Evidence map›Paper›PMID 32842836›Full record

Trial reportJournal of psychopharmacology (Oxford, England)2020

Hypertension and orthostatic hypotension with venlafaxine treatment in depressed older adults.

Rafae Wathra, Benoit H Mulsant, Lauren Thomson, Kyle W Goldberger, Eric J Lenze, Jordan F Karp, Marcos Sanches, Charles F Reynolds, Daniel M Blumberger

Open access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of psychopharmacology (Oxford, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 23% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Antidepressant Drugs Effects on Blood Pressure.Frontiers in cardiovascular medicine · 2021
    Review
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

9 authors at 4 institutions in 2 countries.

Rafae WathraCampbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, Toronto, Canada.
Benoit H MulsantCampbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, Toronto, Canada.
Lauren ThomsonCampbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, Toronto, Canada.
Kyle W GoldbergerDepartment of Neurology, Faculty of Medicine, Queen's University, Kingston, Canada.
Eric J LenzeWashington University School of Medicine, Saint Louis, USA.
Jordan F KarpUniversity of Pittsburgh School of Medicine, Pittsburgh, USA.
Marcos SanchesCampbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, Toronto, Canada.
Charles F ReynoldsUniversity of Pittsburgh School of Medicine, Pittsburgh, USA.
Daniel M BlumbergerCampbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, Toronto, Canada.ORCID 0000-0002-8422-5818
Centre for Addiction and Mental Health · CAUniversity of Pittsburgh · USQueen's University · CAWashington University in St. Louis · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
1/3-Incomplete Response in Late-Life Depression: Getting to RemissionR01MH083660 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F. · 2009 to 2013
$2.7M
2/3-Incomplete Response in Late-Life Depression: Getting to RemissionR01MH083648 · NIMH · WASHINGTON UNIVERSITY · PI LENZE, ERIC J · 2009 to 2013
$2.0M
3/3-Incomplete Response in Late-Life Depression: Getting to RemissionR01MH083643 · NIMH · CENTRE FOR ADDICTION AND MENTAL HEALTH · PI MULSANT, BENOIT H · 2009 to 2013
$1.3M
3/3 Buprenorphine for Late-Life Treatment Resistant DepressionR34MH101365 · NIMH · CENTRE FOR ADDICTION AND MENTAL HEALTH · PI BLUMBERGER, DANIEL M. · 2014 to 2016
$479k
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NIMH NIH HHS R01 MH083643NIMH NIH HHS R01 MH083648NIMH NIH HHS R01 MH083660NIMH NIH HHS R34 MH101365
6 · The paper itself

Abstract

backgroundVenlafaxine, a serotonin-norepinephrine reuptake inhibitor, is often used as first- or second-line therapy for depression in older adults. It can be associated with adverse blood pressure (BP) effects.

methodsAdults ⩾60 years of age in a current major depressive episode were treated in a protocolized manner with venlafaxine XR; 429 participants were treated for 8-16 weeks with a daily dose up to 300 mg to achieve remission from depression. Cardiac measures included sitting and standing BP and heart rate.

resultsOf participants who were normotensive at baseline, 6.5% were found to have elevated BP during the study (1.9% <225 mg/day; 9.8% ⩾225 mg/day). There was no significant change in mean BP in the overall sample, or in the subgroup treated with doses ⩾225 mg/day. Additionally, 20.1% of the participants who did not have orthostatic hypotension at baseline were found to have orthostatic hypotension (16.8% <225 mg/day; 22.4% ⩾225 mg/day). Participants with new-onset orthostatic hypotension were significantly more likely to fall than the other participants.

conclusionA large proportion of older adults treated with venlafaxine experience orthostatic hypotension, putting them at risk for falls. A smaller proportion experience elevated BP. Older patients prescribed venlafaxine, particularly at high doses, should be advised and counseled about these adverse effects.

Indexed as

Accidental FallsAgedAged, 80 and overBlood PressureDose-Response Relationship, DrugFemaleHeart RateHumansHypertensionHypotension, OrthostaticMajor Depressive DisorderMaleMiddle AgedProspective StudiesSerotonin and Noradrenaline Reuptake InhibitorsVenlafaxine HydrochlorideSerotonin and Noradrenaline Reuptake InhibitorsVenlafaxine HydrochlorideDepressiongeriatrichypertensionnorepinephrineorthostatic hypotensionreuptake inhibitorserotoninvenlafaxine

Identifiers

PMID32842836
PMCPMC8200287
OpenAlexW3081128495

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

None linked

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.