PMID- 35041313 OWN - NLM STAT- MEDLINE DCOM- 20220120 LR - 20221207 IS - 1997-7298 (Print) IS - 1997-7298 (Linking) VI - 121 IP - 12 DP - 2021 TI - [Fluvoxamine in the treatment of depressive disorders in alcohol dependence: results of randomized open-label comparative study]. PG - 57-62 LID - 10.17116/jnevro202112112157 [doi] AB - OBJECTIVE: Assess the efficacy and safety of fluvoxamine, sertraline, citalopram, paroxetine, fluoxetine. MATERIAL AND METHODS: The study included 175 patients with alcohol dependence and depressive disorders. 161 had a diagnosis Alcohol Dependence Syndrome (ADS); 14 patients had a <>. All patients were randomized into 5 groups according to the drugs received. To assess the therapeutic efficacy of drugs, the following scales were used: visual analogue scale (VAS), Montgomery-Asberg Depression Rating Scale (MADRS), Hospital Anxiety and Depression Scale (HADS). The safety of drugs was assessed by the incidence of adverse events (AEs) or serious adverse events (SAEs). RESULTS: The drugs relieve depressive disorders: fluvoxamine by the 7th day of treatment, sertraline, paroxetine, citalopram by the 14th day, fluoxetine by the 30th day of therapy. A significant decrease in the level of anxiety when taking fluvoxamine and citalopram occurs by the 7th day, when taking sertraline and paroxetine - by the 14th day, and when taking fluoxetine - by the 30th day. The presence of an anticraving effect in SSRIs is confirmed by the obtained strong and average correlation coefficients between affective disorders and craving for alcohol. The correlation analysis allowed drawing the conclusions about the close connection of presenting features of the affective disorders (depression and anxiety) and craving. The anticraving effect is more expressive in fluvoxamine, sertraline, citalopram and paroxetine. The most common adverse reactions (increased insomnia and anxiety) are observed in: fluoxetine, citalopram, sertraline, paroxetine. Fluvoxamine has the most favorable safety profile. CONCLUSION: SSRIs can be effectively used for the treatment of depressive disorders in alcohol dependence. FAU - Vinnikova, M A AU - Vinnikova MA AUID- ORCID: 0000-0003-3289-8786 AD - Moscow Research and Practical Centre on Addictions of the Moscow Department of Healthcare, Moscow, Russia. AD - Sechenov First Moscow State Medical University, Moscow, Russia. FAU - Severtsev, V V AU - Severtsev VV AUID- ORCID: 0000-0001-8712-3561 AD - Sechenov First Moscow State Medical University, Moscow, Russia. FAU - Komarov, S D AU - Komarov SD AUID- ORCID: 0000-0002-8807-5909 AD - Moscow Research and Practical Centre on Addictions of the Moscow Department of Healthcare, Moscow, Russia. FAU - Vdovin, A S AU - Vdovin AS AUID- ORCID: 0000-0002-9237-4290 AD - Moscow Research and Practical Centre on Addictions of the Moscow Department of Healthcare, Moscow, Russia. LA - rus PT - Journal Article PT - Randomized Controlled Trial TT - Fluvoksamin v terapii depressivnykh rasstroistv pri alkogol'noi zavisimosti: rezul'taty randomizirovannogo otkrytogo sravnitel'nogo issledovaniya. PL - Russia (Federation) TA - Zh Nevrol Psikhiatr Im S S Korsakova JT - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova JID - 9712194 RN - 0 (Serotonin Uptake Inhibitors) RN - 01K63SUP8D (Fluoxetine) RN - 0DHU5B8D6V (Citalopram) RN - 41VRH5220H (Paroxetine) RN - O4L1XPO44W (Fluvoxamine) RN - QUC7NX6WMB (Sertraline) SB - IM MH - *Alcoholism/complications/drug therapy MH - Citalopram/adverse effects MH - *Depressive Disorder MH - Fluoxetine/adverse effects MH - Fluvoxamine/adverse effects MH - Humans MH - Paroxetine MH - Selective Serotonin Reuptake Inhibitors/adverse effects MH - Sertraline/adverse effects OTO - NOTNLM OT - SSRIs OT - alcohol dependence OT - anticraving effect OT - craving for alcohol OT - depression OT - depressive disorders OT - fluvoxamine OT - selective serotonin reuptake inhibitors EDAT- 2022/01/19 06:00 MHDA- 2022/01/21 06:00 CRDT- 2022/01/18 13:49 PHST- 2022/01/18 13:49 [entrez] PHST- 2022/01/19 06:00 [pubmed] PHST- 2022/01/21 06:00 [medline] AID - 10.17116/jnevro202112112157 [doi] PST - ppublish SO - Zh Nevrol Psikhiatr Im S S Korsakova. 2021;121(12):57-62. doi: 10.17116/jnevro202112112157.