Page last updated: 2024-10-25

citalopram and Cognitive Decline

citalopram has been researched along with Cognitive Decline in 18 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
"In the current study, we investigated the protective role of citalopram against cognitive decline, impaired mitochondrial dynamics, defective mitochondrial biogenesis, defective autophagy, mitophagy and synaptic dysfunction in APP transgenic mouse model of Alzheimer's disease (ad)."8.02Selective serotonin reuptake inhibitor citalopram ameliorates cognitive decline and protects against amyloid beta-induced mitochondrial dynamics, biogenesis, autophagy, mitophagy and synaptic toxicities in a mouse model of Alzheimer's disease. ( Bunquin, LE; Kshirsagar, S; Morton, H; Reddy, AP; Reddy, PH; Sawant, N; Yin, X, 2021)
"We studied the correlation between prestroke PA and poststroke cognitive performance in a prespecified analysis in The Efficacy of Citalopram Treatment in Acute Ischemic Stroke (TALOS) trial."5.34Prestroke Physical Activity and Poststroke Cognitive Performance. ( Andersen, G; Blauenfeldt, RA; Damsbo, AG; Johnsen, SP; Kraglund, KL; Mortensen, JK, 2020)
"In the current study, we investigated the protective role of citalopram against cognitive decline, impaired mitochondrial dynamics, defective mitochondrial biogenesis, defective autophagy, mitophagy and synaptic dysfunction in APP transgenic mouse model of Alzheimer's disease (ad)."4.02Selective serotonin reuptake inhibitor citalopram ameliorates cognitive decline and protects against amyloid beta-induced mitochondrial dynamics, biogenesis, autophagy, mitophagy and synaptic toxicities in a mouse model of Alzheimer's disease. ( Bunquin, LE; Kshirsagar, S; Morton, H; Reddy, AP; Reddy, PH; Sawant, N; Yin, X, 2021)
"Vortioxetine treatment was superior in simple attention efficiency."3.01Distinct association of plasma BDNF concentration and cognitive function in depressed patients treated with vortioxetine or escitalopram. ( Dvojkovic, A; Jaksic, N; Kusevic, Z; Mihaljevic-Peles, A; Nikolac Perkovic, M; Pivac, N; Sagud, M; Vuksan-Cusa, B; Zivkovic, M, 2021)
"Depression is associated with impairments in higher-order cognitive functions and information processing, which persist independently of clinical symptom change with treatment."2.82Effect of antidepressant treatment on cognitive impairments associated with depression: a randomised longitudinal study. ( Etkin, A; Gyurak, A; Harris, A; Shilyansky, C; Usherwood, T; Williams, LM, 2016)
"Depression is associated with an increased risk of Alzheimer's disease."1.48Impact of SSRI Therapy on Risk of Conversion From Mild Cognitive Impairment to Alzheimer's Dementia in Individuals With Previous Depression. ( Bartels, C; Ehrenreich, H; Schneider, A; Wagner, M; Wolfsgruber, S, 2018)
"In the amnestic mild cognitive impairment subsample (n = 22), the conversion rate was 4."1.43Combined treatment with memantine/es-citalopram for older depressed patients with cognitive impairment: a pilot study. ( D'Antonio, K; Devanand, DP; Harper, OL; Marder, K; Pelton, GH; Roose, SP, 2016)
"Escitalopram treatment in patients with MNCD-AD or ScVMNCD led to an increase of plasma BDNF concentrations and as a result to a decrease of cognitive, depressive, and anxiety symptom severity."1.43Plasma Brain-Derived Neurotrophic Factor as a Biomarker for the Main Types of Mild Neurocognitive Disorders and Treatment Efficacy: A Preliminary Study. ( Cherednichenko, NV; Levada, OA; Trailin, AV; Troyan, AS, 2016)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's13 (72.22)24.3611
2020's5 (27.78)2.80

Authors

AuthorsStudies
Amidzic, A1
Tiro, N1
Damsbo, AG1
Mortensen, JK1
Kraglund, KL1
Johnsen, SP1
Andersen, G1
Blauenfeldt, RA1
Sagud, M1
Nikolac Perkovic, M1
Dvojkovic, A1
Jaksic, N1
Vuksan-Cusa, B1
Zivkovic, M1
Kusevic, Z1
Mihaljevic-Peles, A1
Pivac, N1
Reddy, AP1
Sawant, N1
Morton, H1
Kshirsagar, S1
Bunquin, LE1
Yin, X1
Reddy, PH1
Minchew, HM1
Radabaugh, HL1
LaPorte, ML1
Free, KE1
Cheng, JP1
Bondi, CO1
Bartels, C1
Wagner, M1
Wolfsgruber, S1
Ehrenreich, H1
Schneider, A1
Wu, C1
Gong, WG1
Wang, YJ1
Sun, JJ1
Zhou, H1
Zhang, ZJ1
Ren, QG1
Vieta, E1
Sluth, LB1
Olsen, CK1
Rubin, R1
Levada, OA2
Troyan, AS2
Ibrahim, WW2
Abdelkader, NF1
Ismail, HM1
Khattab, MM2
Koenig, AM1
Butters, MA1
Begley, A1
Ogbagaber, S1
Wahed, AS1
Reynolds, CF1
Pelton, GH1
Harper, OL1
Roose, SP1
Marder, K1
D'Antonio, K1
Devanand, DP1
Shilyansky, C1
Williams, LM1
Gyurak, A1
Harris, A1
Usherwood, T1
Etkin, A1
Tao, C1
Yan, W1
Li, Y1
Lu, X1
Cherednichenko, NV1
Trailin, AV1
Safar, MM1
Agha, AM1
Messinger-Rapport, BJ1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effects of Combined Memantine (Namenda) Plus Escitalopram (Lexapro) Treatment in Elderly Depressed Patients With Cognitive Impairment[NCT01876823]Phase 2/Phase 360 participants (Actual)Interventional2006-04-30Completed
International Study to Predict Optimised Treatment - in Depression[NCT00693849]Phase 42,688 participants (Anticipated)Interventional2008-09-30Active, not recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in 24-item HAMD

Change in 24-item Hamilton Rating Scale for Depression (HAMD) scores from baseline to Week 48: HAMD measures depression severity based on a series of 24 items items. The range of HAMD total score is 0-74; 0 indicates no depressive symptoms and a maximum HAMD score is a 74, where the greater the score indicates more significant psychopathology. In this study, moderate to severe depression is considered a HAMD-24 greater than 14. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionscores on a scale (Mean)
Es-citalopram and Memantine Treatment-15.2

Change in Selective Reminding Test - Delayed Recall (SRT-DR)

Change in Selective Reminding Test-Delayed Recall scores from baseline to Week 48: SRT Delay is administered 15 minutes after the immediate recall portion. Patients are asked to remember as many of the words as they can from the 6 trials. Maximum raw score is a 12 for free recall. If a patient is unable to recall a word, they are given a chance to recognize it among three incorrect word choices. Maximum raw score for recognition is 12. The greater the score on the delayed recall portion, the better the patient does on the assessment. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionunits on a scale (Mean)
Es-citalopram and Memantine Treatment1.2

Change in Selective Reminding Test - Total Immediate Recall (SRT-IR)

Change in Selective Reminding Test-Total Immediate Recall (SRT-IR) scores from baseline to Week 48: Measures word recall (maximum 12 words per trial, across 6 trials). Maximum total recall score across 6 trials is 72; minimum recall is 0 across 6 trials. The higher the raw score, the better the patient did at recalling the target words. The unit of measure is the raw score, or the sum of the number of words recalled across all 6 trials. (NCT01876823)
Timeframe: baseline, 48 weeks

Interventionunits on a scale (Mean)
Es-citalopram and Memantine Treatment7.5

Change in Trails A

Change in Trails A scores from baseline to Week 48: Measures attention and executive function. It asks patients to connect numbers from 1-25 in numerical order as fast as they can. Patients are timed; the longer it takes for the patient to connect the numbers, the worse their score. Unit of measure is in seconds. The amount of errors that the patient makes during trails is also recorded. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionseconds (Mean)
Es-citalopram and Memantine Treatment1.9

Change in Trails B

Change from baseline to Week 48 on Trails B: Measures attention and executive function. It asks patients to connect numbers and letters in numerical to alphabetical order from (1-13 and A-L) as fast as they can. Patients are timed; the longer it takes for the patient to connect the numbers and letters, the worse their score. Unit of measure is in seconds. The amount of errors that the patient makes during trails is also recorded. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionseconds (Mean)
Es-citalopram and Memantine Treatment-36.3

Change in Wechsler Memory Scale-III (WMS-III)

Change in Wechsler Memory Scale-III scores from baseline to Week 48: The WMS-III Visual Reproduction sub-test was used to measure visual working memory and delayed memory. Patients were shown pictures of four drawings and were asked to reproduce them from memory immediately after seeing them, and 25 minutes after seeing them. The four scores are summed and the greater the total raw score, the better the patient did on the assessment. The maximum raw score for this test is a 41 on both the immediate and delayed portions (the overall range is 0-82 points). The change score is calculated using the total scores of both the immediate and delayed portions. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionunits on a scale (Mean)
Es-citalopram and Memantine Treatment9.9

Conversion to Dementia Using Clinical Dementia Rating (CDR)

The CDR is a numeric rating scale that is used to quantify the severity of one's cognitive function. The scale goes from 0=normal; 0.5=mild cognitive impairment; 1 to 3=mild to moderate/severe dementia. CDR was used a dichotomous outcome measure (no=0; yes=1). (NCT01876823)
Timeframe: Baseline, Week 48

Interventionparticipants (Number)
Es-citalopram and Memantine Treatment1

Change in Clinical Global Impression - Cognitive Change

The CGI Cognitive Change follows a seven-point likert scale. Compared to the patient's condition at baseline in the study [prior to medication initiation], the patient's condition is rated as: 1=very much improved since the initiation of treatment; 2=much improved; 3=minimally improved; 4=no change from baseline (the initiation of treatment); 5=minimally worse; 6= much worse; 7=very much worse since the initiation of treatment. Responses from the entire group were calculated. Mean at final visit and baseline is reported below. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionunits on a scale (Mean)
CGI-Cognitive Change (Baseline)Clinical Global Impression-Cogntive Change (WK 48)
Es-citalopram and Memantine Treatment3.62.7

Change in Clinical Global Impression - Depression Change

The CGI Depression Change follows a seven-point likert scale. Compared to the patient's condition at baseline in the study [prior to medication initiation], the patient's condition is rated as: 1=very much improved since the initiation of treatment; 2=much improved; 3=minimally improved; 4=no change from baseline (the initiation of treatment); 5=minimally worse; 6= much worse; 7=very much worse since the initiation of treatment. Responses were calculated for the entire group. Mean at final visit has been reported below. Higher mean at baseline indicates a decrease in depression scores. (NCT01876823)
Timeframe: Baseline, Week 48

Interventionunits on a scale (Mean)
Cognitive Global Impression at BaselineCognitive Global Impression at Final Visit (WK 48)
Es-citalopram and Memantine Treatment4.12.1

Change in Treatment Emergent Side Effects (TESS)

"Somatic side effect rating scale which includes 26 common somatic side effects associated with previous medication clinical trials; rated by the study physician. Factors were dichotomized to yes or no responses on this scale, which equated to the symptom being either present or not present. Yes and no responses were given a value of 0 (no) or 1 (yes). Responses from the entire group were calculated and the mean at baseline and the last visit is reported below." (NCT01876823)
Timeframe: Baseline, Week 48

Interventionunits on a scale (Mean)
Treatment Emergent Side Effects (Baseline)Treatment Emergent Side Effects (WK 48)
Es-citalopram and Memantine Treatment6.63.2

Trials

5 trials available for citalopram and Cognitive Decline

ArticleYear
Prestroke Physical Activity and Poststroke Cognitive Performance.
    Cerebrovascular diseases (Basel, Switzerland), 2020, Volume: 49, Issue:6

    Topics: Aged; Citalopram; Cognition; Cognitive Dysfunction; Disability Evaluation; Double-Blind Method; Exer

2020
Distinct association of plasma BDNF concentration and cognitive function in depressed patients treated with vortioxetine or escitalopram.
    Psychopharmacology, 2021, Volume: 238, Issue:6

    Topics: Adolescent; Adult; Aged; Antidepressive Agents; Brain-Derived Neurotrophic Factor; Citalopram; Cogni

2021
The effects of vortioxetine on cognitive dysfunction in patients with inadequate response to current antidepressants in major depressive disorder: A short-term, randomized, double-blind, exploratory study versus escitalopram.
    Journal of affective disorders, 2018, Volume: 227

    Topics: Adult; Antidepressive Agents; Citalopram; Cognition; Cognitive Dysfunction; Depressive Disorder, Maj

2018
Cognitive-functional relationships in major depressive disorder: Crucial data from a Ukrainian open-label study of vortioxetine versus escitalopram.
    Journal of affective disorders, 2019, 05-01, Volume: 250

    Topics: Adult; Anhedonia; Antidepressive Agents; Citalopram; Cognition; Cognitive Dysfunction; Depressive Di

2019
Effect of antidepressant treatment on cognitive impairments associated with depression: a randomised longitudinal study.
    The lancet. Psychiatry, 2016, Volume: 3, Issue:5

    Topics: Adolescent; Adult; Aged; Antidepressive Agents; Citalopram; Cognitive Dysfunction; Depression; Femal

2016

Other Studies

13 other studies available for citalopram and Cognitive Decline

ArticleYear
Kinking of Bilateral Internal Carotid Arteries as Cause of Cognitive Dysfunction.
    Medical archives (Sarajevo, Bosnia and Herzegovina), 2020, Volume: 74, Issue:1

    Topics: Anticholesteremic Agents; Aspirin; Atorvastatin; Bosnia and Herzegovina; Bromazepam; Carotid Artery,

2020
Selective serotonin reuptake inhibitor citalopram ameliorates cognitive decline and protects against amyloid beta-induced mitochondrial dynamics, biogenesis, autophagy, mitophagy and synaptic toxicities in a mouse model of Alzheimer's disease.
    Human molecular genetics, 2021, 05-28, Volume: 30, Issue:9

    Topics: Alzheimer Disease; Amyloid beta-Peptides; Amyloid beta-Protein Precursor; Animals; Autophagy; Citalo

2021
A combined therapeutic regimen of citalopram and environmental enrichment ameliorates attentional set-shifting performance after brain trauma.
    European journal of pharmacology, 2021, Aug-05, Volume: 904

    Topics: Animals; Attention; Behavior, Animal; Brain Injuries, Traumatic; Citalopram; Cognitive Dysfunction;

2021
Impact of SSRI Therapy on Risk of Conversion From Mild Cognitive Impairment to Alzheimer's Dementia in Individuals With Previous Depression.
    The American journal of psychiatry, 2018, 03-01, Volume: 175, Issue:3

    Topics: Aged; Alzheimer Disease; Citalopram; Cognitive Dysfunction; Depression; Humans; Kaplan-Meier Estimat

2018
Escitalopram alleviates stress-induced Alzheimer's disease-like tau pathologies and cognitive deficits by reducing hypothalamic-pituitary-adrenal axis reactivity and insulin/GSK-3β signal pathway activity.
    Neurobiology of aging, 2018, Volume: 67

    Topics: Alzheimer Disease; Animals; Antidepressive Agents, Second-Generation; Chronic Disease; Citalopram; C

2018
Exploring the Relationship Between Depression and Dementia.
    JAMA, 2018, Sep-11, Volume: 320, Issue:10

    Topics: Adult; Aged, 80 and over; Antidepressive Agents; Citalopram; Cognitive Dysfunction; Dementia; Depres

2018
Escitalopram Ameliorates Cognitive Impairment in D-Galactose-Injected Ovariectomized Rats: Modulation of JNK, GSK-3β, and ERK Signalling Pathways.
    Scientific reports, 2019, 07-11, Volume: 9, Issue:1

    Topics: Animals; Antidepressive Agents, Second-Generation; Citalopram; Cognitive Dysfunction; Female; Galact

2019
Response to antidepressant medications in late-life depression across the spectrum of cognitive functioning.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:2

    Topics: Age Factors; Aged; Aged, 80 and over; Antipsychotic Agents; Aripiprazole; Citalopram; Cognitive Dysf

2014
Combined treatment with memantine/es-citalopram for older depressed patients with cognitive impairment: a pilot study.
    International journal of geriatric psychiatry, 2016, Volume: 31, Issue:6

    Topics: Aged; Aged, 80 and over; Antidepressive Agents; Citalopram; Cognitive Dysfunction; Depressive Disord

2016
Effect of antidepressants on spatial memory deficit induced by dizocilpine.
    Psychiatry research, 2016, Oct-30, Volume: 244

    Topics: Animals; Antidepressive Agents; Cell Count; Citalopram; Cognition; Cognitive Dysfunction; Dizocilpin

2016
Plasma Brain-Derived Neurotrophic Factor as a Biomarker for the Main Types of Mild Neurocognitive Disorders and Treatment Efficacy: A Preliminary Study.
    Disease markers, 2016, Volume: 2016

    Topics: Aged; Aged, 80 and over; Alzheimer Disease; Biomarkers; Brain-Derived Neurotrophic Factor; Case-Cont

2016
17β-Estradiol augments antidepressant efficacy of escitalopram in ovariectomized rats: Neuroprotective and serotonin reuptake transporter modulatory effects.
    Psychoneuroendocrinology, 2016, Volume: 74

    Topics: Acetylcholinesterase; Animals; Behavior, Animal; Brain-Derived Neurotrophic Factor; Citalopram; Cogn

2016
Geriatrics update 2012: what parts of our practice to change, what to 'think about'.
    Cleveland Clinic journal of medicine, 2012, Volume: 79, Issue:5

    Topics: Accidental Falls; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanized; Citalopram; Cognitive D

2012