Olanzapine augmentation in the treatment of melancholia: the trajectory of improvement in rapid responders.

Abstract:

:It has been suggested that the atypical antipsychotic drugs may induce a rapid improvement in individuals with melancholic depression. This might reflect a specific or non-specific effect on mood and other parameters. To examine this issue, ten consecutive patients, for whom olanzapine augmentation was judged a clinically appropriate strategy, were asked to complete daily ratings of depression severity and component features for 1 week. Of the six rapid responders, there was a 52% group improvement in the first day and 89% improvement at 1 week. Item analyses suggested the most rapid impact was evident for insomnia, compared to a slower and linear improvement in depressed mood. Such findings may assist in an understanding of the mechanisms underlying augmentation with atypical neuroleptic drugs.

authors

Parker G

doi

10.1097/00004850-200203000-00008

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

87-9

issue

2

eissn

0268-1315

issn

1473-5857

journal_volume

17

pub_type

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