PMID- 32639288 OWN - NLM STAT- MEDLINE DCOM- 20210121 LR - 20220420 IS - 1533-712X (Electronic) IS - 0271-0749 (Linking) VI - 40 IP - 4 DP - 2020 Jul/Aug TI - Antidepressants and Risk of Type 2 Diabetes Mellitus: A Population-Based Nested Case-Control Study. PG - 359-365 LID - 10.1097/JCP.0000000000001228 [doi] AB - PURPOSE/BACKGROUND: The increased risk of type 2 diabetes mellitus (T2DM) among users of antidepressants (ADs) might be mediated by depression. We investigated whether ADs are associated with increased risk of T2DM in patients with depression. Moreover, the relationship between binding affinities of serotonin transporter (SERT) of ADs and the risk of T2DM is examined. METHODS/PROCEDURES: We conducted a retrospective nested case-control study using data from Taiwan's National Health Insurance Research Database between 2000 and 2013. A total of 3038 patients with depression, 1519 cases of T2DM, and 1519 controls matched for age, sex, and index date, were included. Exposure to ADs was categorized by type and SERT. The association between AD exposure and T2DM development was assessed using conditional logistic regression analysis. FINDINGS/RESULTS: No association between T2DM development and selective serotonin reuptake inhibitors (adjusted odds ratio [AOR], 1.01; 95% confidence interval [CI], 0.87-1.19; P = 0.962), serotonin-norepinephrine reuptake inhibitors (AOR, 1.13; 95% CI, 0.94-1.37; P = 1.196), tricyclic antidepressants (AOR, 1.01; 95% CI, 0.85-1.21; P = 0.906), or others (AOR, 0.88; 95% CI, 0.75-1.03; P = 0.104) was found. Alternatively, no association between individual ADs and potency of affinity to SERT and the risk of T2DM was found. IMPLICATIONS/CONCLUSIONS: No association between ADs and increase risk of T2DM was found in patients with depression. However, regular metabolic evaluations are recommended for patients with depression regularly taking ADs. FAU - Kuo, Hsin-Ya AU - Kuo HY AD - From the Departments of Psychiatry. FAU - Chen, Hsiu-Min AU - Chen HM FAU - Lee, Ching-Chih AU - Lee CC FAU - Lee, Hsuan-Han AU - Lee HH AD - From the Departments of Psychiatry. FAU - Kuo, Chuan-Jung AU - Kuo CJ AD - Department of Psychiatry, National Cheng Kung University Hospital, Tainan City. FAU - Hsu, Chun-Sheng AU - Hsu CS FAU - Pan, Chih-Chuan AU - Pan CC AD - From the Departments of Psychiatry. FAU - Su, Ning AU - Su N AD - Drkuo Clinic. FAU - Chu, Che-Sheng AU - Chu CS LA - eng PT - Journal Article PL - United States TA - J Clin Psychopharmacol JT - Journal of clinical psychopharmacology JID - 8109496 RN - 0 (Antidepressive Agents) RN - 0 (Serotonin Plasma Membrane Transport Proteins) SB - IM MH - Antidepressive Agents/*adverse effects/pharmacology MH - Case-Control Studies MH - Databases, Factual MH - Depression/drug therapy MH - Diabetes Mellitus, Type 2/*chemically induced MH - Female MH - Humans MH - Male MH - Middle Aged MH - Protein Binding/drug effects MH - Retrospective Studies MH - Risk Factors MH - Serotonin Plasma Membrane Transport Proteins/metabolism EDAT- 2020/07/09 06:00 MHDA- 2021/01/22 06:00 CRDT- 2020/07/09 06:00 PHST- 2020/07/09 06:00 [entrez] PHST- 2020/07/09 06:00 [pubmed] PHST- 2021/01/22 06:00 [medline] AID - 00004714-202007000-00009 [pii] AID - 10.1097/JCP.0000000000001228 [doi] PST - ppublish SO - J Clin Psychopharmacol. 2020 Jul/Aug;40(4):359-365. doi: 10.1097/JCP.0000000000001228.