Page last updated: 2024-10-25

citalopram and Acathisia, Drug-Induced

citalopram has been researched along with Acathisia, Drug-Induced in 9 studies

Citalopram: A furancarbonitrile that is one of the serotonin uptake inhibitors used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia.
citalopram : A racemate comprising equimolar amounts of (R)-citalopram and its enantiomer, escitalopram. It is used as an antidepressant, although only escitalopram is active.
1-[3-(dimethylamino)propyl]-1-(4-fluorophenyl)-1,3-dihydro-2-benzofuran-5-carbonitrile : A nitrile that is 1,3-dihydro-2-benzofuran-5-carbonitrile in which one of the hydrogens at position 1 is replaced by a p-fluorophenyl group, while the other is replaced by a 3-(dimethylamino)propyl group.

Research Excerpts

ExcerptRelevanceReference
"Adjunctive ziprasidone, added to escitalopram, led to a greater weight gain and greater but modest akathisia compared to placebo."5.24Ziprasidone Augmentation of Escitalopram for Major Depressive Disorder: Cardiac, Endocrine, Metabolic, and Motoric Effects in a Randomized, Double-Blind, Placebo-Controlled Study. ( Baer, L; Bobo, WV; Curren, L; Fava, M; Mischoulon, D; Papakostas, GI; Shelton, RC, 2017)
"Aripiprazole is an effective and safe adjunctive therapy as demonstrated in this short-term study for patients who are nonresponsive to standard ADT."2.73The efficacy and safety of aripiprazole as adjunctive therapy in major depressive disorder: a second multicenter, randomized, double-blind, placebo-controlled study. ( Berman, RM; Carson, WH; Fava, M; Hennicken, D; Marcus, RN; McQuade, RD; Simon, JS; Thase, ME; Trivedi, MH, 2008)
"Escitalopram is a dual serotonin reuptake inhibitor (SSRI) approved for the treatment of depression and anxiety disorders."2.72In vivo imaging of serotonin transporter occupancy by means of SPECT and [123I]ADAM in healthy subjects administered different doses of escitalopram or citalopram. ( Asenbaum, S; Attarbaschi, T; Dudczak, R; Geiss-Granadia, T; Holik, A; Kasper, S; Klein, N; Lanzenberger, R; Mossaheb, N; Pötzi, C; Sacher, J; Spindelegger, C; Tauscher, J, 2006)
"Somatic anxiety, psychic anxiety and psychomotor agitation as assessed using the Hamilton Depression Rating Scale (HDRS) were analysed in all trials (n = 8262); anxiety-related adverse events were analysed in trials investigating paroxetine and citalopram (n = 5712)."2.55Incidence of early anxiety aggravation in trials of selective serotonin reuptake inhibitors in depression. ( Emilsson, JF; Eriksson, E; Hieronymus, F; Lisinski, A; Näslund, J; Nilsson, S, 2017)

Research

Studies (9)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (22.22)18.2507
2000's4 (44.44)29.6817
2010's3 (33.33)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Näslund, J1
Hieronymus, F1
Emilsson, JF1
Lisinski, A1
Nilsson, S1
Eriksson, E1
Mischoulon, D1
Shelton, RC1
Baer, L1
Bobo, WV1
Curren, L1
Fava, M2
Papakostas, GI1
Muhtz, C1
Agorastos, A1
Kellner, M1
Birthi, P1
Walters, C1
Karandikar, N1
Klein, N1
Sacher, J1
Geiss-Granadia, T1
Attarbaschi, T1
Mossaheb, N1
Lanzenberger, R1
Pötzi, C1
Holik, A1
Spindelegger, C1
Asenbaum, S1
Dudczak, R1
Tauscher, J1
Kasper, S1
Marcus, RN1
McQuade, RD1
Carson, WH1
Hennicken, D1
Simon, JS1
Trivedi, MH1
Thase, ME1
Berman, RM1
Bigos, KL1
Pollock, BG1
Aizenstein, HJ1
Fisher, PM1
Bies, RR1
Hariri, AR1
Hofmann, M1
Vidoni, F1
Fischer, P1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Three-phase Study Designed to Test the Efficacy, Tolerability and Safety of the Combination of Ziprasidone With Selective Serotonin Reuptake Inhibitors (SSRI) for Patients With Major Depressive Disorder (MDD) That do Not Sufficiently Respond to Treatmen[NCT00633399]Phase 2458 participants (Actual)Interventional2008-07-31Completed
A Study of Adjunctive Aripiprazole in Patients With Major Depressive Disorder[NCT00095758]Phase 31,200 participants Interventional2004-09-30Completed
A Double-Blind, Placebo-Controlled Study of Aripiprazole Adjunctive to Antidepressant Therapy (ADT) Among Outpatients With Major Depressive Disorder Who Have Responded Inadequately to Prior ADT[NCT00683852]Phase 3225 participants (Actual)Interventional2008-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Comparing Scores on HAM-D 17 Baseline Visit to Phase 2 Final Visit at Week 8

This will involve looking at the change in HAM-D 17 scores during phase 2. For HAMD-17 the minimum is 0, the maximum is 52, and greater scores represent more symptoms. (NCT00633399)
Timeframe: 8 weeks

Interventionunits on a scale (Mean)
Ziprasidone + Escitalopram-6.4
Placebo + Escitalopram-3.3

Remission Rates (HAM-D 17 Scores of Less Than 8) After Treatment Phase 2.

A secondary outcome measure will be remission rates (HAM-D 17 scores of less than 8) after treatment phase 2.. A remitted will be a patient with a final score of 7 or less on the HAMD-17 during phase 2. (NCT00633399)
Timeframe: 8 weeks

InterventionPercentage of patients (Number)
Ziprasidone + Escitalopram38
Placebo + Escitalopram30

The Primary Outcome Measure Will be Response Rates (50% Decrease in HAM-D-17 Scores) During Phase 2

The primary outcome measure will be response rates (50% decrease in HAM-D-17 scores) during phase 2. A responder will be a patient who experiences a 50% or greater decrease in symptoms according to the HAM-D-17 during phase 2. (NCT00633399)
Timeframe: 8 Weeks

InterventionPercentage of patients (Number)
Ziprasidone + Escitalopram35.2
Placebo + Escitalopram20.5

MADRS (Montgomery-Asberg Depression Rating Scale) Readmission Rate

MADRS readmission rate is defined as MADRS score<11. The 10-item Montgomery-Asberg Depression Rating Scale (MADRS), which measures depression severity over the past week, was completed by clinicians using an MGH structured interview. Each item is measured on a scale from 0 to 6, and the items are summed to find the total score. The total minimum score is 0 units on a scale and the total maximum score is 60 units on a scale, where higher scores indicate more severe depression. (NCT00683852)
Timeframe: 12 weeks

InterventionParticipants (Count of Participants)
Phase 1 Drug4
Phase 1 Placebo Non-Responders on Drug in Phase 28
Phase I Placebo16
Phase 1 Placebo Non-Responders on Placebo in Phase 24

MADRS (Montgomery-Asberg Depression Rating Scale) Response Rate

The primary outcome was the difference in response rate (decrease in MADRS total score of at least 50%) using the SPCD (sequential parallel comparison design). The 10-item Montgomery-Asberg Depression Rating Scale (MADRS), which measures depression severity over the past week, was completed by clinicians using an MGH structured interview. Each item is measured on a scale from 0 to 6, and the items are summed to find the total score. The total minimum score is 0 units on a scale and the total maximum score is 60 units on a scale, where higher scores indicate more severe depression. (NCT00683852)
Timeframe: 12 weeks

InterventionParticipants (Count of Participants)
Phase 1 Drug10
Phase 1 Placebo Non-Responders on Drug in Phase 211
Phase I Placebo29
Phase 1 Placebo Non-Responders on Placebo in Phase 25

Mean Change in Clinical Global Impression of Severity (CGI-S)

The CGI-S scale was administered by clinicians based on assessment of the patient's clinical status. They measured, based on history and scores on other instruments, depressive severity. It consists of one question scored on a seven-point scale (1 = normal to 7 = among the most severe), so a higher total score indicates greater depressive severity. The minimum score is 1, and the maximum score is 7. (NCT00683852)
Timeframe: Baseline and 12 weeks

Interventionunits on a scale (Mean)
Phase 1 Drug-0.81
Phase 1 Placebo Non-Responders on Drug in Phase 2-0.64
Phase I Placebo-0.84
Phase 1 Placebo Non-Responders on Placebo in Phase 2-0.43

Mean Change in MADRS (Montgomery-Asberg Depression Rating Scale) Score From Baseline to the End of Follow-up

The 10-item Montgomery-Asberg Depression Rating Scale (MADRS), which measures depression severity over the past week, was completed by clinicians using an MGH structured interview. Each item is measured on a scale from 0 to 6, and the items are summed to find the total score. The total minimum score is 0 units on a scale and the total maximum score is 60 units on a scale, where higher scores indicate more severe depression. (NCT00683852)
Timeframe: Baseline and 12 Weeks

Interventionunits on a scale (Mean)
Phase 1 Drug-8.54
Phase 1 Placebo Non-Responders on Drug in Phase 2-5.80
Phase I Placebo-8.09
Phase 1 Placebo Non-Responders on Placebo in Phase 2-3.32

Number of Patients With Treatment Emergent AEs in Two Treatment Groups - People Exclusively on Drug or Placebo Throughout the Study

Differences in the incidence of treatment emergent AEs between the treatment groups were examined and evaluated using descriptive statistics. This analysis compared AEs between the arms that received exclusively drug throughout the study or placebo throughout the study. (NCT00683852)
Timeframe: 12 Weeks

InterventionPatients (Number)
ADAPT Drug/Drug Group39
ADAPT Placebo/Placebo Group60

Number of Patients With Treatment Emergent AEs in Two Treatment Groups - Placebo Non-Responders

Differences in the incidence of treatment emergent AEs between the treatment groups were examined and evaluated using descriptive statistics. This analysis focused on placebo non-responders in phase 1 and presented them by their treatment assignment in phase 2. (NCT00683852)
Timeframe: 12 Weeks

InterventionPatients (Number)
Phase 1 Placebo Non-Responders on Drug in Phase 240
Phase 1 Placebo Non-Responders on Placebo in Phase 244

Treatment Emergent AEs in Two Treatment Groups - Safety Sample

Differences in the incidence of treatment emergent AEs between the treatment groups were examined and evaluated using descriptive statistics. In this analysis, AEs were summarized according to person-phase of occurrence. Each AE was attributed to the person and then to phase 1 or phase 2, depending on the initial date of onset. (NCT00683852)
Timeframe: 12 Weeks

Interventionadverse events (Number)
ADAPT Drug Group58
ADAPT Placebo Group110

Mean Change in Symptom Questionnaire (SQ)

The SQ, a 92-item (yes/no) self-rating questionnaire, includes 4 distress and 4 well-being subscales. There are 68 items for the distress subscales and 24 items for the well-being subscales. Each item has either a Yes/No or True/False answer. For the distress symptom score, add together the following items and score 1 when the answer is Yes/True: 1, 2, 3, 5, 6, 8, 11, 12, 15, 18, 20, 22, 24, 25, 26, 27, 28, 29, 30, 32, 33, 34, 36, 37, 39, 41, 42, 44, 45, 47, 48, 49, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 72, 73, 74, 75, 76, 77, 79, 80, 81, 82, 84, 85, 86, 87, 88, 90, 91, 92. Minimum score is 0 and maximum score is 68. A higher score indicates more distress symptoms. For the well-being subscale score, add together the following items and score 1 when the answer is No/False: 4, 7, 9, 10, 13, 14, 16, 17, 19, 21, 23, 29, 31, 35, 38, 40, 43, 46, 50, 51, 71, 78, 83, 89. Minimum score is 0 and maximum score is 24. A higher score indicates more well-being. (NCT00683852)
Timeframe: Baseline and 12 weeks

,,,
Interventionunits on a scale (Mean)
Sum of 4 subscaled distress scoresSum of 4 subscaled well-being scores
Phase 1 Drug-9.443.71
Phase 1 Placebo Non-Responders on Drug in Phase 2-6.783.34
Phase 1 Placebo Non-Responders on Placebo in Phase 2-4.521.98
Phase I Placebo-9.702.75

Reviews

1 review available for citalopram and Acathisia, Drug-Induced

ArticleYear
Incidence of early anxiety aggravation in trials of selective serotonin reuptake inhibitors in depression.
    Acta psychiatrica Scandinavica, 2017, Volume: 136, Issue:4

    Topics: Adult; Akathisia, Drug-Induced; Anxiety; Citalopram; Clinical Trials as Topic; Depressive Disorder;

2017

Trials

4 trials available for citalopram and Acathisia, Drug-Induced

ArticleYear
Ziprasidone Augmentation of Escitalopram for Major Depressive Disorder: Cardiac, Endocrine, Metabolic, and Motoric Effects in a Randomized, Double-Blind, Placebo-Controlled Study.
    The Journal of clinical psychiatry, 2017, Volume: 78, Issue:4

    Topics: Adolescent; Adult; Aged; Akathisia, Drug-Induced; Antipsychotic Agents; Citalopram; Depressive Disor

2017
In vivo imaging of serotonin transporter occupancy by means of SPECT and [123I]ADAM in healthy subjects administered different doses of escitalopram or citalopram.
    Psychopharmacology, 2006, Volume: 188, Issue:3

    Topics: Administration, Oral; Adult; Akathisia, Drug-Induced; Area Under Curve; Cerebellum; Cinanserin; Cita

2006
The efficacy and safety of aripiprazole as adjunctive therapy in major depressive disorder: a second multicenter, randomized, double-blind, placebo-controlled study.
    Journal of clinical psychopharmacology, 2008, Volume: 28, Issue:2

    Topics: Adult; Akathisia, Drug-Induced; Antidepressive Agents; Aripiprazole; Citalopram; Cyclohexanols; Depr

2008
The efficacy and safety of aripiprazole as adjunctive therapy in major depressive disorder: a second multicenter, randomized, double-blind, placebo-controlled study.
    Journal of clinical psychopharmacology, 2008, Volume: 28, Issue:2

    Topics: Adult; Akathisia, Drug-Induced; Antidepressive Agents; Aripiprazole; Citalopram; Cyclohexanols; Depr

2008
The efficacy and safety of aripiprazole as adjunctive therapy in major depressive disorder: a second multicenter, randomized, double-blind, placebo-controlled study.
    Journal of clinical psychopharmacology, 2008, Volume: 28, Issue:2

    Topics: Adult; Akathisia, Drug-Induced; Antidepressive Agents; Aripiprazole; Citalopram; Cyclohexanols; Depr

2008
The efficacy and safety of aripiprazole as adjunctive therapy in major depressive disorder: a second multicenter, randomized, double-blind, placebo-controlled study.
    Journal of clinical psychopharmacology, 2008, Volume: 28, Issue:2

    Topics: Adult; Akathisia, Drug-Induced; Antidepressive Agents; Aripiprazole; Citalopram; Cyclohexanols; Depr

2008
Acute 5-HT reuptake blockade potentiates human amygdala reactivity.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2008, Volume: 33, Issue:13

    Topics: Adult; Akathisia, Drug-Induced; Amygdala; Anxiety; Brain Chemistry; Citalopram; Cross-Over Studies;

2008

Other Studies

4 other studies available for citalopram and Acathisia, Drug-Induced

ArticleYear
Acute maniform reaction to a single dose of escitalopram in a social phobic patient--an atypical jitteriness syndrome?
    Pharmacopsychiatry, 2009, Volume: 42, Issue:6

    Topics: Akathisia, Drug-Induced; Anxiety Disorders; Citalopram; Humans; Male; Mood Disorders; Phobic Disorde

2009
A rare case of tardive dyskinesia and akathisia induced by citalopram.
    PM & R : the journal of injury, function, and rehabilitation, 2010, Volume: 2, Issue:10

    Topics: Adult; Akathisia, Drug-Induced; Citalopram; Humans; Male; Movement Disorders; Selective Serotonin Re

2010
[SSRI-induced akathesia].
    Psychiatrische Praxis, 1996, Volume: 23, Issue:3

    Topics: Adjustment Disorders; Akathisia, Drug-Induced; Alprazolam; Anti-Anxiety Agents; Antidepressive Agent

1996
Serotonin syndrome in the elderly after antidepressive monotherapy.
    Journal of clinical psychopharmacology, 1995, Volume: 15, Issue:6

    Topics: Aged; Aged, 80 and over; Akathisia, Drug-Induced; Antidepressive Agents, Second-Generation; Benzamid

1995