Comparison of the efficacy and tolerability of moclobemide and maprotiline in depressed patients treated by general practitioners
by
Gachoud JP, Dick P, Kohler M
Roche Pharma (Schweiz) AG, Reinach.
Clin Neuropharmacol 1994; 17 Suppl 1:S29-37


ABSTRACT

We report the results of a multicenter, double-blind study conducted in a general practice setting, in which the efficacy and tolerability of moclobemide, a new antidepressant drug of the reversible inhibitor of monoamine oxidase type A class, were compared with those of maprotiline, a noradrenaline reuptake inhibitor often prescribed in the general practice setting. Participating general practitioners were required to make differential diagnoses of depressive disorders according to DSM-III criteria and then quantitatively assess the efficacy of treatment using the Hamilton Depression Rating Scale (HDRS) and the Zung self-rating depression scale (Zung SDS). One hundred thirty outpatients (mean age 48 years) with major depression according to DSM-III were randomized to receive either moclobemide 300 mg or maprotiline 75 mg daily for 4 weeks. From day 8, dosages were increased if necessary up to a maximum of 400 mg of moclobemide or 100 mg of maprotiline. The results showed that moclobemide was as effective as maprotiline (HDRS, Zung SDS); moclobemide appeared to have the same antidepressant and anxiolytic activity, but a stronger drive-enhancing effect. Moclobemide was the better-tolerated drug, producing fewer side effects than maprotiline did: in particular, fewer instances of somnolence and dry mouth. The good tolerability of the compound was confirmed by the qualitative assessments of the study physicians.
SSRIs
Options
Reboxetine
Amineptine
Dumb drugs
Desipramine
Moclobemide
TCAs v SSRIs
Norepinephrine
Antidepressant toxicity
Maprotiline versus mianserin
Maprotiline versus paroxetine
Maprotiline versus amitriptiline
Maprotiline versus fluvoxamine


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