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lüll Efficacy and tolerability of venlafaxine compared with selective serotonin reuptake inhibitors and other antidepressants: a meta-analysis Smith D; Dempster C; Glanville J; Freemantle N; Anderson IBr J Psychiatry 2002[May]; 180 (ä): 396-404BACKGROUND: In individual studies and limited meta-analyses venlafaxine has been reported to be more effective than comparator antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs). AIMS: To perform a systematic review of all such studies. METHOD: We conducted a systematic review of double-blind, randomised trials comparing venlafaxine with alternative antidepressants in the treatment of depression. The primary outcome was the difference in final depression rating scale value, expressed as a standardised effect size. Secondary outcomes were response rate, remission rate and tolerability. RESULTS: A total of 32 randomised trials were included. Venlafaxine was more effective than other antidepressants (standardised effect size was -0.14, 95% Cl -0.07 to -0.22). A similar significant advantage was found against SSRIs (20 studies) but not tricyclic antidepressants (7 studies). CONCLUSIONS: Venlafaxine has greater efficacy than SSRIs although there is uncertainty in comparison with other antidepressants. Further studies are required to determine the clinical importance of this finding.|Adult[MESH]|Aged[MESH]|Antidepressive Agents, Second-Generation/*therapeutic use[MESH]|Cyclohexanols/*therapeutic use[MESH]|Depressive Disorder/*drug therapy[MESH]|Double-Blind Method[MESH]|Female[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Randomized Controlled Trials as Topic[MESH]|Selective Serotonin Reuptake Inhibitors/*therapeutic use[MESH]|Treatment Outcome[MESH]|Venlafaxine Hydrochloride[MESH] |