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ArticleNaunyn-Schmiedeberg's archives of pharmacology2026

Clinical evaluation of adjunctive magnesium therapy in patients receiving antidepressants for depression-open label, nonrandomized clinical trial.

Afifa Siddique, Uzma Naeem, Muhammad Masood Khokhar, Mushayada Irshad, Tayaba Farooq, Sughra Kanwal

Registry-linked trialAbstract readControlled Clinical Trial
PubMed Publisher
In one paragraph

Article in Naunyn-Schmiedeberg's archives of pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05931965 (Comparative Efficacy of Antidepressants With L-methylfolate, B12, and Magnesium in Depressive Disorders), which is not on this map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

NCT05931965 nacompletednot on this map

Comparative Efficacy of Antidepressants With L-methylfolate, B12, and Magnesium in Depressive Disorders

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2023Enrolled88ConditionsDepressionArmsL-methylfolate, Vitamin B12, magnesium
3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Afifa SiddiqueDepartment of Pharmacology, Riphah International University, Rawalpindi, Pakistan. afifa.siddique@riphah.edu.pk.
Uzma NaeemDepartment of Pharmacology, NUST School of Health Sciences (NSHS), H-12, Islamabad, Pakistan.
Muhammad Masood KhokharDepartment of Psychiatry, Pakistan Railway Hospital, Riphah International University, Rawalpindi, Pakistan.
Mushayada IrshadDepartments of Pharmacology, CMH Kharian Medical College, Kharian, Pakistan.
Tayaba FarooqDepartment of Pharmacology, Shifa Tameer-E-Millat University, Islamabad, Pakistan.
Sughra KanwalDepartment of Pharmacology, HITEC Institute of Medical Sciences, HIT Taxila, Taxila, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Depression causes distress, dysfunction, and disability in terms of physical, mental, and social wellbeing. The challenges of late presentation, no-compliance of patients, and time-lag of antidepressants persist, despite advances. The objective was to determine the efficacy of antidepressants in combination with magnesium, compared to antidepressant monotherapy for treating depression. Forty-four patients with depression (6A70, 6A71, and 6A72 according to ICD-11) were divided into two equal groups, in an open label nonrandomized clinical trial. All patients received evidence-based antidepressants (either escitalopram, sertraline, duloxetine, amitriptyline, or fluoxetine). The experimental group additionally received 800 mg of magnesium glycinate (112 mg elemental magnesium). The psychometric testing was done by Patient Health Questionnaire (PHQ-9) at days 0, 14, and 28. Primary outcome was to see improvement at day 28, while secondary outcomes included time lag and remission (PHQ-9 scores < 4) at day 14 and 28, respectively. Paired sample t-test and Student t-test were applied for within-group and between-group differences using SPSSv27.0. The p-value ≤ 0.05 was considered statistically significant. The improvement in the PHQ-9 scores in groups A and B was 26.42% and 72.17%, respectively, by day 28, and effect size (Cohen's d = 1.76) was in the favor of adjunct therapy. Group B showed 41.34% improvemnet and large effect size (d = 1.29) on day 14 as well. All these values were statistically significant (p ≤ 0.05). The remission rate (44 patients) was higher with adjunt therpay (10.23%), versus 2.27% with monotherapy. Adjunct antidepressant therapy with magnesium is a preliminary effective strategy for patients with depression, potentially augmenting treatment response and decreasing time lag of antidepressants. ClinicalTrials.gov ID: NCT05931965 ( https://clinicaltrials.gov/study/NCT05931965?cond=Depression&intr=magnesium,%20methylfolate,%20B12&rank=1 ), 14-06-2023 (retrospectively registered).

Indexed as

Antidepressive AgentsDepressionGlycineMagnesiumAdultDrug Therapy, CombinationFemaleHumansMaleMiddle AgedTreatment OutcomeAntidepressive AgentsGlycineMagnesiumAntidepressive agentsCombination therapyDepressionDietary supplementsMagnesium

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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.