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euroendocrinological effects of lithium and citalopram on the cortisol regulation of patients with major depressio

Not Applicable
Conditions
F32
F33
Depressive episode
Recurrent depressive disorder
Registration Number
DRKS00003185
Lead Sponsor
Klinik für Pschiatrie und PsychotherapieUniversitätsklinikums Carl Gustav Carus an derTechnischen Universität Dresden
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
62
Inclusion Criteria

diagnosis of a major depression according to DSM-IV, SCID I confirmed; at least 15 points on the Hamilton Rating Scale for Depression (21 item version); indication for a antidepressive pharmacotherapy independently of the study; oral and written informed consent; ability to give informed consent

Exclusion Criteria

manic or hypomanic episode in history (bipolar disorder); psychotropic medication within one wek prior to enrollment (one week wash out if neccessary); 20 mg/d diazepam or an equivalent dosage of another bezodiazepine are allowed prior and during the study; severe medical condition; conditions that contraindications to SSRIs or lithium or to the Dex/CRH test (e.g. severe renal dysfunction, severe cardial dysfunction, dysfunction of glucocorticoid or mineralocorticoid regulation); pregnancy; breast feeding; unsecure contraception; other axis I diagnoses beside the affective disorder; substance dependency

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
area under the curve (AUC) for cortisol and for ACTH comparing AUCs before treatement with AUCs after four weeks of pharmacotherapy
Secondary Outcome Measures
NameTimeMethod
clinical efficacy as assessed by weekly ratings with the psychometric scales HAMD, BDI and CGI
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