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

Perry 1989.

Methods Six‐week randomised, double‐blind study
Participants Outpatients fulfilling DSM‐III criteria for major depression (lasting more than 1 month), with a score of at least 20 on the Hamilton Rating Scale for Depression‐17 item (HDRS‐17).
 Age: over 18 years
 Exclusion criteria: pregnancy, lactation, absence of contraception, serious suicide risk, glaucoma, presence of cardiovascular arrythmias, hypertension, serious medical illness, including hepatic, renal, respiratory, hematologic disease, histiory of seizure, severe allergies or multiple drug reaction, psychotic patients and patients with DSM‐III diagnosis of organic mental disorder, substance abuse disorder within the past year, schizophrenia, paraniod disorder, bipolar disorder, use of MAOI in the past 14 days, lithium or any other psychotropic drug, use of trazodone or fluoxetine within 4 weeks of study entry.
Interventions Fluoxetine: 21 participants
 Trazodone: 19 participants
 Fluoxetine dose range: 20‐60 mg/day
 Trazodone dose range: 50‐400 mg/day
Outcomes HDRS‐17, Clinical Global Impression (CGI)
Notes Funding: unclear
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 Double blind, 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 Unclear risk Number and reasons for dropout were reported. Scores reported without denominator
Selective reporting (reporting bias) Unclear risk Only most frequent (at least 10%) adverse events reported
Vital signs described
Other bias Unclear risk Funding: unclear