (95% credibile interval 3.84 to 9.67)), ayahuasca (5.38 (0.02 to 10.61)), and placebo response in the psychedelic trials (−4.00 (−6.87 to −1.13)) exceeded 3
PMID:39168500 · one of two readings recorded this
Change in HAMD-17 depressive symptoms v placebo response in antidepressant trials
decreases
However, only the mean differences for high dose psilocybin (6.82 (95% credibile interval 3.84 to 9.67)), ayahuasca (5.38 (0.02 to 10.61)), and placebo response in the psychedelic trials (−4.00 (−6.87 to −1.13)) exceeded 3
PMID:39168500 · one of two readings recorded this
Sources cited
2 papers
- Subject
- escitalopram
- Findings
- 2
- Papers
- 2
Placebo-controlled three-armed pilot trial of Escitalopram or Nortriptyline for depressive symptoms in Parkinson's disease (ADepT-PD).record2026PMID:421016501 finding
Impact of evergreening on patients and health insurance: a meta analysis and reimbursement cost analysis of citalopram/escitalopram antidepressants.record2012PMID:231679721 finding