Indian Journal of PsychiatryIndian Journal of Psychiatry
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ORIGINAL RESEARCH PAPERS
Year : 2005  |  Volume : 47  |  Issue : 2  |  Page : 84-88

Comparison of the efficacy and safety of moclobemide and imipramine in the treatment of depression in Indian patients


1 Department of Psychiatry, Postgraduate Institute of Medical Education and Research Chandigarh, India
2 Department of Psychiatry Government Medical College and Hospital, Chandigarh, India

Correspondence Address:
Ajit Avasthi
Department of Psychiatry, Postgraduate Institute of Medical Education and Research Chandigarh 160012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5545.55951

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Background: Moclobemide, a benzamide, is one of the new-generation monoamine oxidase-A inhibitors (MAO-AIs) which belongs to the class of reversible inhibitors of monoamine oxidase (RIMA). Numerous studies have shown that moclobemide is well-tolerated and as effective as other antidepressants. So far, there is no evidence available regarding its efficacy and tolerability in India. Aim: To compare the efficacy and safety of moclobemide with that of imipramine, a tricyclic antidepressant, in the treatment of major depressive disorder. Methods: In this prospective study, patients (n=60) were randomly assigned to treatment with moclobemide or imipramine for 6 weeks. Efficacy of the drugs was assessed by observing the mean change in scores on the Hamilton Depression Rating Scale (HDRS) and the Montgomery-Asberg Depression Scale (MADRS). Results: Both the groups showed significant decrease in scores at the end of 6 weeks. Patients who received moclobemide had a better side-effect profile. Conclusion: Moclobemide is an effective antidepressant and is better tolerated than imipramine.



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