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    All antidepressant drugs are not created equal, according to the authors of one of the few studies that have ever systematically analyzed and compared "new generation" medicines for treating depression. In the analysis of 12 drugs, two came out on top as the most effective and best tolerated as first-line treatments: sertraline (Zoloft) and escitalopram (Lexapro). Venlafaxine (Effexor) and mirtazapine (Remeron) rounded out the top four for effectiveness, but venlafaxine was also among the four drugs patients were most likely to quit taking because of side effects. H., who coauthored a review of the benefits and risks of the same 12 drugs published last November in the Annals of Internal Medicine. Reboxetine (Edronax) was less effective than the rest. Parikh, who wrote a comment accompanying the study that is published in the current issue of The Lancet, says the findings have "enormous implications" because, for the first time, they offer doctors an evidence-based, unbiased way to recommend treatment. He and his colleagues concluded, based on their review done while Gartlehner was at the RTI-UNC Evidence-Based Practice Center in Chapel Hill, North Carolina., that there was no clinically meaningful evidence that any one of the drugs was better than the rest. While psychiatrists treating depressed patients every day have had a sense of which medications are best, the current study "nails it," says Sagar V. And, he adds, they give patients a "gold standard of reliable information," especially since the study's authors plan to make their findings available free on the Web. Instead, they argued, decisions on which drug to use should be based on factors such as cost and side effects. D., of the University of Verona in Italy, and colleagues used a new technique called multiple-treatments meta-analysis to make head-to-head comparisons among the 12 drugs, incorporating 117 randomized controlled trials including 25,928 patients in all. There has been little scientific evidence of the relative effectiveness of these drugs, because most studies compare one against a handful of others or a placebo, and are often funded by the maker of a particular drug, which can bias the findings in its favor, the researchers note. Health.com: How to brighten your winter mood They used two measurements to gauge a drug's effectiveness and tolerability: the percentage of patients who showed at least a 50 percent improvement in their symptoms as measured by one of two scales, or who scored "much improved or very much improved" after eight weeks of treatment (or from six to twelve weeks if eight-week data weren't available) and the percentage of patients who dropped out of the study before eight weeks for any reason. Zoloft Oral Uses, Side Effects, Interactions, phone number to buy viagra Antidepressant - Wikipedia Yep, It's Possible to Build Up a Tolerance to an Antidepressant SELF
     
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