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. 2020 Nov 11;60(5):2206–2216. doi: 10.1093/rheumatology/keaa544

Table 2.

Time trends in prescription rates of antidepressants and anticonvulsants

Overall trend [AAPC (95% CI)] Joinpoint (95% CI) Trend 1 Trend 2
APC (95% CI) APC (95% CI)
TOTAL COHORT
 Amitriptyline First 0.4 (−1.5, 2.3) 2014 (2012, 2015) 5.2 (2.3, 8.2) −8.6 (−13.1, −3.9)
Episodic 2.6 (0.6, 4.6) 2014 (2012, 2015) 7.6 (4.5, 10.8) −6.7(−11.2, −2.0)
Prevalent 3.1 (1.2, 4.9) 2013 (2012, 2015) 7.5 (3.8, 11.4) −2.2 (−5.0, 0.6)
 Nortriptyline First 5.0 (−1.3, 11.6)
Episodic 3.7 (−1.2, 8.9)
Prevalent 2.8 (−0.3, 6.0)
 Duloxetine First −7.0 (−9.7, −4.1)
Episodic −2.4 (−5.1, 0.3)
Prevalent 3.8 (0.1, 7.7) 2011 (2010, 2012) −0.6 (−2.7, 1.6)
 Gabapentin First 5.9 (2.3, 9.7)
Episodic 4.1 (1.0, 7.4)
Prevalent 2.4 (0.9, 3.8)
 Pregabalin First 6.6 (2.9, 10.4) 2012 (2010, 2015) 12.6 (2.4, 23.8) 1.9 (−1.5, 5.5)
Episodic 8.2 (5.9, 10.5) 2013 (2011, 2014) 12.0 (7.2, 17.0) 3.5 (0.3, 6.8)
Prevalent 8.8 (7.7, 9.9) 2013 (2012, 2015) 12.7(10.4, 15.0) 4.1 (2.7, 5.6)
WITHOUT COMORBIDITIES
 Amitriptyline First −1.8 (−5.5, 2.1)
Episodic 0.8 (−3.8, 5.6) 2013 (2011, 2015) 7.5 (−1.6, 17.5) −7.1 (−14.2, 0.7)
Prevalent 1.2 (−1.6, 4.0) 2013 (2012, 2015) 7.3 (1.8, 13.0) −5.9 (−10.3, −1.3)
 Nortriptyline First −2.6 (−11.1, 6.6)
Episodic −2.2 (−10.5, 6.8)
Prevalent −2.4 (−9.6, 5.4)
 Duloxetine First −12.3 (−17.5, −6.8)
Episodic −7.9 (−13.2,−2.4)
Prevalent 0.2 (−3.5, 4.0) 2011 (2010, 2012) 14.4 (−0.4, 31.3) −6.3 (−8.7, −3.8)
 Gabapentin First 12.0 (6.6, 17.8)
Episodic 9.9 (6.2, 13.8)
Prevalent 4.1 (1.5, 6.9)
 Pregabalin First 4.8 (0.9, 8.8)
Episodic 6.3 (3.4, 9.2)
Prevalent 8.9 (5.1, 12.9) 2012 (2011, 2015) 16.5 (5.8, 28.3) 3.2 (−0.2, 6.8)