Cochrane · systematic review · CD004185

Fluoxetine versus other types of pharmacotherapy for depression

Magni, LR, Purgato, M, Gastaldon, C, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

Common Mental DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
130
current version
GRADE rated
117
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 13 · 10%Very low 11 · 8.5%Low 18 · 13.8%Moderate 88 · 67.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Fluoxetine compared to TCAs

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs TCAs
OR 0.97 [0.77, 1.22]24 studies · 2124 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs TCAs
no estimate extracted50 studies · 3393 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs TCAs
OR 0.79 [0.65, 0.96]49 studies · 4194 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs TCAs
OR 0.55 [0.4, 0.75]40 studies · 3647 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs TCAs
OR 1.29 [0.96, 1.72]33 studies · 2911 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to ABT‐200

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs ABT‐200
no estimate extracted0 studies · 0 participantsUngraded
Endpoint score (HDRS or MADRS)
Fluoxetine vs ABT‐200
no estimate extracted1 study · 141 participantsLow
Downgraded: risk of bias, imprecision
Failure to complete ‐ total ‐
Fluoxetine vs ABT‐200
OR 0.18 [0.08, 0.39]1 study · 144 participantsLow
Downgraded: risk of bias, imprecision
Failure to complete ‐ inefficacy ‐
Fluoxetine vs ABT‐200
OR 0.24 [0.03, 2.2]1 study · 144 participantsLow
Downgraded: risk of bias, imprecision
Failure to complete ‐ side effects ‐
Fluoxetine vs ABT‐200
OR 0.08 [0.02, 0.27]1 study · 144 participantsLow
Downgraded: risk of bias, imprecision

Fluoxetine compared to agomelatine

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs agomelatine
OR 1.44 [0.99, 2.09]1 study · 515 participantsLow
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs agomelatine
no estimate extracted3 studies · 1213 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs agomelatine
OR 1.31 [0.89, 1.94]2 studies · 785 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs agomelatine
OR 1.08 [0.41, 2.88]2 studies · 785 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs agomelatine
OR 1.51 [0.74, 3.07]2 studies · 785 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to amineptine

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs amineptine
OR 0.37 [0.13, 1.04]1 study · 63 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs amineptine
no estimate extracted0 studies · 0 participantsUngraded
Failure to complete ‐ total ‐
Fluoxetine vs amineptine
OR 0.61 [0.17, 2.21]2 studies · 232 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs amineptine
OR 1.04 [0.19, 5.57]1 study · 63 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐ (Copy)
Fluoxetine vs amineptine
OR 0.52 [0.03, 7.82]2 studies · 232 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to amisulpride

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs amisulpride
no estimate extracted0 studies · 0 participantsUngraded
Endpoint score (HDRS or MADRS)
Fluoxetine vs amisulpride
no estimate extracted1 study · 268 participantsLow
Downgraded: risk of bias, imprecision
Failure to complete ‐ total ‐
Fluoxetine vs amisulpride
OR 1.39 [0.81, 2.38]1 study · 281 participantsLow
Downgraded: risk of bias, imprecision
Failure to complete ‐ inefficacy ‐
Fluoxetine vs amisulpride
OR 1.16 [0.43, 3.1]1 study · 281 participantsLow
Downgraded: risk of bias, imprecision
Failure to complete ‐ side effects ‐
Fluoxetine vs amisulpride
OR 0.77 [0.33, 1.82]1 study · 281 participantsLow
Downgraded: risk of bias, imprecision

Fluoxetine compared to bupropion

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs bupropion
OR 0.83 [0.48, 1.43]2 studies · 436 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs bupropion
no estimate extracted0 studies · 0 participantsUngraded
Failure to complete ‐ total ‐
Fluoxetine vs bupropion
OR 1 [0.67, 1.48]2 studies · 436 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs bupropion
OR 1.16 [0.33, 4.1]2 studies · 436 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs bupropion
OR 1.01 [0.45, 2.25]2 studies · 436 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to citalopram

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs citalopram
OR 0.6 [0.2, 1.79]1 study · 59 participantsVery low
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs citalopram
no estimate extracted3 studies · 661 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs citalopram
OR 0.87 [0.6, 1.27]3 studies · 732 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs citalopram
OR 0.87 [0.48, 1.56]3 studies · 732 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs citalopram
OR 0.64 [0.34, 1.2]3 studies · 732 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to Crocus sativus

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs Crocus sativus
OR 0.53 [0.11, 2.6]1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision
Endpoint score (HDRS or MADRS)
Fluoxetine vs Crocus sativus
no estimate extracted0 studies · 0 participantsUngraded
Failure to complete ‐ total ‐
Fluoxetine vs Crocus sativus
OR 1 [0.06, 17.18]1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision
Failure to complete ‐ inefficacy ‐
Fluoxetine vs Crocus sativus
no estimate extracted0 studies · 0 participantsUngraded
Failure to complete ‐ side effects ‐
Fluoxetine vs Crocus sativus
no estimate extracted0 studies · 0 participantsUngraded

Fluoxetine compared to duloxetine

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs duloxetine
OR 1.41 [0.61, 3.25]1 study · 103 participantsLow
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs duloxetine
no estimate extracted0 studies · 0 participantsUngraded
Failure to complete ‐ total ‐
Fluoxetine vs duloxetine
OR 0.9 [0.53, 1.52]2 studies · 532 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs duloxetine
OR 3.33 [0.93, 12.11]2 studies · 432 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs duloxetine
OR 0.28 [0.07, 1.23]2 studies · 532 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to escitalopram

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs escitalopram
OR 1.02 [0.56, 1.85]1 study · 240 participantsLow
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs escitalopram
no estimate extracted1 study · 231 participantsLow
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs escitalopram
OR 1.53 [1, 2.37]2 studies · 578 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs escitalopram
OR 1.74 [0.46, 6.53]2 studies · 578 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs escitalopram
OR 1.17 [0.64, 2.12]2 studies · 578 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to fluvoxamine

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs fluvoxamine
OR 0.95 [0.52, 1.74]1 study · 177 participantsLow
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs fluvoxamine
no estimate extracted0 studies · 0 participantsUngraded
Failure to complete ‐ total ‐
Fluoxetine vs fluvoxamine
OR 71 [0.36, 1.37]2 studies · 284 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs fluvoxamine
no estimate extracted0 studies · 0 participantsUngraded
Failure to complete ‐ side effects ‐
Fluoxetine vs fluvoxamine
OR 1.04 [0.14, 7.71]1 study · 100 participantsLow
Downgraded: risk of bias

Fluoxetine compared to hypericum

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs hypericum
OR 0.98 [0.55, 1.73]6 studies · 717 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs hypericum
no estimate extracted5 studies · 648 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs hypericum
OR 1.045 studies · 679 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs hypericum
OR 4.7 [0.22, 99.39]2 studies · 401 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs hypericum
OR 1.21 [0.56, 2.64]5 studies · 679 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to maprotiline

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs maprotiline
OR 1.95 [0.91, 4.18]2 studies · 163 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs maprotiline
no estimate extracted5 studies · 433 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs maprotiline
OR 1.75 [0.9, 3.41]4 studies · 351 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs maprotiline
OR 0.53 [0.15, 1.93]3 studies · 209 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs maprotiline
OR 2.54 [0.33, 19.9]3 studies · 209 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to mianserin

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs mianserin
OR 0.8 [0.27, 2.38]1 study · 53 participantsVery low
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs mianserin
no estimate extracted3 studies · 128 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs mianserin
OR 0.63 [0.18, 2.25]2 studies · 93 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs mianserin
OR 2.27 [0.38, 13.63]1 study · 53 participantsVery low
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs mianserin
OR 1.05 [0.23, 4.7]1 study · 53 participantsVery low
Downgraded: risk of bias

Fluoxetine compared to milnacipran

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs milnacipran
OR 1.2 [0.78, 1.84]2 studies · 370 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs milnacipran
no estimate extracted2 studies · 213 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs milnacipran
OR 0.98 [0.68, 1.42]3 studies · 560 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs milnacipran
OR 1.25 [0.68, 2.3]3 studies · 560 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs milnacipran
OR 1.5 [0.81, 2.76]3 studies · 560 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to mirtazapine

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs mirtazapine
OR 1.46 [1.04, 2.04]4 studies · 600 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs mirtazapine
no estimate extracted1 study · 31 participantsVery low
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs mirtazapine
OR 0.9 [0.55, 1.47]3 studies · 301 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs mirtazapine
OR 1.45 [0.71, 2.96]4 studies · 600 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs mirtazapine
OR 0.95 [0.55, 1.64]4 studies · 600 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to moclobemide

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs moclobemide
OR 1.27 [0.92, 1.75]7 studies · 721 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs moclobemide
no estimate extracted6 studies · 540 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs moclobemide
OR 1.01 [0.7, 1.45]7 studies · 721 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs moclobemide
OR 0.7 [0.32, 1.56]6 studies · 679 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs moclobemide
OR 1.07 [0.64, 1.8]7 studies · 721 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to nefazodone

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs nefazodone
no estimate extracted0 studies · 0 participantsUngraded
Endpoint score (HDRS or MADRS)
Fluoxetine vs nefazodone
no estimate extracted4 studies · 271 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs nefazodone
OR 0.54 [0.22, 1.31]3 studies · 161 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs nefazodone
OR 0.71 [0.05, 10.71]3 studies · 161 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs nefazodone
OR 0.76 [0.32, 1.81]4 studies · 286 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to paroxetine

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs paroxetine
OR 1.23 [0.93, 1.65]9 studies · 1574 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs paroxetine
no estimate extracted11 studies · 2061 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs paroxetine
OR 0.98 [0.81, 1.2]10 studies · 1848 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs paroxetine
OR 0.75 [0.41, 1.39]4 studies · 1005 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs paroxetine
OR 0.85 [0.62, 1.16]9 studies · 1509 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to phenelzine

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs phenelzine
OR 1.42 [0.27, 7.34]1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision
Endpoint score (HDRS or MADRS)
Fluoxetine vs phenelzine
no estimate extracted1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision
Failure to complete ‐ total ‐
Fluoxetine vs phenelzine
OR 0.18 [0.01, 4.01]1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision
Failure to complete ‐ inefficacy ‐
Fluoxetine vs phenelzine
no estimate extracted0 studies · 0 participantsUngraded
Failure to complete ‐ side effects ‐
Fluoxetine vs phenelzine
OR 0.32 [0.01, 8.26]1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision

Fluoxetine compared to pramipexole

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs pramipexole
OR 0.55 [0.24, 1.26]1 study · 105 participantsLow
Downgraded: risk of bias, imprecision
Endpoint score (HDRS or MADRS)
Fluoxetine vs pramipexole
no estimate extracted0 studies · 0 participantsUngraded
Failure to complete ‐ total ‐
Fluoxetine vs pramipexole
OR 0.12 [0.03, 0.42]1 study · 105 participantsLow
Downgraded: risk of bias, imprecision
Failure to complete ‐ inefficacy ‐
Fluoxetine vs pramipexole
OR 0.49 [0.05, 4.51]1 study · 105 participantsLow
Downgraded: risk of bias, imprecision
Failure to complete ‐ side effects ‐
Fluoxetine vs pramipexole
OR 0.06 [0.01, 0.5]1 study · 105 participantsLow
Downgraded: risk of bias, imprecision

Fluoxetine compared to reboxetine

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs reboxetine
OR 0.77 [0.55, 1.1]3 studies · 721 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs reboxetine
no estimate extracted2 studies · 205 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs reboxetine
OR 0.6 [0.44, 0.82]4 studies · 764 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs reboxetine
OR 0.92 [0.47, 1.77]3 studies · 464 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs reboxetine
OR 0.41 [0.15, 1.09]2 studies · 211 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to sertraline

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs sertraline
OR 1.37 [1.08, 1.74]6 studies · 1188 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs sertraline
no estimate extracted7 studies · 1160 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs sertraline
OR 1.17 [0.93, 1.49]9 studies · 1591 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs sertraline
OR 1.09 [0.68, 1.77]5 studies · 1056 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs sertraline
OR 1.25 [0.92, 1.7]9 studies · 1591 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to tianeptine

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs tianeptine
OR 1.12 [0.75, 1.67]3 studies · 387 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs tianeptine
no estimate extracted3 studies · 730 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs tianeptine
OR 0.96 [0.69, 1.33]3 studies · 830 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs tianeptine
OR 0.82 [0.27, 2.53]3 studies · 830 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs tianeptine
OR 1.13 [0.71, 1.8]3 studies · 830 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to trazodone

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs trazodone
OR 0.49 [0.13, 1.86]3 studies · 110 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs trazodone
no estimate extracted4 studies · 203 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs trazodone
OR 0.51 [0.23, 1.13]4 studies · 230 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs trazodone
OR 0.23 [0.04, 1.51]2 studies · 70 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs trazodone
OR 0.66 [0.2, 2.19]3 studies · 110 participantsModerate
Downgraded: risk of bias

Fluoxetine compared to venlafaxine

Population: patients with depression
5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to respond (reduction ≥ 50% on HDRS)
Fluoxetine vs venlafaxine
OR 1.29 [1.1, 1.51]12 studies · 3387 participantsModerate
Downgraded: risk of bias
Endpoint score (HDRS or MADRS)
Fluoxetine vs venlafaxine
no estimate extracted13 studies · 3097 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ total ‐
Fluoxetine vs venlafaxine
OR 0.89 [0.74, 1.06]14 studies · 2683 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ inefficacy ‐
Fluoxetine vs venlafaxine
OR 1.31 [0.91, 1.89]13 studies · 2640 participantsModerate
Downgraded: risk of bias
Failure to complete ‐ side effects ‐
Fluoxetine vs venlafaxine
OR 0.72 [0.56, 0.94]13 studies · 2640 participantsModerate
Downgraded: risk of bias