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Efficacy of pregabalin in depressive symptoms associated with generalized anxiety disorder: a pooled analysis of 6 studies

Efficacy of pregabalin in depressive symptoms associated with generalized anxiety disorder: a pooled analysis of 6 studies
Efficacy of pregabalin in depressive symptoms associated with generalized anxiety disorder: a pooled analysis of 6 studies
Epidemiological evidence supports comorbidity of generalized anxiety disorder (GAD) and major depressive disorder (MDD) or dysthymia, and its association with significant disability. As pregabatin, a new alpha(2)-delta anxiolytic treatment for GAD, unlike most other licensed treatments for GAD has not undergone investigation in patients with MDD, we examined its efficacy in depressive symptoms associated with GAD, through a post-hoc analysis of the existing clinical trial database. The results provide consistent evidence that in patients with GAD pregabalin reduced associated symptoms of depression. This was seen in the 150 mg/day, 300-450 mg/day and 600 mg/day dosing groups. Even in subjects with more prominent depressive symptoms, pregabalin remained effective for both sub-syndromal depression and GAD symptoms, with pregabatin 300-450 mg/day demonstrating the most beneficial response. In conclusion, pregabalin, an alternative treatment option for GAD with a novel mechanism of action, also demonstrated efficacy in treating depressive symptoms typically encountered in GAD patients.
efficacy, generalized anxiety disorder, major depression, diabetic peripheral neuropathy, double-blind, postherpetic neuralgia, rat neocortical slices, gad, protein-kinase-c, comorbid depressive symptoms, pregabalin, dsm-iv, primary-care, major depressive disorder, venlafaxine extended-release, placebo-controlled trial
0924-977X
422-430
Stein, Dan J.
07cf0cbd-837d-49ac-aceb-1c393a2f3e00
Baldwin, David S.
1beaa192-0ef1-4914-897a-3a49fc2ed15e
Baldinetti, Francesca
57eb1e61-0a4e-4a93-a382-c2105a73e919
Mandel, Francine
53fdf0e5-dba6-4e66-9ff6-c2cf8a9c5275
Stein, Dan J.
07cf0cbd-837d-49ac-aceb-1c393a2f3e00
Baldwin, David S.
1beaa192-0ef1-4914-897a-3a49fc2ed15e
Baldinetti, Francesca
57eb1e61-0a4e-4a93-a382-c2105a73e919
Mandel, Francine
53fdf0e5-dba6-4e66-9ff6-c2cf8a9c5275

Stein, Dan J., Baldwin, David S., Baldinetti, Francesca and Mandel, Francine (2008) Efficacy of pregabalin in depressive symptoms associated with generalized anxiety disorder: a pooled analysis of 6 studies. European Neuropsychopharmacology, 18 (6), 422-430. (doi:10.1016/j.euroneuro.2008.01.004).

Record type: Article

Abstract

Epidemiological evidence supports comorbidity of generalized anxiety disorder (GAD) and major depressive disorder (MDD) or dysthymia, and its association with significant disability. As pregabatin, a new alpha(2)-delta anxiolytic treatment for GAD, unlike most other licensed treatments for GAD has not undergone investigation in patients with MDD, we examined its efficacy in depressive symptoms associated with GAD, through a post-hoc analysis of the existing clinical trial database. The results provide consistent evidence that in patients with GAD pregabalin reduced associated symptoms of depression. This was seen in the 150 mg/day, 300-450 mg/day and 600 mg/day dosing groups. Even in subjects with more prominent depressive symptoms, pregabalin remained effective for both sub-syndromal depression and GAD symptoms, with pregabatin 300-450 mg/day demonstrating the most beneficial response. In conclusion, pregabalin, an alternative treatment option for GAD with a novel mechanism of action, also demonstrated efficacy in treating depressive symptoms typically encountered in GAD patients.

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More information

Published date: June 2008
Keywords: efficacy, generalized anxiety disorder, major depression, diabetic peripheral neuropathy, double-blind, postherpetic neuralgia, rat neocortical slices, gad, protein-kinase-c, comorbid depressive symptoms, pregabalin, dsm-iv, primary-care, major depressive disorder, venlafaxine extended-release, placebo-controlled trial

Identifiers

Local EPrints ID: 62612
URI: http://eprints.soton.ac.uk/id/eprint/62612
ISSN: 0924-977X
PURE UUID: 4af54390-05fa-4ed6-8fb1-41fb42e29982
ORCID for David S. Baldwin: ORCID iD orcid.org/0000-0003-3343-0907

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Date deposited: 04 Nov 2008
Last modified: 16 Mar 2024 02:49

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Contributors

Author: Dan J. Stein
Author: Francesca Baldinetti
Author: Francine Mandel

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