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. 2014 Jan 8;2014(1):CD000031. doi: 10.1002/14651858.CD000031.pub4

Brown 2013.

Methods FLUOXETINE
Randomized controlled trial
Setting: clinic, USA
Recruitment: community volunteers
Participants 216 smokers with elevated depressive symptoms (CES‐D score ≥ 6) smoking ≥ 10 cpd. 38.4% F, av age 46, av cpd 21, mean FTND 5.6, mean CES‐D 11.4
Interventions 1. 10 weeks of 20 mg fluoxetine (beginning 2 weeks prior to TQD)
2. 16 weeks of 20 mg fluoxetine (beginning 8 weeks prior to TQD)
3. Control (no placebo)
All arms: nicotine patch for 8 weeks starting on TQD (21 mg/day for 4 weeks, 14mg/day for 2 weeks, 7 mg/day for last 2 weeks), 5 sessions of brief behavioural smoking cessation treatment (in person and phone over 4 weeks, 20‐ 30 mins each)
Outcomes Continuous abstinence at 12m
Validation: salivary cotinine < 10 ng/ml
Notes New for 2013.
Significantly higher abstinence in 16 week arm than in 10 week arm, results presented separately in meta‐analysis with control divided. N abstinent not reported, extrapolated from percentages provided.
Funding: American Cancer Society
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Urn randomization, no further detail provided
Allocation concealment (selection bias) Unclear risk Not specified
Blinding (performance bias and detection bias) 
 All outcomes High risk Open‐label
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Over 90% followed up at 12m. Similar rates across arms.