Skip to main content
. 2013 Jul 17;2013(7):CD004185. doi: 10.1002/14651858.CD004185.pub3

Martenyi 2001.

Methods Six‐week randomised, double‐blind, four‐centre study
Participants Inpatients fulfilling DSM‐III‐R criteria for non‐psychotic major depression, with a score of at least 18 on the Hamilton Rating Scale for Depression‐17 item (HDRS‐17).
 Age range: 18‐65 years
 Exclusion criteria: history of any psychoactive disorder, bipolar mood disorder, substance abuse disorder, somatic disorder, glaucoma, urinary retention and/or prostatic disease and known allergy to maprotiline, pregnancy, absence of contraception, use of MAOI within 2 weeks and depot neuroleptics within 4 weeks of study entry, concomitant psychotropic active medication, with the exception of midazolam, max 15 mg, or medazepam, max 5 mg, for insomnia.
Interventions Fluoxetine: 59 participants
 Maprotiline : 46 participants
 Fluoxetine dose: 20 mg/day
 Maprotiline dose range: 100‐200 mg/day
Outcomes HDRS‐17, Clinical Global Impression‐Severity (CGI)
Notes Funding: by industry
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomised, no further information
Allocation concealment (selection bias) Unclear risk No information provided
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Double blind, no further information
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Quote: "to maintain the blind, all patients took three capsules of study medication every day", no further information
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Double blind, no further information
Incomplete outcome data (attrition bias) 
 All outcomes High risk Number and reasons for discontinuation were not reported. Scores reported without denominator
Selective reporting (reporting bias) Unclear risk Endpoint scores reported with standard deviation. Side effects not reported
Other bias High risk Quote: "this work was sponsored by Eli Lilly and Company". This company produces fluoxetine