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Clinical problems awaiting solution
Clinical problems for which we found no evidence to act upon. If you know of any good evidence, please write us at webmaster@ebpcenter.com.

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Category Treatment
Patients Delusional depression
Exposure Amitriptyline 100-200 mg/day + perphenazine 32-64 mg/day
Comparison Amitriptyline 150-250 mg/day
Outcome No delusion & HRSD<6
EER 0.64
CER 0.47
NNT/NNH NNT=6.2 (ns)
Comments The only RCT to recommend combination therapy was no longer significant if analyzed on an ITT basis!
Reference Spiker DG et al (1985). The pharmacological treatment of delusional depression. American Journal of Psychiatry 142, 430-436. pubmed
Appraiser Dr Takahiro Kamao
Lastappraised 1/30/2003

Dept of Psychiatry and Cognitive-Behavioral Medicne,
Nagoya City University Graduate School of Medical Sciences
Mizuho-cho, Mizuho-ku,
Nagoya 467-8601 JAPAN
Phone: +81-52-853-8271
Fax: +81-52-852-0837



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