Evidence map›Paper›PMID 25247592›Full record

ArticleTranslational psychiatry2014

Methylphenidate and desipramine combined treatment improves PTSD symptomatology in a rat model.

S Aga-Mizrachi, A Cymerblit-Sabba, O Gurman, A Balan, G Shwam, R Deshe, L Miller, N Gorodetsky, N Heinrich, O Tzezana and 3 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.4field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05133804 phase2recruitingnot on this mapstarted 2022, after this paper: background citation

The Relation Between Attentional, Sensory and Emotional Dysregulation in Adults With Posttraumatic Stress Disorder: a Double-blind, Placebo-controlled Randomized Controlled Trial of the Combined Treatment With Reboxetine and Methylphenidate

TypeinterventionalSponsorUniversity of HaifaRan2022 to 2026Enrolled53ConditionsPosttraumatic Stress DisorderArmsMethylphenidate, Reboxetine, Placebo
NCT07771530 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluating the Efficacies of an Innovative Pharmacological Treatment (Reboxetine Plus Ritalin) Versus Dog-Assisted Therapy in PTSD: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of HaifaRan2026 to 2028Enrolled160ConditionsPTSD, Posttraumatic Stress DisorderArmsmethylphenidate (Ritalin®), Reboxetine, Placebo, Dog-Assisted Therapy, Occupational Therapy
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
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    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

S Aga-MizrachiBehavioral Neuroscience Lab, Bruce and Ruth Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
A Cymerblit-SabbaBehavioral Neuroscience Lab, Bruce and Ruth Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
O GurmanDepartment of Psychiatry, Emek Medical Center, Afula, Israel.
A BalanDepartment of Psychiatry, Emek Medical Center, Afula, Israel.
G ShwamDepartment of Psychiatry, Emek Medical Center, Afula, Israel.
R DesheDepartment of Psychiatry, Emek Medical Center, Afula, Israel.
L MillerDepartment of Psychiatry, Emek Medical Center, Afula, Israel.
N GorodetskyDepartment of Psychiatry, Emek Medical Center, Afula, Israel.
N HeinrichDepartment of Psychiatry, Emek Medical Center, Afula, Israel.
O TzezanaDepartment of Psychiatry, Emek Medical Center, Afula, Israel.
S ZubedatBehavioral Neuroscience Lab, Bruce and Ruth Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
D GrinsteinBehavioral Neuroscience Lab, Bruce and Ruth Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
A Avital1] Behavioral Neuroscience Lab, Bruce and Ruth Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel [2] Department of Psychiatry, Emek Medical Center, Afula, Israel.
Emek Medical Center · ILTechnion – Israel Institute of Technology · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antidepressant medication constitutes the first line pharmacological treatment for posttraumatic stress disorder (PTSD), however, because many patients display no beneficial drug effects it has been suggested that combinations of antidepressants with additional drugs may be necessary. The defining symptoms of PTSD include re-experiencing, avoidance and hyperarousal. In addition, PTSD patients were shown to become easily distracted and often suffer from poor concentration together with indications of comorbidity with attention-deficit hyperactivity disorder (ADHD). Methylphenidate (MPH) is the most common and effective drug treatment for ADHD, thus we aimed to investigate the effects of MPH treatment, by itself or in combination with the antidepressants fluoxetine (FLU) or desipramine (DES). We modified an animal model of PTSD by exposing rats to chronic stress and evaluating the subsequent development of behavioral PTSD-like symptoms, as well as the effects on proinflammatory cytokines, which were implicated in PTSD. We report that while FLU or DES had a beneficial effect on avoidance and hyperarousal symptoms, MPH improved all three symptoms. Moreover, the combination of MPH with DES produced the most dramatic beneficial effects. Serum levels of interleukin-1β (IL-1β) and IL-6 were elevated in the PTSD-like group compared with the control group, and were decreased by MPH, FLU, DES or the combination drug treatments, with the combination of DES+MPH producing the most complete rescue of the inflammatory response. Considering the versatile symptoms of PTSD, our results suggest a new combined treatment for PTSD comprising the antidepressant DES and the psychostimulant MPH.

Indexed as

AnimalsAntidepressive Agents, TricyclicCentral Nervous System StimulantsDesipramineDisease Models, AnimalDrug Therapy, CombinationMaleMethylphenidateRatsRats, WistarStress Disorders, Post-TraumaticTreatment OutcomeAntidepressive Agents, TricyclicCentral Nervous System StimulantsDesipramineMethylphenidate

Identifiers

PMID25247592
PMCPMC4203011
OpenAlexW2085060924

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.