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. 2013 Jul 17;2013(7):CD004185. doi: 10.1002/14651858.CD004185.pub3

Comparison 3. Fluoxetine versus other SSRIs.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Failure to respond ‐ HDRS (‐50%) 17   Odds Ratio (M‐H, Random, 95% CI) Subtotals only
1.1 Fluoxetine vs Citalopram 1 59 Odds Ratio (M‐H, Random, 95% CI) 0.60 [0.20, 1.79]
1.2 Fluoxetine vs Escitalopram 1 240 Odds Ratio (M‐H, Random, 95% CI) 1.02 [0.56, 1.85]
1.3 Fluoxetine vs Fluvoxamine 1 177 Odds Ratio (M‐H, Random, 95% CI) 0.95 [0.52, 1.74]
1.4 Fluoxetine vs Paroxetine 9 1574 Odds Ratio (M‐H, Random, 95% CI) 1.23 [0.93, 1.65]
1.5 Fluoxetine vs Sertraline 6 1188 Odds Ratio (M‐H, Random, 95% CI) 1.37 [1.08, 1.74]
2 End‐point score on rating scales 21   Std. Mean Difference (IV, Random, 95% CI) Subtotals only
2.1 Fluoxetine vs Citalopram 3 661 Std. Mean Difference (IV, Random, 95% CI) 0.06 [‐0.10, 0.21]
2.2 Fluoxetine vs Escitalopram 1 231 Std. Mean Difference (IV, Random, 95% CI) 0.07 [‐0.19, 0.33]
2.3 Fluoxetine vs Paroxetine 11 2061 Std. Mean Difference (IV, Random, 95% CI) ‐0.01 [‐0.26, 0.24]
2.4 Fluoxetine vs Sertraline 7 1160 Std. Mean Difference (IV, Random, 95% CI) 0.09 [‐0.03, 0.20]
3 Failure to complete ‐ Total 25   Odds Ratio (M‐H, Random, 95% CI) Subtotals only
3.1 Fluoxetine vs Citalopram 3 732 Odds Ratio (M‐H, Random, 95% CI) 0.87 [0.60, 1.27]
3.2 Fluoxetine vs Escitalopram 2 578 Odds Ratio (M‐H, Random, 95% CI) 1.53 [1.00, 2.37]
3.3 Fluoxetine vs Fluvoxamine 2 284 Odds Ratio (M‐H, Random, 95% CI) 0.71 [0.36, 1.37]
3.4 Fluoxetine vs Paroxetine 10 1848 Odds Ratio (M‐H, Random, 95% CI) 0.98 [0.81, 1.20]
3.5 Fluoxetine vs Sertraline 9 1591 Odds Ratio (M‐H, Random, 95% CI) 1.17 [0.93, 1.49]
4 Failure to complete ‐ Inefficacy 13   Odds Ratio (M‐H, Random, 95% CI) Subtotals only
4.1 Fluoxetine vs Citalopram 3 732 Odds Ratio (M‐H, Random, 95% CI) 0.87 [0.48, 1.56]
4.2 Fluoxetine vs Escitalopram 2 578 Odds Ratio (M‐H, Random, 95% CI) 1.74 [0.46, 6.53]
4.3 Fluoxetine vs Paroxetine 4 1005 Odds Ratio (M‐H, Random, 95% CI) 0.75 [0.41, 1.39]
4.4 Fluoxetine vs Sertraline 5 1056 Odds Ratio (M‐H, Random, 95% CI) 1.09 [0.68, 1.77]
5 Failure to complete ‐ Side Effects 23   Odds Ratio (M‐H, Random, 95% CI) Subtotals only
5.1 Fluoxetine vs Citalopram 3 732 Odds Ratio (M‐H, Random, 95% CI) 0.64 [0.34, 1.20]
5.2 Fluoxetine vs Escitalopram 2 578 Odds Ratio (M‐H, Random, 95% CI) 1.17 [0.64, 2.12]
5.3 Fluoxetine vs Fluvoxamine 1 100 Odds Ratio (M‐H, Random, 95% CI) 1.04 [0.14, 7.71]
5.4 Fluoxetine vs Paroxetine 9 1509 Odds Ratio (M‐H, Random, 95% CI) 0.85 [0.62, 1.16]
5.5 Fluoxetine vs Sertraline 9 1591 Odds Ratio (M‐H, Random, 95% CI) 1.25 [0.92, 1.70]