Agomelatine is an atypical antidepressant most commonly used to treat major depressive disorder and generalized anxiety disorder.One review found that it is as effective as other antidepressants with similar discontinuation rates overall but less discontinuations due to side effects.Another review also found it was similarly effective to many other antidepressants.
Common side effects include weight gain, fatigue, liver problems, nausea, headaches, and anxiety.Due to potential liver problems ongoing blood tests are recommended. Its use is not recommended in people with dementia or over the age of 75.There is tentative evidence that it may have fewer side effects than some other antidepressants.It acts by blocking certain serotonin receptors and activating melatonin receptors.
Function:
1.Major depressive disorder
Agomelatine is used for the treatment of major depressive episodes in adults in Europe.Ten placebo controlled trials have been performed to investigate the short term efficacy of agomelatine in major depressive disorder. At the end of treatment, significant efficacy was demonstrated in six of the ten short-term double-blind placebo-controlled studies.Two were considered "failed" trials, as comparators of established efficacy failed to differentiate from placebo. Efficacy was also observed in more severely depressed patients in all positive placebo-controlled studies.The maintenance of antidepressant efficacy was demonstrated in a relapse prevention study.
In 2018, a systematic review and network meta-analysis comparing the efficacy and acceptability of 21 antidepressant drugs showed agomelatine to be one of the most effective and one of only two medications found to be more tolerable than placebo.
2.Generalized anxiety disorder
Agomelatine has been found more effective than placebo in the treatment of generalized anxiety disorder in a number of short-term double-blind placebo-controlled studies and in long term relapse prevention.
3.Use in special populations
It is not recommended in Europe for use in children and adolescents below 18 years of age due to a lack of data on safety and efficacy.However, a recent 12 week study first reported in September 2020, and published in 2022 showed greater efficacy vs. placebo for agomelatine 25 mg per day in youth age 7-17 years and an acceptable tolerability profile with similar efficacy to fluoxetine.Only limited data is available on use in elderly people ≥ 75 years old with major depressive episodes.
It is not recommended during pregnancy or breastfeeding.
![Antidepressant CAS No 138112-76-2 Agomelatine Powder](//www.micstatic.com/athena/img/transparent.png)
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