Studied for
4 endpoints · 4 findings · 3 papers
- Antidepressant treatment response rateraisesEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.
- Hamilton Depression Rating Scale (HDRS) total scorelowersEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.
- Subjective fatiguelowersEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.
- Withdrawal due to adverse eventsraisesEvidence 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 marks4 findings · 4 endpoints · 3 papers · by evidence strength
What moved
4 findings
Increases withdrawal due to adverse events
ModerateEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.Finding“Discontinuation rate due to AEs was higher in paroxetine group than placebo group (OR = 3.41, 95%CI 2.45–4.72, P <.00001) whereas the rate due to lack of efficacy was higher in placebo group as compared with paroxetine group (OR = 0.14, 95%CI 0.09–0.22, P <.00001).”
Quoted verbatim from Efficacy and tolerability of paroxetine in adults with social anxiety disorder: A meta-analysis of randomized controlled trials.. - Study
- meta-analysis
- Dose
- fixed 20, 40 or 60 mg/day, or flexible 12.5 to 60 mg/day
- Population
- Adults with social anxiety disorder in placebo-controlled randomised trials of paroxetine (13 RCTs, 2593 patients)
Effect 3.41 odds ratio, 95% CI 2.45 to 4.72
Efficacy and tolerability of paroxetine in adults with social anxiety disorder: A meta-analysis of randomized controlled trials.2020PMID:32243377Permalink
Decreases hamilton Depression Rating Scale (HDRS) total score
ModerateEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.Finding“The HAMD score showed significant decrease in the paroxetine treatment group compared to control group (SMD -2.14, 95% CI -2.73 to -1.56, P <.00001).”
Quoted verbatim from The effects of paroxetine therapy on depressive symptom and motor function in the treatment of depression with Parkinson's disease: A meta-analysis.. - Study
- meta-analysis
- Dose
- 20 mg/d in most trials
- Population
- Patients with depression and idiopathic Parkinson's disease; paroxetine added to background anti-parkinsonian drug therapy versus that therapy alone (or placebo in 3 trials); 25 trials, 2126 patients
Effect -2.14 standardised mean difference, 95% CI -2.73 to -1.56
The effects of paroxetine therapy on depressive symptom and motor function in the treatment of depression with Parkinson's disease: A meta-analysis.2023PMID:37653795Permalink
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“Paroxetine therapy for dPD markedly increased the antidepressant response rate (OR 3.62, 95% CI 2.63 to 4.98, P <.00001).”
Quoted verbatim from The effects of paroxetine therapy on depressive symptom and motor function in the treatment of depression with Parkinson's disease: A meta-analysis.. - Study
- meta-analysis
- Dose
- 20 mg/d in most trials
- Population
- Patients with depression and idiopathic Parkinson's disease; paroxetine added to background anti-parkinsonian drug therapy versus that therapy alone (or placebo in 3 trials); 22 trials, 1808 participants
Effect 3.62 odds ratio, 95% CI 2.63 to 4.98
The effects of paroxetine therapy on depressive symptom and motor function in the treatment of depression with Parkinson's disease: A meta-analysis.2023PMID:37653795Permalink
Decreases subjective fatigue
ModerateEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.Finding“Fatigue scores improved significantly in both groups, but the reduction was larger in the paroxetine group [7.75 (6.9–8.52) → 4.5 (3.27–7.27)] compared to the control group [7.55 (7–8.4) → 5.85 (4.57–8.25); p = 0.006 between groups].”
Quoted verbatim from Efficacy of Paroxetine as an Adjuvant Therapy in Rheumatoid Arthritis Patients: A Randomized Controlled Study.. - Study
- RCT
- Duration
- 3 months
- Dose
- paroxetine 20 mg once daily
- Population
- Adults with active mild or moderate rheumatoid arthritis, all on methotrexate-based csDMARDs and prednisolone 10 mg/day in both arms; paroxetine plus csDMARD versus placebo plus csDMARD; three-month result, intention-to-treat with baseline observation carried forward
Efficacy of Paroxetine as an Adjuvant Therapy in Rheumatoid Arthritis Patients: A Randomized Controlled Study.2025PMID:41488752Permalink
Papers screened
536 papers
- Compound
- paroxetine
- Screened
- 536
- Admitted
- 3
- Discarded
- 9
- Not read
- 524
- Showing
- 200 of 536
Produced a finding3 papers
- PMID:322433772026-10-05
- PMID:376537952026-10-05
- PMID:414887522026-10-05
Discarded: an endpoint this vocabulary does not hold4 papers
- PMID:30606186no claim extracted — no_outcome_node — measured: intra-vaginal ejaculatory latency time, stopwatch-timed in minutes | intra-vaginal ejaculatory latency time in premature ejaculation, minutes, pooled mean difference2026-10-05
- PMID:31480427no claim extracted — no_outcome_node — measured: weekly frequency of vasomotor hot flushes, episodes per week from diary; nighttime awakenings per night | frequency of hot flush episodes per week in postmenopausal women, mean weekly reduction from baseline2026-10-05
- PMID:40022427claims extracted but the object named resolved to no node — recorded in candidate_nodes (ADR-0070)2026-10-05
- PMID:42307911no claim extracted — no_outcome_node — measured: Clinician's Erythema Assessment score in rosacea; Flushing Assessment Tool score | Clinician's Erythema Assessment score in rosacea, and Flushing Assessment Tool score2026-10-05
Discarded: no extractable result3 papers
- PMID:18227449claims extracted but refused by the deterministic validators2026-10-05
- PMID:25162656no claim extracted — direction_not_in_words2026-10-05
- PMID:26613360claims extracted but refused by the deterministic validators2026-10-05
Discarded: no comparator1 paper
- PMID:24696195no claim extracted — comparator_not_absence2026-10-05
Discarded: the wrong intervention1 paper
- PMID:40515518no claim extracted — combination_exposure2026-10-05
Not read yet524 papers
- PMID:75825042026-10-04
- PMID:104179442026-10-04
- PMID:114834792026-10-01
- PMID:153670502026-10-01
- PMID:213120472026-10-01
- PMID:218351882026-10-01
- PMID:100717192026-09-29
- PMID:104594022026-09-29
- PMID:105538022026-09-29
- PMID:105764642026-09-29
- PMID:106726312026-09-29
- PMID:108698822026-09-29
and 512 more.
Measured, not recorded
- Compound
- paroxetine
- Endpoints measured
- 307 endpoints
- Recorded as a finding
- No
Show what was measured
failure to achieve at least 50% symptom improvement (response), depression scale not named in the abstract
decreases, RR 0.83, 99% CI 0.77-0.90
Not recorded as a finding: antidepressant-response-rate node requires the rating scale (HDRS or MADRS) to be recorded; abstract never names the scale, and direction is a double negative
Paroxetine was more effective than placebo, with fewer patients who did not experience improvement in symptoms of at least 50% (random effect RR 0.83, 99% CI 0.77-0.90).
PMID:18227449 · one of two readings recorded this
Patients who left the study because of side effects
increases
random effect RR 1.77, 95% CI 1.44-2.18
PMID:18227449 · one of two readings recorded this
Patients without improvement in symptoms of at least 50%
decreases
Paroxetine was more effective than placebo, with fewer patients who did not experience improvement in symptoms of at least 50% (random effect RR 0.83, 99% CI 0.77-0.90)
PMID:18227449 · one of two readings recorded this
proportion of patients leaving the study early for any reason
no effect, RR 0.99, 99% CI 0.88-1.11
Not recorded as a finding: no outcome node for all-cause early study discontinuation
There was no difference between paroxetine and placebo in terms of the proportion of patients who left the study early for any reason (random effect relative risk [RR] 0.99, 99% confidence interval [CI] 0.88-1.11).
PMID:18227449 · one of two readings recorded this
proportion of patients who left the study early for any reason
no effect, RR 0.99, 99% CI 0.88-1.11
Not recorded as a finding: No node for all-cause study dropout
There was no difference between paroxetine and placebo in terms of the proportion of patients who left the study early for any reason (random effect relative risk [RR] 0.99, 99% confidence interval [CI] 0.88-1.11).
PMID:18227449 · one of two readings recorded this
Proportion of patients who left the study early for any reason
no effect
random effect relative risk [RR] 0.99, 99% confidence interval [CI] 0.88-1.11
PMID:18227449 · one of two readings recorded this
suicidal tendencies
increases, OR 2.55, 95% CI 1.17-5.54
Not recorded as a finding: No node for suicidal ideation or behaviour events
Significantly more patients in the paroxetine group than in the placebo group left their respective studies because of side effects (random effect RR 1.77, 95% CI 1.44-2.18) or experienced suicidal tendencies (odds ratio 2.55, 95% CI 1.17-5.54).
PMID:18227449 · one of two readings recorded this
Suicidal tendencies
increases
odds ratio 2.55, 95% CI 1.17-5.54
PMID:18227449 · one of two readings recorded this
Early response to treatment (patients who responded)
decreases, n = 726
OR: 2.39, 95% CI 1.42 to 4.02, NNTb = 8, 95% CI 5 to 14, at one to four weeks, 3 RCTs, 726 participants
PMID:24696195 · one of two readings recorded this
Early response to treatment (patients who responded)
increases, n = 1375
Odds Ratio (OR): 0.66, 95% Confidence Interval (CI) 0.50 to 0.87, number needed to treat to provide benefit (NNTb) = 16, 95% CI 10 to 50, at one to four weeks, 3 RCTs, 1375 participants
PMID:24696195 · one of two readings recorded this
patients who responded to treatment (primary outcome), and adverse events, paroxetine versus other antidepressants in major depression; abstract only
Not recorded as a finding: the comparison was against another active treatment
Paroxetine was less effective than citalopram in improving response to treatment (OR: 1.54, 95% CI 1.04 to 2.28, NNTb = 9, 95% CI 5 to 102, at six to 12 weeks, 1 RCT, 406 participants, moderate quality of evidence).
PMID:24696195 · one of two readings recorded this
Rate of adverse events
decreases
Paroxetine was associated with a lower rate of adverse events than amitriptyline, imipramine and older ADs as a class, but was less well tolerated than agomelatine and hypericum
PMID:24696195 · one of two readings recorded this
Response to treatment at acute, early or longer-term follow-up versus other antidepressants overall
no effect
We found no clear evidence that paroxetine was more or less effective compared with other antidepressants at increasing response to treatment at acute (six to 12 weeks), early (one to four weeks), or longer term follow-up (four to six months)
PMID:24696195 · one of two readings recorded this
Response to treatment at acute phase
decreases, n = 406
OR: 1.54, 95% CI 1.04 to 2.28, NNTb = 9, 95% CI 5 to 102, at six to 12 weeks, 1 RCT, 406 participants
PMID:24696195 · one of two readings recorded this
Tolerability
increases
Paroxetine was associated with a lower rate of adverse events than amitriptyline, imipramine and older ADs as a class, but was less well tolerated than agomelatine and hypericum
PMID:24696195 · one of two readings recorded this
change on the Hamilton Rating Scale for Depression (HRSD), paroxetine minus placebo, 27 placebo-controlled trials
Not recorded as a finding: the direction is carried only as a signed number
The weighted mean difference between paroxetine and placebo groups across all studies was 2.51 (95% CI: 2.06,2.96) points on the HRSD.
PMID:25162656 · one of two readings recorded this
change on the Hamilton Rating Scale for Depression (HRSD), paroxetine versus placebo, 27 placebo-controlled trials; also change on the Hamilton Rating Scale for Anxiety (HRSA), 12 trials
Not recorded as a finding: the direction is carried only as a signed number
The weighted mean difference between paroxetine and placebo groups across all studies was 2.51 (95% CI: 2.06,2.96) points on the HRSD.
PMID:25162656 · one of two readings recorded this
HRSA between-group difference significance
decreases, p = 0.001
The differences between groups easily met statistical significance for both the raw change scores on the HRSA (Z = 7.64, p<.001) and the standardized mean difference (Z = 7.52, p<.001)
PMID:25162656 · one of two readings recorded this
HRSA mean change and drug benefit (d)
decreases
29060/108 | Panic | 24.3 | 14.9 | 2.04 | [1.57, 2.51] | 58 | 23.5 | 10.0 | 1.62 | [1.21, 2.03] | 56 | 0.74 | [0.36, 1.12]
PMID:25162656 · one of two readings recorded this
HRSA mean change and drug benefit (d)
no effect
29060/120 | Panic | 18.9 | 8.4 | 0.95 | [0.77, 1.13] | 175 | 19.7 | 6.5 | 0.73 | [0.44, 1.02] | 60 | 0.21 | [−0.08, 0.50]
PMID:25162656 · one of two readings recorded this
HRSA mean change and drug benefit (d)
decreases
29060/187 | Panic | 10.1 | 1.10 | [0.87, 1.33] | 119 | 5.9 | 0.59 | [0.40, 0.79] | 122 | 0.44 | [0.19, 0.70]
PMID:25162656 · one of two readings recorded this
HRSA mean change and drug benefit (d)
decreases
29060/223 | Panic | 20.3 | 10.2 | 1.29 | [0.94, 1.64] | 61 | 18.7 | 5.6 | 0.76 | [0.48, 1.04] | 65 | 0.61 | [0.25, 0.97]
PMID:25162656 · one of two readings recorded this
HRSA mean change and drug benefit (d)
no effect
29060/494 | Panic | 21.9 | 10.0 | 1.08 | [0.84, 1.31] | 115 | 20.1 | 8.0 | 0.88 | [0.67, 1.09] | 124 | 0.22 | [−0.04, 0.47]
PMID:25162656 · one of two readings recorded this
HRSA mean change and drug benefit (d)
decreases
29060/495 | Panic | 20.5 | 9.4 | 1.03 | [0.79, 1.26] | 112 | 20.4 | 6.6 | 0.74 | [0.54, 0.94] | 129 | 0.31 | [0.06, 0.57]
PMID:25162656 · one of two readings recorded this
HRSA mean change and drug benefit (d)
decreases
29060/497 | Panic | 20.5 | 9.4 | 0.95 | [0.74, 1.16] | 128 | 20.2 | 6.8 | 0.75 | [0.55, 0.95] | 125 | 0.28 | [0.03, 0.52]
PMID:25162656 · one of two readings recorded this
HRSA mean change and drug benefit (d)
no effect
29060/637 | GAD | 26.0 | 12.4 | 1.15 | [0.96, 1.34] | 181 | 25.9 | 11.3 | 1.04 | [0.86, 1.22] | 183 | 0.10 | [−0.10, 0.31]
PMID:25162656 · one of two readings recorded this
HRSA mean change and drug benefit (d)
decreases
29060/641 | GAD | 23.5 | 12.3 | 1.48 | [1.33, 1.63] | 385 | 23.9 | 9.6 | 1.02 | [0.84, 1.20] | 180 | 0.32 | [0.14, 0.49]
PMID:25162656 · one of two readings recorded this
HRSA mean change and drug benefit (d)
decreases
29060/642 | GAD | 23.9 | 11.8 | 1.32 | [1.11, 1.54] | 161 | 23.6 | 9.5 | 1.06 | [0.86, 1.25] | 163 | 0.26 | [0.04, 0.48]
PMID:25162656 · one of two readings recorded this
HRSA mean change and drug benefit (d)
no effect
29060/791 | GAD | 24.4 | 11.9 | 1.60 | [1.37, 1.84] | 163 | 24.8 | 10.7 | 1.44 | [1.22, 1.67] | 162 | 0.17 | [−0.05, 0.38]
PMID:25162656 · one of two readings recorded this
HRSA mean change and drug benefit (d)
no effect
29060A/856 | GAD | 10.3 | 1.33 | [1.13, 1.53] | 177 | 9.5 | 1.23 | [1.04, 1.43] | 181 | 0.10 | [−0.10, 0.31]
PMID:25162656 · one of two readings recorded this
HRSA placebo change as share of paroxetine raw change
The change in the placebo group duplicated 79% of the mean change score and 78% of the standardized mean difference in the paroxetine groups
PMID:25162656 · one of two readings recorded this
HRSA placebo change as share of paroxetine standardized mean difference
The change in the placebo group duplicated 79% of the mean change score and 78% of the standardized mean difference in the paroxetine groups
PMID:25162656 · one of two readings recorded this
HRSA pre-post effect size by indication
decreases
GAD | 1.38 | [1.29, 1.46]
PMID:25162656 · one of two readings recorded this
HRSA pre-post effect size by indication
decreases, p = 0.001
Paroxetine | Panic | 1.07 | [0.98, 1.16] | 24.27 | <.001
PMID:25162656 · one of two readings recorded this
HRSA pre-post effect size by indication
decreases
GAD | 1.14 | [1.05, 1.22]
PMID:25162656 · one of two readings recorded this
HRSA pre-post effect size by indication
decreases, p = 0.001
Placebo | Panic | 0.78 | [0.69, 0.86] | 32.97 | <.001
PMID:25162656 · one of two readings recorded this
HRSA pre-post effect size by publication status
decreases, p = 0.061
Paroxetine | Published | 1.19 | [1.12, 1.27] | 3.52 |.061
PMID:25162656 · one of two readings recorded this
HRSA pre-post effect size by publication status
decreases
Unpublished | 1.32 | [1.21, 1.44]
PMID:25162656 · one of two readings recorded this
HRSA pre-post effect size by publication status
decreases
Placebo | Published | 0.86 | [0.79, 0.94] | 18.63 | <. 001
PMID:25162656 · one of two readings recorded this
HRSA pre-post effect size by publication status
decreases
Unpublished | 1.15 | [1.04, 1.25]
PMID:25162656 · one of two readings recorded this
HRSA pre-post effect size
decreases
d = 1.23 (95% CI: 1.17,1.30) for paroxetine
PMID:25162656 · one of two readings recorded this
HRSA pre-post effect size
decreases
d = 0.96 (95% CI: 0.90,1.02) for placebo
PMID:25162656 · one of two readings recorded this
HRSA raw change within paroxetine arm
decreases
raw change = 11.79 [95% CI: 11.29,12.30] points
PMID:25162656 · one of two readings recorded this
HRSA raw change within paroxetine arm
decreases
raw change = 10.06 [95% CI: 9.43,10.68] points
PMID:25162656 · one of two readings recorded this
HRSA raw change within placebo arm
decreases
raw change = 10.07 [95% CI: 9.49,10.64] points
PMID:25162656 · one of two readings recorded this
HRSA raw change within placebo arm
decreases
raw change = 7.17 [95% CI: 6.53,7.81] points
PMID:25162656 · one of two readings recorded this
HRSA raw drug-placebo difference
decreases
The mean drug-placebo difference was 2.31 (95% CI: 1.72,2.91) points on the HRSA with a mean effect size difference of d = 0.27 (95% CI: 0.20,0.33)
PMID:25162656 · one of two readings recorded this
HRSA raw drug-placebo difference
decreases
1.64 points (95% CI: 0.86,2.42) for generalized anxiety disorder
PMID:25162656 · one of two readings recorded this
HRSA raw drug-placebo difference
decreases
3.24 points (95% CI: 2.32,4.15) for panic disorder
PMID:25162656 · one of two readings recorded this
HRSA standardized drug-placebo difference
decreases
The mean drug-placebo difference was 2.31 (95% CI: 1.72,2.91) points on the HRSA with a mean effect size difference of d = 0.27 (95% CI: 0.20,0.33)
PMID:25162656 · one of two readings recorded this
HRSA standardized effect size by indication
decreases
GAD | 0.20 | [0.11, 0.29]
PMID:25162656 · one of two readings recorded this
HRSA standardized effect size by indication
decreases
Paroxetine - Placebo | Panic | 0.36 | [0.25, 0.46] | 5.09 |. 024
PMID:25162656 · one of two readings recorded this
HRSA standardized effect size by publication status
decreases
Paroxetine - Placebo | Published | 0.32 | [0.23, 0.40] | 3.90 |. 048
PMID:25162656 · one of two readings recorded this
HRSA standardized effect size by publication status
decreases
Unpublished | 0.17 | [0.06, 0.29]
PMID:25162656 · one of two readings recorded this
HRSA versus HRSD paroxetine-placebo effect size comparison
no effect, p = 0.235
the paroxetine-placebo effect size did not significantly differ between the HRSA and the HRSD (HRSA: d = 0.27 [95% CI: 0.20,0.33], HRSD: d = 0.32 [95% CI: 0.26,0.38], Q(1) = 1.41, p =.235)
PMID:25162656 · one of two readings recorded this
HRSA weighted mean change
decreases
The weighted mean change on the HRSA was 11.11 (95% CI: 10.72,11.50) points for paroxetine and 8.77 (95% 8.35,9.20) points for placebo
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
112810 | Post | 22.7 | 12.7 | 1.69 | [1.50, 1.89] | 241 | 22.6 | 10.4 | 1.28 | [1.07, 1.48] | 171 | 0.30 | [0.10, 0.49]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
no effect
29060/01/001 | Pre | 28.0 | 13.5 | 1.66 | [0.99, 2.33] | 24 | 27.4 | 10.5 | 1.30 | [0.71, 1.89] | 24 | 0.37 | [−0.20, 0.94]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/02/001 | Pre | 26.6 | 12.3 | 1.27 | [0.89, 1.65] | 51 | 25.9 | 6.8 | 0.70 | [0.40, 1.01] | 53 | 0.57 | [0.18, 0.97]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/02/002 | Pre | 25.0 | 10.9 | 1.24 | [0.78, 1.69] | 36 | 24.9 | 5.8 | 0.65 | [0.27, 1.04] | 34 | 0.60 | [0.12, 1.08]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
no effect
29060/02/003 | Pre | 28.6 | 9.7 | 0.93 | [0.50, 1.35] | 33 | 28.9 | 7.2 | 0.69 | [0.29, 1.08] | 33 | 0.24 | [−0.24, 0.73]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/02/004 | Pre | 28.9 | 12.7 | 1.87 | [1.29, 2.44] | 36 | 27.3 | 7.6 | 1.12 | [0.70, 1.54] | 38 | 0.76 | [0.29, 1.24]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/03/001 | Pre | 24.9 | 10.8 | 1.60 | [1.11, 2.09] | 40 | 24.8 | 4.7 | 0.69 | [0.33, 1.06] | 38 | 0.92 | [0.45, 1.39]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
no effect
29060/03/002 | Pre | 24.9 | 8.0 | 1.14 | [0.72, 1.55] | 40 | 25.6 | 6.2 | 0.88 | [0.51, 1.26] | 40 | 0.26 | [−0.18, 0.70]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
no effect
29060/03/003 | Pre | 25.7 | 9.9 | 1.18 | [0.76, 1.59] | 41 | 27.0 | 10.0 | 1.19 | [0.78, 1.60] | 42 | −0.01 | [−0.44, 0.42]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/03/004 | Pre | 27.6 | 10.4 | 1.32 | [0.86, 1.78] | 37 | 27.0 | 6.7 | 0.85 | [0.46, 1.24] | 37 | 0.48 | [0.02, 0.95]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/03/005 | Pre | 26.1 | 10.0 | 1.00 | [0.60, 1.39] | 40 | 26.8 | 4.1 | 0.41 | [0.08, 0.73] | 42 | 0.60 | [0.16, 1.05]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/03/006 | Pre | 29.7 | 9.1 | 1.10 | [0.69, 1.52] | 39 | 28.7 | 3.0 | 0.36 | [0.02, 0.71] | 37 | 0.76 | [0.29, 1.23]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
no effect
29060/115 | Post | 10.6 | 1.23 | [1.07, 1.39] | 272 | 9.1 | 1.09 | [0.85, 1.33] | 113 | 0.18 | [−0.04, 0.40]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/128 | Post | 25.6 | 11.8 | 1.34 | [1.19, 1.48] | 350 | 25.7 | 9.1 | 1.05 | [0.84, 1.26] | 136 | 0.31 | [0.11, 0.51]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/251 | Post | 24.5 | 10.2 | 1.33 | [1.08, 1.57] | 120 | 24.4 | 8.3 | 1.07 | [0.85, 1.30] | 123 | 0.26 | [0.01, 0.51]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/327 | Post | 7.3 | 1.14 | [0.85, 1.42] | 79 | 4.8 | 0.75 | [0.51, 1.00] | 83 | 0.40 | [0.09, 0.71]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
no effect
29060/329 | Post | 19.0 | 10.7 | 1.39 | [1.09, 1.68] | 90 | 19.0 | 9.1 | 1.16 | [0.89, 1.44] | 87 | 0.21 | [−0.08, 0.51]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/448 | Post | 23.2 | 11.9 | 1.45 | [1.25, 1.65] | 206 | 23.4 | 9.9 | 1.22 | [0.96, 1.48] | 101 | 0.25 | [0.01, 0.48]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/449 | Post | 23.8 | 12.7 | 1.54 | [1.35, 1.74] | 218 | 23.5 | 10.2 | 1.24 | [0.99, 1.49] | 110 | 0.30 | [0.07, 0.53]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/487 | Post | 22.2 | 12.2 | 1.68 | [1.46, 1.89] | 206 | 22.1 | 9.5 | 1.28 | [1.02, 1.54] | 107 | 0.37 | [0.14, 0.61]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/810 | Post | 23.3 | 12.0 | 1.68 | [1.50, 1.86] | 294 | 23.8 | 10.0 | 1.37 | [1.14, 1.60] | 142 | 0.28 | [0.08, 0.49]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
decreases
29060/874 | Post | 22.5 | 11.4 | 1.42 | [1.27, 1.57] | 334 | 22.4 | 8.9 | 1.10 | [0.91, 1.28] | 178 | 0.32 | [0.14, 0.50]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
no effect
PAR 07 | Pre | 30.5 | 13.1 | 1.20 | [0.37, 2.03] | 13 | 28.3 | 10.9 | 0.99 | [0.19, 1.79] | 12 | 0.22 | [−0.57, 1.00]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
no effect
PAR 09 | Pre | 25.2 | 9.1 | 1.28 | [1.15, 1.41] | 403 | 24.5 | 8.2 | 1.14 | [0.78, 1.51] | 51 | 0.12 | [−0.17, 0.41]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
no effect
UK 06 | Pre | 23.7 | 6.0 | 0.97 | [0.38, 1.57] | 19 | 24.2 | 6.2 | 0.83 | [0.31, 1.35] | 22 | −0.03 | [−0.64, 0.58]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
no effect
UK 09 | Pre | 26.8 | 8.8 | 0.80 | [0.26, 1.35] | 20 | 25.5 | 4.5 | 0.49 | [0.01, 0.97] | 21 | 0.45 | [−0.17, 1.07]
PMID:25162656 · one of two readings recorded this
HRSD mean change and drug benefit (d)
no effect
UK 12 | Pre | 22.8 | 9.1 | 1.23 | [0.57, 1.88] | 19 | 22.3 | 6.7 | 0.86 | [0.00, 1.73] | 10 | 0.34 | [−0.43, 1.11]
PMID:25162656 · one of two readings recorded this
HRSD placebo change as share of paroxetine raw change
The magnitude of change in the placebo group was equivalent to 76% of the paroxetine change scores on the HRSD and 74% of the standardized mean difference
PMID:25162656 · one of two readings recorded this
HRSD placebo change as share of paroxetine standardized mean difference
The magnitude of change in the placebo group was equivalent to 76% of the paroxetine change scores on the HRSD and 74% of the standardized mean difference
PMID:25162656 · one of two readings recorded this
HRSD pre-post effect size by approval status
decreases
Post-Approval | 1.45 | [1.39, 1.50]
PMID:25162656 · one of two readings recorded this
HRSD pre-post effect size by approval status
decreases, p = 0.001
Paroxetine | Pre-Approval | 1.24 | [1.15, 1.33] | 14.43 | <.001
PMID:25162656 · one of two readings recorded this
HRSD pre-post effect size by approval status
decreases
Post-Approval | 1.14 | [1.07, 1.21]
PMID:25162656 · one of two readings recorded this
HRSD pre-post effect size by approval status
decreases, p = 0.001
Placebo | Pre-Approval | 0.77 | [0.67, 0.87] | 35.01 | <.001
PMID:25162656 · one of two readings recorded this
HRSD pre-post effect size by publication status
decreases, p = 0.229
Paroxetine | Published | 1.41 | [1.35, 1.48] | 1.45 |.229
PMID:25162656 · one of two readings recorded this
HRSD pre-post effect size by publication status
decreases
Unpublished | 1.35 | [1.28, 1.43]
PMID:25162656 · one of two readings recorded this
HRSD pre-post effect size by publication status
decreases, p = 0.227
Placebo | Published | 0.99 | [0.91, 1.07] | 1.46 |.227
PMID:25162656 · one of two readings recorded this
HRSD pre-post effect size by publication status
decreases
Unpublished | 1.06 | [0.98, 1.15]
PMID:25162656 · one of two readings recorded this
HRSD pre-post effect size
decreases
The mean pre-post effect size was 1.39 (95% CI: 1.34,1.44) for paroxetine
PMID:25162656 · one of two readings recorded this
HRSD pre-post effect size
decreases
the effect size for placebo (d = 1.03 [95% CI: 0.97,1.08])
PMID:25162656 · one of two readings recorded this
HRSD raw drug-placebo difference
decreases
The weighted mean difference between paroxetine and placebo groups across all studies was 2.51 (95% CI: 2.06,2.96) points on the HRSD
PMID:25162656 · one of two readings recorded this
HRSD standardized drug-placebo difference
decreases
The weighted mean effect size difference between the two groups was 0.32 (95% CI: 0.26,0.38)
PMID:25162656 · one of two readings recorded this
HRSD standardized drug-placebo difference
decreases
baseline severity of HRSD = 19 was d = 0.20 (95% CI: 0.03,0.36)
PMID:25162656 · one of two readings recorded this
HRSD standardized drug-placebo difference
decreases
d = 0.48 (95% CI: 0.29,0.68) at a baseline severity of HRSD = 30
PMID:25162656 · one of two readings recorded this
HRSD standardized effect size by approval status
decreases
Post-Approval | 0.29 | [0.22, 0.36]
PMID:25162656 · one of two readings recorded this
HRSD standardized effect size by approval status
decreases, p = 0.071
Paroxetine - Placebo | Pre-Approval | 0.41 | [0.30, 0.53] | 3.27 |.071
PMID:25162656 · one of two readings recorded this
HRSD standardized effect size by publication status
decreases, p = 0.221
Paroxetine - Placebo | Published | 0.36 | [0.27, 0.44] | 1.50 |.221
PMID:25162656 · one of two readings recorded this
HRSD standardized effect size by publication status
decreases
Unpublished | 0.28 | [0.20, 0.37]
PMID:25162656 · one of two readings recorded this
HRSD weighted mean change
decreases
The weighted mean change on the HRSD was 11.00 (95% CI: 10.74,11.26) points for paroxetine and 8.37 (95% CI: 8.02,8.72) points for placebo
PMID:25162656 · one of two readings recorded this
any major congenital malformations
increases
any major congenital malformations combined (pooled OR 1.23, 95% CI 1.10, 1.38; n = 15 studies)
PMID:26613360 · one of two readings recorded this
atrial septal defects
increases
atrial septal defects (pooled OR 2.38, 95% CI 1.14, 4.97; n = 4 studies)
PMID:26613360 · one of two readings recorded this
bulbus cordis anomalies and anomalies of cardiac septal closure
increases
specifically bulbus cordis anomalies and anomalies of cardiac septal closure (pooled OR 1.42, 95% CI 1.07, 1.89; n = 8 studies)
PMID:26613360 · one of two readings recorded this
major cardiac malformations
increases
major cardiac malformations (pooled OR 1.28, 95% CI 1.11, 1.47; n = 18 studies)
PMID:26613360 · one of two readings recorded this
right ventricular outflow track defect
increases
right ventricular outflow track defect (pooled OR 2.29, 95% CI 1.06, 4.93; n = 4 studies)
PMID:26613360 · one of two readings recorded this
IELT, paroxetine alone, Abu et al.
increases
The IELT significantly improved from 38.66 to 173.86 in the paroxetine group, while the placebo group showed almost no change
PMID:30606186 · one of two readings recorded this
IELT
no effect, p = 0.24
MD, 1.25; 95% [Cl], − 0.82 to 3.31; p = 0.24
PMID:30606186 · one of two readings recorded this
IELT
no effect, p = 0.1
the difference in IELT was not significant between the two groups at 1 month of treatment [MD, 0.05; 95% [Cl], − 0.01 to 0.11; p = 0.1]
PMID:30606186 · one of two readings recorded this
IELT
increases, p = 0.001
MD, 0.2; 95% [Cl], 0.08 to 0.32; p = 0.001
PMID:30606186 · one of two readings recorded this
IELT
increases, p = 0.02
was 0.54 in favour of paroxetine [95% Cl, 0.07 to 1.02; p = 0.02]
PMID:30606186 · one of two readings recorded this
IELT
no effect, p = 0.72
MD, 0.13; 95% [Cl], − 0.58 to 0.84, p = 0.72
PMID:30606186 · one of two readings recorded this
IELT
no effect, p = 0.17
between-group difference in IELT of − 0.59 [95% [Cl], − 1.45 to 0.26; p = 0.17]
PMID:30606186 · one of two readings recorded this
IELT
no effect, p = 0.26
MD, 0.19; 95% Cl, − 0.14 to 0.52; p = 0.26
PMID:30606186 · one of two readings recorded this
IELT
no effect, p = 0.62
Three RCTs provided evidence that suggested that the difference in IELT was not significant between the two groups [MD, 0.81; 95% [Cl], − 2.40 to 4.03; p = 0.62]
PMID:30606186 · one of two readings recorded this
IELT
increases, p = 0.0003
MD, − 0.40; 95% [Cl], − 0.62 to − 0.18; p = 0.0003
PMID:30606186 · one of two readings recorded this
IELT
increases, p = 0.0004
was − 0.79 in favour of the latter [95% Cl, − 1.23 to − 0.35; p = 0.0004]
PMID:30606186 · one of two readings recorded this
intra-vaginal ejaculatory latency time (IELT) in premature ejaculation, mean difference, paroxetine versus placebo and versus active comparators
increases, MD 2.96 versus placebo, 95% CI 0.63 to 5.29, p = 0.01
Not recorded as a finding: this platform holds no node for the endpoint
The MD in IELT was 2.96, in favour of paroxetine [(random effect) 95% confidence interval [Cl], 0.63 to 5.29; p = 0.01].
PMID:30606186 · one of two readings recorded this
intra-vaginal ejaculatory latency time (IELT), pooled mean difference vs placebo
increases, p = 0.01
Not recorded as a finding: this platform holds no node for the endpoint
Thus,based on 5 pooled RCTs, the men treated with paroxetine 20 mg for 4–12 weeks had significantly increased IELT compared with placebo (p = 0.01).
PMID:30606186 · one of two readings recorded this
intra-vaginal ejaculatory latency time (IELT)
increases, p = 0.01
The MD in IELT was 2.96, in favour of paroxetine [(random effect) 95% confidence interval [Cl], 0.63 to 5.29; p = 0.01]
PMID:30606186 · one of two readings recorded this
patients withdrawn after 6 months
Wang et al. reported that 1.7 and 18.3% of patients withdrew from the study in the sildenafil and paroxetine groups, respectively, after 6 months
PMID:30606186 · one of two readings recorded this
patients withdrawn due to lack of efficacy or adverse effects
Wang et al. reported that 18.3 and 36.7% of patients in the paroxetine and behaviour therapy groups, respectively, withdrew from the study due to lack of efficacy or adverse effects
PMID:30606186 · one of two readings recorded this
rate of occurrence of side effects, paroxetine versus combined behaviour therapy
The rates of occurrence of side effects were 10.0 and 40% in the paroxetine and combined groups, respectively
PMID:30606186 · one of two readings recorded this
sexual satisfaction
increases, p = 0.04
Sexual satisfaction was also significantly higher with paroxetine than with dapoxetine (p = 0.04)
PMID:30606186 · one of two readings recorded this
side effects
no effect, p = 0.73
The pooled relative risk of 3 RCTs was 1.23 [RR (random effect) 95% Cl, 0.38 to 4.04; p = 0.73]
PMID:30606186 · one of two readings recorded this
side effects
no effect, p = 0.07
RR, 8.66; 95% Cl, 0.83 to 90.11; p = 0.07
PMID:30606186 · one of two readings recorded this
side effects
increases
significantly more side effects in the paroxetine group than in the dapoxetine group [RR, 2.50; 95% Cl, 1.16 to 5.38]
PMID:30606186 · one of two readings recorded this
side effects
no effect, p = 0.52
The relative risk of side effects between two groups pooled from 3 RCTs was 1.14 [RR (random effect) 95% Cl, 0.76 to 1.73; p = 0.52]
PMID:30606186 · one of two readings recorded this
side effects
no effect, p = 0.98
1.01 [RR (random effect)95% Cl, 0.44 to 2.33; p = 0.98]
PMID:30606186 · one of two readings recorded this
side effects
no effect, p = 0.96
p = 0.96) [RR, 1.04; 95% [Cl] 0.18 to 5.89]
PMID:30606186 · one of two readings recorded this
side effects
no effect, p = 0.6
RR, 0.80; 95% [Cl], 0.34 to 1.88; p = 0.6
PMID:30606186 · one of two readings recorded this
hot flush episodes, mean weekly reduction from baseline; nighttime awakenings, mean reduction per night
decreases, MD -7.97 episodes/week [-10.51, -5.42]
Not recorded as a finding: this platform holds no node for the endpoint
Women who were treated with low-dose paroxetine had a significant reduction of hot flushes episodes (evaluated as mean weekly reduction from baseline) compared to placebo (mean difference −7.97 [−10.51, −5.42] episodes/week) (Table 2).
PMID:31480427 · one of two readings recorded this
hot flush episodes, mean weekly reduction from baseline
decreases, MD -7.97 episodes/week, interval -10.51 to -5.42
Not recorded as a finding: this platform holds no node for the endpoint
Women who were treated with low-dose paroxetine had a significant reduction of hot flushes episodes (evaluated as mean weekly reduction from baseline) compared to placebo (mean difference −7.97 [−10.51, −5.42] episodes/week) (Table 2).
PMID:31480427 · one of two readings recorded this
hot flush episodes, mean weekly reduction from baseline
decreases
mean difference −7.97 [−10.51, −5.42] episodes/week
PMID:31480427 · one of two readings recorded this
hot flush episodes, mean weekly reduction from baseline
decreases
achieved reduction was −7.89 MD [−11.23, −4.81 CI] for patients with physiological menopause
PMID:31480427 · one of two readings recorded this
hot flush episodes, mean weekly reduction from baseline
decreases
−7.63 MD [−10.15, −5.56 CI] for women with surgical menopause
PMID:31480427 · one of two readings recorded this
mean nighttime awakenings reduction
no effect
−0.40 episodes/night MD [−1.38, 0.58 CI]
PMID:31480427 · one of two readings recorded this
baseline CGI-S score difference
no effect, p = 0.99
The baseline score had no significant difference (MD = −0.00, 95%CI −0.16 to 0.16, P =.99)
PMID:32243377 · one of two readings recorded this
baseline LSAS avoidance subscale difference
no effect, p = 0.4
avoidance: MD = 1.32, 95%CI −1.77 to 4.41, P =.40
PMID:32243377 · one of two readings recorded this
baseline LSAS fear subscale difference
no effect, p = 0.27
fear: MD = 0.90, 95%CI −0.71 to 2.50, P =.27
PMID:32243377 · one of two readings recorded this
baseline LSAS total score difference
no effect, p = 0.54
There was no significant difference in baseline LSAS total score between paroxetine and placebo groups (MD = 0.63, 95%CI −1.40 to 2.66, P =.54)
PMID:32243377 · one of two readings recorded this
baseline SADS total score difference
no effect, p = 0.13
The baseline score had no significant difference (MD = 0.49, 95%CI −0.14 to 1.11, P =.13)
PMID:32243377 · one of two readings recorded this
change in CGI-S score
decreases, p = 0.00001
Change in the CGI-S score was significantly greater in patients with SAD that received paroxetine compared to those received placebo (MD = 0.62, 95%CI 0.48–0.76, P <.00001)
PMID:32243377 · one of two readings recorded this
change in LSAS avoidance subscale score
decreases, p = 0.00001
avoidance: MD = 6.54, 95%CI 4.63–8.45, P <.00001
PMID:32243377 · one of two readings recorded this
change in LSAS fear subscale score
decreases, p = 0.00001
fear: MD = 6.76, 95%CI 4.89–8.62, P <.00001
PMID:32243377 · one of two readings recorded this
change in LSAS total score
decreases, p = 0.00001
MD = 13.46, 95%CI 10.59–16.32, P <.00001
PMID:32243377 · one of two readings recorded this
change in SADS total score
decreases, p = 0.00001
Change was significantly greater in patients with SAD that received paroxetine compared to those received placebo (MD = 3.22, 95%CI 2.31–4.13, P <.00001)
PMID:32243377 · one of two readings recorded this
change in SDS family item score
decreases, p = 0.0006
family item: MD = 0.53, 95%CI 0.22–0.83, P =.0006
PMID:32243377 · one of two readings recorded this
change in SDS social item score
decreases, p = 0.00001
social item: MD = 1.13, 95%CI 0.77–1.48, P <.00001
PMID:32243377 · one of two readings recorded this
change in SDS work item score
decreases, p = 0.00001
work item: MD = 0.93, 95%CI 0.56–1.29, P <.00001
PMID:32243377 · one of two readings recorded this
discontinuation rate due to adverse events
increases, p = 0.00001
Discontinuation rate due to AEs was higher in paroxetine group than placebo group (OR = 3.41, 95%CI 2.45–4.72, P <.00001)
PMID:32243377 · one of two readings recorded this
discontinuation rate due to any reason
no effect, OR 1.06, 95% CI 0.81-1.39, p = 0.65
Not recorded as a finding: No node for all-cause discontinuation
There was no significant difference in discontinuation rate due to any reason between two groups (OR = 1.06, 95%CI 0.81–1.39, P =.65).
PMID:32243377 · one of two readings recorded this
discontinuation rate due to any reason
no effect, p = 0.65
There was no significant difference in discontinuation rate due to any reason between two groups (OR = 1.06, 95%CI 0.81–1.39, P =.65)
PMID:32243377 · one of two readings recorded this
discontinuation rate due to lack of efficacy
decreases, p = 0.00001
OR = 0.14, 95%CI 0.09–0.22, P <.00001
PMID:32243377 · one of two readings recorded this
incidence of any adverse event
increases, OR = 1.83, 95%CI 1.43-2.35
Not recorded as a finding: supplement-adverse-event-incidence is bound to oral or enteral supplements; adverse-reaction-incidence-ungraded requires attribution to study product
The incidence of overall AEs (any AE) was reported in seven trials and the result was significantly higher in paroxetine than placebo group (OR = 1.83, 95%CI 1.43–2.35, P <.00001).
PMID:32243377 · both readings recorded this
incidence of any adverse event
increases, p = 0.00001
OR = 1.83, 95%CI 1.43–2.35, P <.00001
PMID:32243377 · one of two readings recorded this
Liebowitz Social Anxiety Scale total score, fear and avoidance subscales, mean change
increases, fear MD = 6.76, 95%CI 4.89-8.62; avoidance MD = 6.54, 95%CI 4.63-8.45
Not recorded as a finding: no outcome node for LSAS; the total-score sentence also misnames the comparator as duloxetine
Changes in the fear and avoidance subscale of LSAS score were both significantly higher in the paroxetine group as compared with placebo group (fear: MD = 6.76, 95%CI 4.89–8.62, P <.00001; avoidance: MD = 6.54, 95%CI 4.63–8.45, P <.00001).
PMID:32243377 · one of two readings recorded this
publication bias (Egger's test)
no effect, p = 0.662
Visual inspection of the funnel plot as well as the results of Egger's test both revealed there was no significant publication bias (P =.662)
PMID:32243377 · one of two readings recorded this
remission rate
increases, p = 0.00001
OR = 3.14, 95%CI 2.25–4.39, P <.00001
PMID:32243377 · one of two readings recorded this
response and remission rates defined on CGI-I
increases, response OR = 3.02, 95%CI 2.30-3.97
Not recorded as a finding: antidepressant-response-rate node requires a depression rating scale 50% criterion; response here is CGI-I based
Response rate was reported in 10 trials and the result was significantly greater in patients with SAD that received paroxetine compared to those received placebo (OR = 3.02, 95%CI 2.30–3.97, P <.00001).
PMID:32243377 · one of two readings recorded this
response rate defined as CGI-I score of 1 or 2
increases, OR 3.02, 95% CI 2.30-3.97
Not recorded as a finding: Antidepressant response node requires a depression rating scale criterion (HDRS or MADRS 50 percent reduction); this is a CGI-I social anxiety response, a different instrument
Response rate was reported in 10 trials and the result was significantly greater in patients with SAD that received paroxetine compared to those received placebo (OR = 3.02, 95%CI 2.30–3.97, P <.00001).
PMID:32243377 · one of two readings recorded this
response rate
increases, p = 0.00001
OR = 3.02, 95%CI 2.30–3.97, P <.00001
PMID:32243377 · one of two readings recorded this
anti-PD efficacy, modified Webster score categories
increases, OR 4.63, 95% CI 3.15 to 6.79
Not recorded as a finding: No node for responder proportion on the modified Webster score
Compared with control group, paroxetine therapy dramatically improved the anti-PD efficacy (OR 4.63, 95% CI 3.15 to 6.79, P <.00001).
PMID:37653795 · one of two readings recorded this
anti-PD efficacy
increases, p = 0.00001
Compared with control group, paroxetine therapy dramatically improved the anti-PD efficacy (OR 4.63, 95% CI 3.15 to 6.79, P <.00001)
PMID:37653795 · one of two readings recorded this
antidepressant response rate (observed pooled proportions)
increases
The observed response rate in paroxetine treatment group was 64.9% and that of control group was 36.1%
PMID:37653795 · one of two readings recorded this
antidepressant response
increases, p = 0.00001
Paroxetine therapy for dPD markedly increased the antidepressant response rate (OR 3.62, 95% CI 2.63 to 4.98, P <.00001)
PMID:37653795 · one of two readings recorded this
Hamilton anxiety rating scale (HAMA) score
decreases, SMD -1.93, 95% CI -2.65 to -1.22
Not recorded as a finding: no outcome node for HAMA
Patients in paroxetine treatment group had lower HAMA score than that in control group (SMD -1.93, 95% CI -2.65 to -1.22, P <.00001).
PMID:37653795 · both readings recorded this
Hamilton anxiety rating scale score
decreases, p = 0.00001
Patients in paroxetine treatment group had lower HAMA score than that in control group (SMD -1.93, 95% CI -2.65 to -1.22, P <.00001)
PMID:37653795 · one of two readings recorded this
Hamilton depression rating scale score
decreases, p = 0.00001
The HAMD score showed significant decrease in the paroxetine treatment group compared to control group (SMD -2.14, 95% CI -2.73 to -1.56, P <.00001)
PMID:37653795 · one of two readings recorded this
number of any adverse events, per-trial ascertainment
decreases, OR 0.42, 95% CI 0.31 to 0.57
Not recorded as a finding: nodes for adverse events are bound to oral supplement or study-product attribution; not a clean match for a drug trial pooled count of any adverse event
Compared with control group, paroxetine therapy for dPD decreased the number of any adverse events significantly (OR 0.42, 95% CI 0.31 to 0.57, P <.00001).
PMID:37653795 · one of two readings recorded this
number of any adverse events
decreases, OR 0.42, 95% CI 0.31 to 0.57
Not recorded as a finding: Adverse-event nodes require attribution to the study product or an oral supplement; this is any adverse event with trial-defined ascertainment
Compared with control group, paroxetine therapy for dPD decreased the number of any adverse events significantly (OR 0.42, 95% CI 0.31 to 0.57, P <.00001).
PMID:37653795 · one of two readings recorded this
number of any adverse events
decreases, p = 0.00001
Compared with control group, paroxetine therapy for dPD decreased the number of any adverse events significantly (OR 0.42, 95% CI 0.31 to 0.57, P <.00001)
PMID:37653795 · one of two readings recorded this
total unified Parkinson's disease rating scale score
decreases, p = 0.00001
dPD patients in paroxetine treatment group had lower total UPDRS score than that in control group (SMD -2.02, 95% CI -2.48 to -1.55, P <.00001)
PMID:37653795 · one of two readings recorded this
total UPDRS score and anti-PD efficacy (modified Webster score categories)
decreases
Not recorded as a finding: no outcome node for UPDRS or Webster-based anti-PD efficacy
Eighteen trials involving 1555 patients evaluated the total UPDRS score.
PMID:37653795 · one of two readings recorded this
5D-ASC 3D-OAV total score
no effect
Paroxetine had no effect on 3D‐OAV total score ratings on the 5D‐ASC compared with placebo
PMID:40022427 · one of two readings recorded this
Duration of overall LSD effect (any drug effect)
no effect
The duration of the overall LSD effect (“any drug effect”) was similar after paroxetine (mean ± SD: 9.1 ± 2.3 h) and placebo (9.6 ± 2.4 h)
PMID:40022427 · one of two readings recorded this
LSD AUC∞ (geometric mean ratio)
increases
AUC∞ (ng·h/mL) | 15 (13–17) | 8.2–31 | 22 (19–25) | 11–48 | 1.47 (1.29–1.68)
PMID:40022427 · one of two readings recorded this
LSD AUC∞ (geometric mean ratio)
increases
AUC∞ (ng·h/mL) | 15 (11–19) | 9.1–26 | 20 (16–25) | 12–31 | 1.35 (1.11–1.62)
PMID:40022427 · one of two readings recorded this
LSD AUC∞ (geometric mean ratio)
increases
AUC∞ (ng·h/mL) | 12 (11–14) | 8.2–17 | 22 (17–28) | 11–48 | 1.76 (1.44–2.14)
PMID:40022427 · one of two readings recorded this
LSD AUC∞ (geometric mean ratio)
no effect
AUC∞ (ng·h/mL) | 28 (21–36) | 25–31 | 28 (24–34) | 26–30 | 1.02 (0.84–1.24)
PMID:40022427 · one of two readings recorded this
LSD CL/F (geometric mean ratio)
decreases
CL/F (L/h) | 6.8 (5.9–8.0) | 3.2–12 | 4.6 (4.0–5.4) | 2.1–9.2 | 0.68 (0.60–0.77)
PMID:40022427 · one of two readings recorded this
LSD Cmax (geometric mean ratio)
increases
C max (ng/mL) | 2.0 (1.7–2.3) | 1.2–4.5 | 2.8 (2.5–3.2) | 1.9–5.4 | 1.41 (1.24–1.60)
PMID:40022427 · one of two readings recorded this
LSD Cmax (geometric mean ratio)
increases
C max (ng/mL) | 2.0 (1.5–2.6) | 1.2–4.5 | 2.6 (2.1–3.2) | 1.9–4.6 | 1.32 (1.08–1.60)
PMID:40022427 · one of two readings recorded this
LSD Cmax (geometric mean ratio)
increases
C max (ng/mL) | 1.8 (1.6–2.1) | 1.3–2.4 | 3.0 (2.4–3.7) | 2.0–5.4 | 1.62 (1.32–1.99)
PMID:40022427 · one of two readings recorded this
LSD Cmax (geometric mean ratio)
no effect
C max (ng/mL) | 3.0 (1.8–5.0) | 2.6–3.8 | 3.2 (1.5–6.5) | 2.3–4.1 | 1.05 (0.82–1.33)
PMID:40022427 · one of two readings recorded this
LSD half-life (geometric mean ratio)
increases
t 1/2 (h) | 3.5 (3.2–3.8) | 2.6–6.1 | 4.3 (3.9–4.8) | 3.0–9.3 | 1.24 (1.17–1.31)
PMID:40022427 · one of two readings recorded this
LSD half-life (geometric mean ratio)
increases
t 1/2 (h) | 3.5 (3.0–4.0) | 2.8–4.7 | 4.1 (3.7–4.7) | 3.4–5.9 | 1.19 (1.06–1.34)
PMID:40022427 · one of two readings recorded this
LSD half-life (geometric mean ratio)
increases
t 1/2 (h) | 3.3 (3.0–3.5) | 2.6–3.9 | 4.2 (3.7–4.7) | 3.0–5.6 | 1.28 (1.20–1.36)
PMID:40022427 · one of two readings recorded this
LSD half-life (geometric mean ratio)
no effect
t 1/2 (h) | 4.7 (2.6–8.5) | 3.9–6.1 | 5.8 (2.1–16) | 4.4–9.3 | 1.23 (0.87–1.74)
PMID:40022427 · one of two readings recorded this
LSD-induced elevation of heart rate
decreases
Paroxetine significantly reduced LSD‐induced elevations of heart rate but not blood pressure compared with placebo
PMID:40022427 · one of two readings recorded this
LSD-induced nausea VAS (peak and overall)
decreases
peak and overall nausea were significantly lower after paroxetine compared with placebo
PMID:40022427 · one of two readings recorded this
LSD-induced subjective effects on single-item VAS (bad drug effect, anxiety, nausea), with no effect on good drug effect; 5D-ASC 3D-OAV total score
decreases
Not recorded as a finding: no outcome node for acute psychedelic subjective-effect VAS items or 5D-ASC; also the study is a drug-interaction design with LSD given in both conditions
Consistent with our hypotheses, paroxetine significantly reduced LSD‐induced single‐item VAS ratings of “bad drug effect” and “anxiety,” while having no effect on any other items, including “good drug effect” (Table
PMID:40022427 · one of two readings recorded this
LSD-induced VAS ratings of bad drug effect and anxiety
decreases
paroxetine significantly reduced LSD‐induced single‐item VAS ratings of “bad drug effect” and “anxiety,” while having no effect on any other items, including “good drug effect”
PMID:40022427 · one of two readings recorded this
LSD Tmax (geometric mean ratio)
no effect
T max (h) | 1.8 (1.4–2.3) | 0.50–4.0 | 1.7 (1.3–2.1) | 0.50–3.5 | 0.92 (0.75–1.13)
PMID:40022427 · one of two readings recorded this
LSD Vz/F (geometric mean ratio)
decreases
V z/ F (L) | 34 (31–38) | 18–56 | 29 (25–33) | 14–48 | 0.84 (0.74–0.95)
PMID:40022427 · one of two readings recorded this
O-H-LSD AUC∞ (geometric mean ratio)
increases
AUC∞ (ng·h/mL) | 2.5 (2.2–2.8) | 1.6–4.4 | 3.6 (3.3–3.9) | 2.4–5.3 | 1.44 (1.31–1.58)
PMID:40022427 · one of two readings recorded this
O-H-LSD AUC∞ (geometric mean ratio)
increases
AUC∞ (ng·h/mL) | 2.7 (2.2–3.5) | 1.7–4.4 | 3.7 (3.1–4.5) | 2.5–5.3 | 1.35 (1.17–1.56)
PMID:40022427 · one of two readings recorded this
Sources cited
3 papers
- Subject
- paroxetine
- Findings
- 4
- Papers
- 3
Efficacy of Paroxetine as an Adjuvant Therapy in Rheumatoid Arthritis Patients: A Randomized Controlled Study.record2025PMID:414887521 finding
The effects of paroxetine therapy on depressive symptom and motor function in the treatment of depression with Parkinson's disease: A meta-analysis.record2023PMID:376537952 findings
Efficacy and tolerability of paroxetine in adults with social anxiety disorder: A meta-analysis of randomized controlled trials.record2020PMID:322433771 finding