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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1995-1-30
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pubmed:abstractText |
The cardiovascular effects of bupropion hydrochloride and nortriptyline were compared in a double-blind, randomized, 6-week trial in adult outpatients with major depression. After a 1-week placebo phase, 58 patients were randomized to treatment with bupropion (225-450 mg/day) and 57 to nortriptyline (75-150 mg/day). Nortriptyline-treated patients had statistically significant heart rate increases at each assessment as determined by RR intervals on electrocardiogram (14.5-18 bpm). Bupropion-treated patients had small but statistically significant increases in supine diastolic blood pressure of 5.6 mm Hg on day 7 and 7.5 mm Hg on day 28. A few patients in each treatment group had orthostatic changes, but only nortriptyline-treated patients had symptomatic orthostatic hypotension. A slowing of cardiac conduction and possibly of rate-corrected repolarization occurred in patients treated with nortriptyline that did not occur in patients treated with bupropion. Compared to nortriptyline, bupropion appears to have a wider safety margin with regard to cardiovascular effects. This may be particularly true in the elderly, in patients with preexisting cardiovascular disease, or in overdose.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1040-1237
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
6
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
107-15
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7804386-Adult,
pubmed-meshheading:7804386-Aged,
pubmed-meshheading:7804386-Blood Pressure,
pubmed-meshheading:7804386-Bupropion,
pubmed-meshheading:7804386-Cardiovascular System,
pubmed-meshheading:7804386-Depressive Disorder,
pubmed-meshheading:7804386-Dose-Response Relationship, Drug,
pubmed-meshheading:7804386-Double-Blind Method,
pubmed-meshheading:7804386-Electrocardiography,
pubmed-meshheading:7804386-Female,
pubmed-meshheading:7804386-Heart Rate,
pubmed-meshheading:7804386-Humans,
pubmed-meshheading:7804386-Hypotension, Orthostatic,
pubmed-meshheading:7804386-Male,
pubmed-meshheading:7804386-Middle Aged,
pubmed-meshheading:7804386-Nortriptyline
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pubmed:year |
1994
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pubmed:articleTitle |
The cardiovascular effects of bupropion and nortriptyline in depressed outpatients.
|
pubmed:affiliation |
Social Psychiatry Research Institute, New York, New York.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|