[Effectiveness of venlafaxine in the treatment of alcohol dependence with comorbid depression].

Abstract:

INTRODUCTION:There are no conclusive data on the effectiveness of antidepressant drugs in the treatment of comorbid cases of alcohol dependence and depression. OBJECTIVES:To determine the effectiveness of venlafaxine on depression and on severity (need of treatment) of alcohol dependence and related problems. METHODS:Observational, open-label, multicenter, 24-week follow-up study. PATIENTS:90 outpatients with diagnosis of alcohol dependence and associated major depression disorder (DSMIV criteria). OUTCOMES MEASURES:the Hamilton Rating Scale for Depression (HAM-D17), European Addiction Severity Index (EuropASI) and Clinical Global Impression, severity and improvement subscales, (CGI-S and CGI-I). Evaluations were performed at baseline and at weeks 2, 4, 8 and 24. RESULTS:Mean age 44.94+/-9.74 years; 73.3 % man. HAM-D17 mean scores significantly decreased from baseline (24.85+/-5.94) to week 24 (5.976+/-4.68) and at each of the follow-up visits vs previous visit (p < 0.0005). Significant decreases from baseline to week 24 were obtained in four areas of EuropASI: medical status (2.12+/-2.45 to 1.07+/-1.68), alcohol use (5.29+/-2.24 to 3.04+/-2.35), family/ social relationships (3.68+/-2.36 to 1.71+/-2.06) and psychiatric status (5.61+/-1.81 to 2.67+/-2.03). Tolerance was excellent or good in 76.7% of the patients. CONCLUSIONS:Venlafaxine demonstrated to be effective in the treatment of depressive alcoholic patients. Furthermore, it seems to be useful to decrease the severity of problems related with the alcohol use.

journal_name

Actas Esp Psiquiatr

authors

García-Portilla MP,Bascarán MT,Saiz PA,Mateos M,González-Quirós M,Pérez P,Avila JJ,Torres MA,Bombín B,Caso C,Marín R,Prieto R,Bobes J

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

41-5

issue

1

eissn

1139-9287

issn

1578-2735

pii

51110117

journal_volume

33

pub_type

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