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. 2016 Sep 12;2016(9):CD011567. doi: 10.1002/14651858.CD011567.pub2

Comparison 10. Individual Antidepressants versus another antidepressant within the same class.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Failure to respond 4   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.1 Escitalopram versus citalopram 1 255 Risk Ratio (M‐H, Random, 95% CI) 0.92 [0.79, 1.06]
1.2 Fluoxetine versus Citalopram 1 42 Risk Ratio (M‐H, Random, 95% CI) 0.57 [0.20, 1.66]
1.3 Sertraline versus paroxetine 2 546 Risk Ratio (M‐H, Random, 95% CI) 0.97 [0.80, 1.17]
2 Total number of dropouts 5   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
2.1 Escitalopram versus Citalopram 1 255 Risk Ratio (M‐H, Random, 95% CI) 0.80 [0.53, 1.20]
2.2 Fluoxetine versus Citalopram 1 42 Risk Ratio (M‐H, Random, 95% CI) 1.0 [0.07, 14.95]
2.3 Sertraline versus Paroxetine 2 546 Risk Ratio (M‐H, Random, 95% CI) 0.74 [0.55, 0.99]
2.4 Imipramine versus Clomipramine 1 40 Risk Ratio (M‐H, Random, 95% CI) 0.86 [0.35, 2.10]
3 Failure to remit 1 255 Risk Ratio (M‐H, Random, 95% CI) 0.90 [0.71, 1.15]
3.1 Escitalopram versus Citalopram 1 255 Risk Ratio (M‐H, Random, 95% CI) 0.90 [0.71, 1.15]
4 Panic symptoms 3   Std. Mean Difference (IV, Random, 95% CI) Subtotals only
4.1 Escitalopram versus Citalopram 1 237 Std. Mean Difference (IV, Random, 95% CI) ‐0.09 [‐0.35, 0.16]
4.2 Sertraline versus Paroxetine 2 473 Std. Mean Difference (IV, Random, 95% CI) ‐0.05 [‐0.23, 0.13]
5 Frequency of panic attacks 2   Mean Difference (IV, Random, 95% CI) Subtotals only
5.1 Sertraline versus Paroxetine 2 461 Mean Difference (IV, Random, 95% CI) 0.48 [‐1.02, 1.98]
6 Agoraphobia 1   Mean Difference (IV, Random, 95% CI) Subtotals only
6.1 Escitalopram versus Citalopram 1 237 Mean Difference (IV, Random, 95% CI) ‐1.10 [‐3.46, 1.26]
7 General anxiety 3   Mean Difference (IV, Random, 95% CI) Subtotals only
7.1 Escitalopram versus Citalopram 1 237 Mean Difference (IV, Random, 95% CI) ‐1.20 [‐3.14, 0.74]
7.2 Sertraline versus Paroxetine 2 454 Mean Difference (IV, Random, 95% CI) ‐0.72 [‐2.42, 0.99]
8 Depression 2   Std. Mean Difference (IV, Random, 95% CI) Subtotals only
8.1 Escitalopram versus Citalopram 1 237 Std. Mean Difference (IV, Random, 95% CI) ‐0.11 [‐0.36, 0.15]
8.2 Sertraline versus Paroxetine 1 189 Std. Mean Difference (IV, Random, 95% CI) 0.00 [‐0.28, 0.29]
9 Social functioning 0 0 Std. Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
10 Quality of life 1   Mean Difference (IV, Random, 95% CI) Subtotals only
10.1 Escitalopram versus Citalopram 1 237 Mean Difference (IV, Random, 95% CI) 1.40 [‐1.51, 4.31]
11 Patient satisfaction 0 0 Std. Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
12 Economic costs 0 0 Std. Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
13 Number of dropouts due to adverse effects 5   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
13.1 Escitalopram versus Citalopram 1 255 Risk Ratio (M‐H, Random, 95% CI) 0.78 [0.32, 1.92]
13.2 Fluoxetine versus Citalopram 1 42 Risk Ratio (M‐H, Random, 95% CI) 1.0 [0.07, 14.95]
13.3 Sertraline versus Paroxetine 2 546 Risk Ratio (M‐H, Random, 95% CI) 0.66 [0.42, 1.04]
13.4 Imipramine versus Clomipramine 1 40 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.08, 1.46]
14 Number of patients experiencing at least one adverse effect 2   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
14.1 Escitalopram versus Citalopram 1 255 Risk Ratio (M‐H, Random, 95% CI) 0.95 [0.85, 1.06]
14.2 Sertraline versus Paroxetine 1 321 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.89, 1.10]