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In a recent meta-analysis of randomized, placebo-controlled trials, researchers found antidepressant drugs — analyzed collectively — to be only minimally better than placebo in older patients (age, ≥60) with relatively recent-onset major depressive disorders (NEJM JW Gen Med Jul 15 2013 and Am J Psychiatry 2013; 170:651).
Now, another research team has performed a network meta-analysis of efficacy and safety of individual selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors (SSRIs and SNRIs) for patients with major depression in this age group. Network meta-analysis makes indirect comparisons between drugs that have not been compared directly in head-to-head trials. The analysis included 15 randomized tria…