Page last updated: 2024-10-27

fluoxetine and Dysthymia

fluoxetine has been researched along with Dysthymia in 21 studies

Fluoxetine: The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants.
fluoxetine : A racemate comprising equimolar amounts of (R)- and (S)-fluoxetine. A selective serotonin reuptake inhibitor (SSRI), it is used (generally as the hydrochloride salt) for the treatment of depression (and the depressive phase of bipolar disorder), bullimia nervosa, and obsessive-compulsive disorder.
N-methyl-3-phenyl-3-[4-(trifluoromethyl)phenoxy]propan-1-amine : An aromatic ether consisting of 4-trifluoromethylphenol in which the hydrogen of the phenolic hydroxy group is replaced by a 3-(methylamino)-1-phenylpropyl group.

Research Excerpts

ExcerptRelevanceReference
" The aim of the study is to verify whether LAC can have an antidepressant action in a population of elderly patients with dysthymic disorder in comparison with a traditional antidepressant such as fluoxetine."9.17L-Acetylcarnitine in dysthymic disorder in elderly patients: a double-blind, multicenter, controlled randomized study vs. fluoxetine. ( Bersani, FS; Bersani, G; Colletti, C; Denaro, A; Koverech, A; Liberati, D; Meco, G; Nicolai, R, 2013)
"Although some significant psychomotor changes were observed in a subgroup of clinically responsive dysthymic patients, the overall results of this small, nonrandomized, open-label study do not suggest a beneficial psychomotor effect associated with short-term fluoxetine treatment of dysthymia."9.14Effects of fluoxetine on fine motor performance in dysthymia: an 8-week, nonrandomized, open-label study. ( Maas, YJ; Sabbe, BG; Schrijvers, D, 2009)
" In the intent-to-treat sample, random regression analyses of the Hamilton Rating Scale for Depression (Ham-D; 24-item) and Cornell Dysthymia Rating Scale (CDRS) scores at each visit produced significant time x treatment group interactions favoring the fluoxetine group."9.11Randomized, double-blind, placebo-controlled trial of fluoxetine treatment for elderly patients with dysthymic disorder. ( Cheng, J; Devanand, DP; Nobler, MS; Pelton, GH; Roose, SP; Sackeim, HA; Turret, N, 2005)
"We studied the effects of a fixed dose of fluoxetine (20 mg) or cognitive psychotherapy in a 16 week trial of patients with dysthymic disorder."9.08Cognitive therapy versus fluoxetine in the treatment of dysthymic disorder. ( Bea, C; Becker, J; Dunner, DL; Hendrickson, H; Lehman, A; Schmaling, KB, 1996)
"This study showed the significant and persistent action of fluoxetine on dysthymia."9.08Controlled efficacy study of fluoxetine in dysthymia. ( Attar-Levy, D; Blin, P; Bouhassira, M; Olié, JP; Poirier, MF; Vanelle, JM, 1997)
"In a multicentre, double blind, parallel group study 281 patients with DSM III-R diagnosis of dysthymia or a single episode of major depression in partial remission were randomised to 3 months of treatment with amisulpride 50 mg/day or fluoxetine 20 mg/day."9.08Amisulpride versus fluoxetine in patients with dysthymia or major depression in partial remission: a double-blind, comparative study. ( Smeraldi, E, 1998)
" The aim of the study is to verify whether LAC can have an antidepressant action in a population of elderly patients with dysthymic disorder in comparison with a traditional antidepressant such as fluoxetine."5.17L-Acetylcarnitine in dysthymic disorder in elderly patients: a double-blind, multicenter, controlled randomized study vs. fluoxetine. ( Bersani, FS; Bersani, G; Colletti, C; Denaro, A; Koverech, A; Liberati, D; Meco, G; Nicolai, R, 2013)
"Although some significant psychomotor changes were observed in a subgroup of clinically responsive dysthymic patients, the overall results of this small, nonrandomized, open-label study do not suggest a beneficial psychomotor effect associated with short-term fluoxetine treatment of dysthymia."5.14Effects of fluoxetine on fine motor performance in dysthymia: an 8-week, nonrandomized, open-label study. ( Maas, YJ; Sabbe, BG; Schrijvers, D, 2009)
" In the intent-to-treat sample, random regression analyses of the Hamilton Rating Scale for Depression (Ham-D; 24-item) and Cornell Dysthymia Rating Scale (CDRS) scores at each visit produced significant time x treatment group interactions favoring the fluoxetine group."5.11Randomized, double-blind, placebo-controlled trial of fluoxetine treatment for elderly patients with dysthymic disorder. ( Cheng, J; Devanand, DP; Nobler, MS; Pelton, GH; Roose, SP; Sackeim, HA; Turret, N, 2005)
"A discontinuation syndrome is common after treatment with SSRIs is stopped in patients with dysthymia, and it appears to be more common in patients receiving paroxetine than in those receiving fluoxetine."5.10Discontinuation syndrome in dysthymic patients treated with selective serotonin reuptake inhibitors: a clinical investigation. ( Bellino, S; Bogetto, F; Patria, L; Revello, RB, 2002)
" Although the art of clinical management of dysthymia should be fully grounded in understanding the interpersonal context of depression, we submit that SSRIs such as fluoxetine appear broadly efficacious in areas previously deemed to be the domain of formal psychotherapy."5.09The long-term outcome of dysthymia in private practice: clinical features, temperament, and the art of management. ( Akiskal, HS; Haykal, RF, 1999)
"We studied the effects of a fixed dose of fluoxetine (20 mg) or cognitive psychotherapy in a 16 week trial of patients with dysthymic disorder."5.08Cognitive therapy versus fluoxetine in the treatment of dysthymic disorder. ( Bea, C; Becker, J; Dunner, DL; Hendrickson, H; Lehman, A; Schmaling, KB, 1996)
"A group of 23 elderly outpatients with dysthymic disorder participated in a 13-week fluoxetine trial."5.08Fluoxetine discontinuation in elderly dysthymic patients. ( Devanand, DP; Kim, MK; Nobler, MS, 1997)
"This study showed the significant and persistent action of fluoxetine on dysthymia."5.08Controlled efficacy study of fluoxetine in dysthymia. ( Attar-Levy, D; Blin, P; Bouhassira, M; Olié, JP; Poirier, MF; Vanelle, JM, 1997)
"In a multicentre, double blind, parallel group study 281 patients with DSM III-R diagnosis of dysthymia or a single episode of major depression in partial remission were randomised to 3 months of treatment with amisulpride 50 mg/day or fluoxetine 20 mg/day."5.08Amisulpride versus fluoxetine in patients with dysthymia or major depression in partial remission: a double-blind, comparative study. ( Smeraldi, E, 1998)
"Transdermal fentanyl is an opioid analgesic that is effective on chronic pain, and which appears to be advantageous due to several factors such as ease of administration, the relatively stable serum concentration and long dose intervals."3.72Oral transmucosal abuse of transdermal fentanyl. ( Dimopoulos, NP; Gitsa, OE; Liappas, AI; Liappas, IA; Mellos, E; Rabavilas, AD, 2004)
"Patients with dysthymia have been shown to respond to treatment with antidepressant medications, and to some degree to psychotherapy."2.70Adding group psychotherapy to medication treatment in dysthymia: a randomized prospective pilot study. ( Batchelder, S; Fedak, M; Hellerstein, DJ; Kreditor, D; Little, SA; Muran, JC; Rosenthal, RN; Samstag, LW; Winston, A, 2001)
"Geriatric dysthymia appears to have less associated psychiatric comorbidity and closer links to severe life stresses, particularly medical illnesses, than dysthymia with early-age onset."2.40Geriatric dysthymia. ( Kocsis, JH, 1998)
"With conservative dosing and close monitoring, combinations of SRIs with bupropion in this uncontrolled clinical series appeared to be safe and often more effective than monotherapy."1.30Combining serotonin reuptake inhibitors and bupropion in partial responders to antidepressant monotherapy. ( Baldessarini, RJ; Bodkin, JA; Gardner, DM; Lasser, RA; Wines, JD, 1997)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's10 (47.62)18.2507
2000's10 (47.62)29.6817
2010's1 (4.76)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Bersani, G1
Meco, G1
Denaro, A1
Liberati, D1
Colletti, C1
Nicolai, R1
Bersani, FS1
Koverech, A1
Schrijvers, D1
Maas, YJ1
Sabbe, BG1
Lewis, CC1
Simons, AD1
Silva, SG1
Rohde, P1
Small, DM1
Murakami, JL1
High, RR1
March, JS1
Mendhekar, DN1
Liappas, IA1
Dimopoulos, NP1
Mellos, E1
Gitsa, OE1
Liappas, AI1
Rabavilas, AD1
Devanand, DP2
Nobler, MS2
Cheng, J1
Turret, N1
Pelton, GH1
Roose, SP1
Sackeim, HA1
Simon, NM1
Zalta, AK1
Worthington, JJ1
Hoge, EA1
Christian, KM1
Stevens, JC1
Pollack, MH1
Bourgeois, JA1
Klein, M1
Dunner, DL2
Schmaling, KB1
Hendrickson, H1
Becker, J1
Lehman, A1
Bea, C1
Bodkin, JA1
Lasser, RA1
Wines, JD1
Gardner, DM1
Baldessarini, RJ1
Kim, MK1
Vanelle, JM1
Attar-Levy, D1
Poirier, MF1
Bouhassira, M1
Blin, P1
Olié, JP1
Smeraldi, E1
Kocsis, JH1
Haykal, RF1
Akiskal, HS1
Waslick, BD1
Walsh, BT1
Greenhill, LL1
Eilenberg, M1
Capasso, L1
Lieber, D1
Cailleux, N1
Marie, I1
Chrétien, MH1
Noblet, C1
Lévesque, H1
Courtois, H1
Zaharia, MD1
Ravindran, AV1
Griffiths, J1
Merali, Z1
Anisman, H1
Hellerstein, DJ1
Little, SA1
Samstag, LW1
Batchelder, S1
Muran, JC1
Fedak, M1
Kreditor, D1
Rosenthal, RN1
Winston, A1
Bogetto, F1
Bellino, S1
Revello, RB1
Patria, L1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
An Open Treatment Trial of Duloxetine in Elderly Patients With Dysthymic Disorder[NCT01852383]Phase 430 participants (Actual)Interventional2006-01-31Completed
Double-Blind, Placebo-Controlled, Randomized Trial of Adjunctive Lisdexamfetamine Dimesylate in Residual Symptoms of Major Depressive Disorder Partially Responsive to Selective Serotonin or Norepinephrine Reuptake Inhibitor Monotherapy[NCT01148979]Phase 435 participants (Actual)Interventional2010-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Cornell Dysthymia Rating Scale Scores From Week 0 to Week 12

Cornell Dysthymia Rating Scale scores from range 0-64. Lower or decreasing scores represent decreased severity and a better outcome, while higher or increasing scores represent more severe depression and a worse outcome. The change score was calculated by subtracting the Week 12 score from the Week 0 score. (NCT01852383)
Timeframe: Week 0 and 12

Interventionunits on a scale (Mean)
Duloxetine28.8

Change in Hamilton Rating Scale for Depression (HAM-D, 24-item) From 0 Weeks to 12 Weeks.

The research rater completed the 24-item Hamilton Rating Scale for Depression (HAM-D) and documented the scores on each visit. Hamilton Rating Scale for Depression scores range from 0-50 with low scores or decreasing scores representing decreased severity and better outcome, and higher scores or increasing scores representing more severe depressive symptoms and a worse outcome. The change score was calculated by subtracting the Week 12 score from the Week 0 score. (NCT01852383)
Timeframe: Screen (0) and 12 weeks

Interventionunits on a scale (Mean)
Duloxetine8

Change in the Treatment Emergent Symptom Scale (TESS) Total Score From Week 0 to Week 12.

The Treatment Emergent Symptom Scale (TESS) documents the presence of common side effects. There are 26 items and the total score range is 0-26. Low scores or decrease in scores represent less side effects and high scores or increase in scores represent more side effects. The change in side effect severity scores was calculated by subtracting the Week 12 score from the Week 0 score. (NCT01852383)
Timeframe: 0 and 12 weeks

Interventionunits on a scale (Mean)
Duloxetine5.2

Maximum Duloxetine Oral Dose

Maximum duloxetine oral dose (NCT01852383)
Timeframe: Week 0, 1, 2, 4, 6, 8, 10, 12

Interventionmg (Mean)
Duloxetine101

Change From Baseline in the Dysphoric Apathy/Retardation Sub-factor (MDAR) of Montgomery-Asberg Depression Rating Scale (MADRS) at 4 Weeks.

The Montgomery-Asberg Depression Rating Scale Dysphoric Apathy Retardation subfactor (MDAR) is a 5-item subscale of the clinician-administered 10-item Montgomery-Asberg Depression Rating Scale (MADRS). MDAR score can range from 0-30 with a higher score representing a greater severity of depressive symptoms. (NCT01148979)
Timeframe: Baseline to 4 weeks of treatment

,
Interventionscores on a scale (Mean)
Baseline Mean MDAR scoreWeek 4 Mean MDAR scoreChange from BL in mean MDAR score
Lisdexamfetamine Dimesylate (Vyvanse)13.466.36-7.08
Placebo Adjunct12.579.08-3.49

Reviews

2 reviews available for fluoxetine and Dysthymia

ArticleYear
Geriatric dysthymia.
    The Journal of clinical psychiatry, 1998, Volume: 59 Suppl 10

    Topics: Adult; Age Factors; Age of Onset; Aged; Antidepressive Agents; Clinical Trials as Topic; Comorbidity

1998
Treatment of dysthymic disorder.
    Depression and anxiety, 1998, Volume: 8 Suppl 1

    Topics: Dysthymic Disorder; Fluoxetine; Humans; Selective Serotonin Reuptake Inhibitors

1998

Trials

14 trials available for fluoxetine and Dysthymia

ArticleYear
L-Acetylcarnitine in dysthymic disorder in elderly patients: a double-blind, multicenter, controlled randomized study vs. fluoxetine.
    European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2013, Volume: 23, Issue:10

    Topics: Acetylcarnitine; Aged; Aged, 80 and over; Aging; Antidepressive Agents; Cognitive Dysfunction; Diagn

2013
Effects of fluoxetine on fine motor performance in dysthymia: an 8-week, nonrandomized, open-label study.
    Clinical therapeutics, 2009, Volume: 31, Issue:1

    Topics: Adult; Antidepressive Agents, Second-Generation; Belgium; Case-Control Studies; Dysthymic Disorder;

2009
The role of readiness to change in response to treatment of adolescent depression.
    Journal of consulting and clinical psychology, 2009, Volume: 77, Issue:3

    Topics: Adolescent; Antidepressive Agents, Second-Generation; Child; Cognitive Behavioral Therapy; Combined

2009
Randomized, double-blind, placebo-controlled trial of fluoxetine treatment for elderly patients with dysthymic disorder.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2005, Volume: 13, Issue:1

    Topics: Age Factors; Aged; Aging; Diagnostic and Statistical Manual of Mental Disorders; Double-Blind Method

2005
Preliminary support for gender differences in response to fluoxetine for generalized anxiety disorder.
    Depression and anxiety, 2006, Volume: 23, Issue:6

    Topics: Adult; Age of Onset; Anxiety Disorders; Comorbidity; Depression; Dysthymic Disorder; Female; Fluoxet

2006
Cognitive therapy versus fluoxetine in the treatment of dysthymic disorder.
    Depression, 1996, Volume: 4, Issue:1

    Topics: Adolescent; Adult; Antidepressive Agents, Second-Generation; Cognitive Behavioral Therapy; Dysthymic

1996
Fluoxetine discontinuation in elderly dysthymic patients.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 1997,Winter, Volume: 5, Issue:1

    Topics: Adult; Aged; Ambulatory Care; Antidepressive Agents, Second-Generation; Dose-Response Relationship,

1997
Controlled efficacy study of fluoxetine in dysthymia.
    The British journal of psychiatry : the journal of mental science, 1997, Volume: 170

    Topics: Adult; Antidepressive Agents, Second-Generation; Double-Blind Method; Drug Administration Schedule;

1997
Amisulpride versus fluoxetine in patients with dysthymia or major depression in partial remission: a double-blind, comparative study.
    Journal of affective disorders, 1998, Volume: 48, Issue:1

    Topics: Adolescent; Adult; Aged; Amisulpride; Antidepressive Agents, Second-Generation; Antipsychotic Agents

1998
The long-term outcome of dysthymia in private practice: clinical features, temperament, and the art of management.
    The Journal of clinical psychiatry, 1999, Volume: 60, Issue:8

    Topics: Adult; Age of Onset; Aged; Antidepressive Agents, Tricyclic; Cohort Studies; Combined Modality Thera

1999
Open trial of fluoxetine in children and adolescents with dysthymic disorder or double depression.
    Journal of affective disorders, 1999, Volume: 56, Issue:2-3

    Topics: Adolescent; Antidepressive Agents, Second-Generation; Child; Dysthymic Disorder; Female; Fluoxetine;

1999
Lymphocyte proliferation among major depressive and dysthymic patients with typical or atypical features.
    Journal of affective disorders, 2000, Volume: 58, Issue:1

    Topics: Adult; Antidepressive Agents, Second-Generation; Cyclohexanols; Depressive Disorder, Major; Dysthymi

2000
Adding group psychotherapy to medication treatment in dysthymia: a randomized prospective pilot study.
    The Journal of psychotherapy practice and research, 2001,Spring, Volume: 10, Issue:2

    Topics: Activities of Daily Living; Adult; Aged; Antidepressive Agents, Second-Generation; Dysthymic Disorde

2001
Discontinuation syndrome in dysthymic patients treated with selective serotonin reuptake inhibitors: a clinical investigation.
    CNS drugs, 2002, Volume: 16, Issue:4

    Topics: Adolescent; Adult; Aged; Antidepressive Agents, Second-Generation; Dysthymic Disorder; Female; Fluox

2002

Other Studies

5 other studies available for fluoxetine and Dysthymia

ArticleYear
Fluoxetine-induced breast atrophy.
    The Australian and New Zealand journal of psychiatry, 2004, Volume: 38, Issue:5

    Topics: Adult; Atrophy; Breast; Dysthymic Disorder; Female; Fluoxetine; Humans; Selective Serotonin Reuptake

2004
Oral transmucosal abuse of transdermal fentanyl.
    Journal of psychopharmacology (Oxford, England), 2004, Volume: 18, Issue:2

    Topics: Administration, Cutaneous; Administration, Oral; Adult; Chronic Disease; Depressive Disorder; Drug A

2004
Risperidone and fluoxetine in the treatment of pedophilia with comorbid dysthymia.
    Journal of clinical psychopharmacology, 1996, Volume: 16, Issue:3

    Topics: Adult; Antidepressive Agents, Second-Generation; Antipsychotic Agents; Comorbidity; Dysthymic Disord

1996
Combining serotonin reuptake inhibitors and bupropion in partial responders to antidepressant monotherapy.
    The Journal of clinical psychiatry, 1997, Volume: 58, Issue:4

    Topics: 1-Naphthylamine; Adult; Aged; Ambulatory Care; Anxiety Disorders; Bupropion; Depressive Disorder; Dr

1997
[Spontaneous hematoma: thoughts about selective serotonin uptake inhibitors].
    Journal des maladies vasculaires, 2000, Volume: 25, Issue:1

    Topics: Adenocarcinoma; Breast Neoplasms; Dysthymic Disorder; Ecchymosis; Female; Fluoxetine; Hematoma; Huma

2000