PMID- 32790904 OWN - NLM STAT- MEDLINE DCOM- 20210420 LR - 20210420 IS - 1601-0825 (Electronic) IS - 1354-523X (Linking) VI - 27 IP - 4 DP - 2021 May TI - Vortioxetine versus other antidepressants in the treatment of burning mouth syndrome: An open-label randomized trial. PG - 1022-1041 LID - 10.1111/odi.13602 [doi] AB - OBJECTIVES: This randomized open-label trial compared the efficacy and tolerability of vortioxetine (15 mg/daily) with different antidepressants in the treatment of patients with burning mouth syndrome (BMS). METHODS: One and hundred fifty BMS patients were randomized into five groups and treated with either vortioxetine, paroxetine (20 mg/daily), sertraline (50 mg/daily), escitalopram (10 mg/daily) or duloxetine (60 mg/daily). The Visual Analogue Scale (VAS), Total Pain Rating Index (T-PRI), Hamilton Rating Scales for Depression (HAM-D) and Anxiety (HAM-A), and Clinical Global Impression Improvement (CGI-I) and Efficacy scales (CGI-E) were performed at baseline and after 2, 4, 6, and 12 months of treatment. Any adverse events (AEs) were tabulated for each group. Descriptive statistics, including the Kruskal-Wallis non-parametric test and the Friedman non-parametric test for median comparisons between different times, were used. RESULTS: All the antidepressants (AD) were associated with a significant decrease in the VAS, T-PRI, HAM-A, HAM-D, CGI-I, and CGI-E scores in the long-term (p < .001). However, the response rate of the vortioxetine group showed a significant reduction after six months. The medians, after 6 months, were as follows: VAS 0.0; T-PRI 2.0; HAM-A 7.0; HAM-D 7.0; CGI-I 1.0; and CGI-E 1.0 with a lower incidence of AEs (p < .019). CONCLUSION: Vortioxetine was efficacious with a shorter latency of action and fewer AEs compared with other ADs. CI - (c) 2020 John Wiley & Sons A/S . Published by John Wiley & Sons Ltd. All rights reserved. FAU - Adamo, Daniela AU - Adamo D AUID- ORCID: 0000-0002-3784-4229 AD - Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy. FAU - Pecoraro, Giuseppe AU - Pecoraro G AD - Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy. FAU - Coppola, Noemi AU - Coppola N AD - Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy. FAU - Calabria, Elena AU - Calabria E AD - Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy. FAU - Aria, Massimo AU - Aria M AD - Department of Economics and Statistics, University Federico II of Naples, Naples, Italy. FAU - Mignogna, Michele AU - Mignogna M AD - Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy. LA - eng GR - Department of Neurosciences, Reproductive and Odontostomatological Sciences, Oral Medicine Unit, of the "Federico II University of Naples", Italy./ PT - Journal Article PT - Randomized Controlled Trial DEP - 20200915 PL - Denmark TA - Oral Dis JT - Oral diseases JID - 9508565 RN - 0 (Antidepressive Agents) RN - 3O2K1S3WQV (Vortioxetine) MH - Antidepressive Agents/adverse effects MH - *Burning Mouth Syndrome/drug therapy MH - *Depressive Disorder, Major/drug therapy MH - Double-Blind Method MH - Humans MH - Treatment Outcome MH - Vortioxetine/therapeutic use OTO - NOTNLM OT - anxiety OT - depression OT - oral pain OT - side effects OT - sleep disturbance OT - vortioxetine EDAT- 2020/08/14 06:00 MHDA- 2021/04/21 06:00 CRDT- 2020/08/14 06:00 PHST- 2020/07/31 00:00 [revised] PHST- 2020/05/29 00:00 [received] PHST- 2020/08/04 00:00 [accepted] PHST- 2020/08/14 06:00 [pubmed] PHST- 2021/04/21 06:00 [medline] PHST- 2020/08/14 06:00 [entrez] AID - 10.1111/odi.13602 [doi] PST - ppublish SO - Oral Dis. 2021 May;27(4):1022-1041. doi: 10.1111/odi.13602. Epub 2020 Sep 15.