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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2019, Vol. 24 ›› Issue (6): 699-703.doi: 10.12092/j.issn.1009-2501.2019.06.016

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Effects of agomelatine on depressive disorder and brain-derived neurotrophic factor ZHOU Yancan

ZHOU Yancan   

  1. Wenzhou Seventh People's Hospital, Wenzhou 325006, Zhejiang,China
  • Received:2019-03-12 Revised:2019-05-27 Online:2019-06-26 Published:2019-06-25

Abstract:

AIM: To investigate the efficacy of agomelatine in the treatment of depressive disorder and its effect on brain-derived neurotrophic factor (BDNF). METHODS: A total of 90 patients with depression admitted to our hospital from March 20 to December 2018 were randomly divided into observation group (45 cases) and control group (45 cases). The observation group was treated with agomelatine, the control group was treated with venlafaxine, and the clinical efficacy, BDNF level and adverse reactions were observed after 4 weeks. RESULTS:The effective rate of the observation group was 73.33% and the effective rate of the control group was 62.22%. There was no significant difference in the effective rate between the two groups (P>0.05). The HAMD and HAMA scores of the two groups were significantly lower than those before treatment (P<0.05), the HAMD scores of the observation group were significantly lower than those of the control group (P<0.05), and the HAMA scores of the observation group were significantly higher than the control group (P<0.05). Pearson correlation analysis showed that BDNF level was negatively correlated with HAMD and HAMA scores (P<0.05), and positively correlated with HAMD reduction rate (P<0.05). There was no significant difference in adverse reactions between the two groups (P>0.05).CONCLUSION:Agomelatine can effectively improve the symptoms of depression and anxiety, significantly reduce the level of BDNF and has better safety.

Key words: agomelatine, venlafaxine, depression, brain-derived neurotrophic factor, anxiety

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