Safety and Efficacy of Add on Modafinil to Selective Serotonin Reuptake Inhibitors in Major Depressive Disorder.

dc.contributor.authorSharma, A
dc.contributor.authorMatreja, P S
dc.contributor.authorKaur, Rajdeep
dc.contributor.authorSharma, Arvind
dc.contributor.authorKaur, Harshpunit
dc.date.accessioned2015-07-07T07:07:42Z
dc.date.available2015-07-07T07:07:42Z
dc.date.issued2010-10
dc.description.abstractAim: Despite the efficacy of selective serotonin reuptake inhibitors (SSRIs) in the treatment of major depression, a significant number of patients show partial or no remission of symptoms. Although antidepressant medications are effective, they have a delayed onset of therapeutic effect. Modafinil is a novel psychostimulant that may be helpful in treating patients with residual symptoms of depression. The efficacy of modafinil as add-on therapy to SSRIs in depressed patients in Indian population is lacking; hence this study was designed to study the efficacy and safety of Modafinil as add-on therapy to SSRI in depressed patient in Indian Population.Methods: In an open, randomized study, 50 patients diagnosed with major depressive disorder (MDD) were divided into two groups. In Group A (n = 25) patients received conventional SSRIs with low dose Modafinil for 8 weeks. In Group B (n = 25) patients received conventional SSRIs for 8 weeks. Patients were evaluated at baseline and then at the end of 2, 4, 6, and 8 weeks. Results: There was significant improvement in Hamilton depression rating scale (HDRS), Epworth Sleepiness Scale (ESS), Fatigue severity Scale (FSS) and Clinical Global Improvement – severity (CGI-S) Scale (p < 0.05) in both groups. Modafinil in low dose as add on therapy showed more decrease in scores, had earlier onset of action, as compared to conventional treatment (p < 0.05). No serious adverse event was reported in either of the groups. Conclusion: Low dose Modafinil as add-on therapy had shown better efficacy, earlier onset of action as compared to conventional treatment in MDD in Indian patients.en_US
dc.identifier.citationSharma A, Matreja P S, Kaur Rajdeep, Sharma Arvind, Kaur Harshpunit. Safety and Efficacy of Add on Modafinil to Selective Serotonin Reuptake Inhibitors in Major Depressive Disorder. Delhi Psychiatry journal. 2010 Oct; 13 (2): 282-286.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/159218
dc.language.isoenen_US
dc.source.urihttps://medind.nic.in/daa/t10/i2/daat10i2p282.pdfen_US
dc.subjectModafinilen_US
dc.subjectSSRI’sen_US
dc.subjectMajor Depressive Disorderen_US
dc.subject.meshBenzhydryl Compounds --administration & dosage
dc.subject.meshBenzhydryl Compounds --analogs & derivatives
dc.subject.meshDepressive Disorder, Major --drug therapy
dc.subject.meshDrug Therapy, Combination
dc.subject.meshHumans
dc.subject.meshIndia
dc.subject.meshSerotonin Uptake Inhibitors --administration & dosage
dc.subject.meshSerotonin Uptake Inhibitors --therapeutic use
dc.titleSafety and Efficacy of Add on Modafinil to Selective Serotonin Reuptake Inhibitors in Major Depressive Disorder.en_US
dc.typeArticleen_US
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