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Zirnis A, Piszkiewicz FF, Martian AA. Synthesis of 3-Chloro-2-hydroxyimipramine and 3-chloro-8-hydroxyimipramine, Hypothetical metabolites of clomipramin. J Heterocycl Chem 1976. [DOI: 10.1002/jhet.5570130213] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Murphy JE, Donald JF, Beaumont G. A Controlled Comparative Trial of a Combination of Opipramol and Clomipramine and a Higher Dose of Clomipramine Alone. J Int Med Res 1975. [DOI: 10.1177/030006057500300106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Sixty patients suffering from mixed anxiety depressive states were admitted to a comparative controlled clinical trial of a free combination of opipramol 50 mg and clomipramine 10 mg and clomipramine 25 mg. A double-dummy technique was used to ensure blindness and both regimes were administered three times daily. A stratified randomization technique was employed but this did not work effectively as far as severity was concerned producing some imbalance in the groups. Thirty-one patients received the combination therapy and 29 clomipramine alone. Twenty-eight patients on the combination regime and 24 on clomipramine alone completed the study. Amongst the completers the total score, on a 17 symptom rating scale, fell from 19·6 to 6·6 in the combination group and from 23·6 to 9·3 in the clomipramine alone group after 4 weeks treatment. Significantly more side-effects, especially dry mouth, were seen in the clomipramine alone group. After 2 weeks the opipramol/clomipramine regime was significantly more effective in the relief of anxiety whereas the clomipramine higher dose regime brought about a significantly greater improvement in the symptom depressed mood.
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Affiliation(s)
- J E Murphy
- General Practitioners, Northampton, England
| | - J F Donald
- General Practitioners, Northampton, England
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