A comparison of two oral dosage regimens of 150 mg trazodone in the treatment of depression in general practice.

This was a multicentre, double-blind, randomised, parallel-group study which was performed to assess the tolerance and efficacy of administration of 150 mg trazodone nocte as an initial and maintenance therapy compared with a 50 mg t.d.s. regimen. Particular attention was paid to the incidence of adverse events and to the effect of treatment on sleep over the 6-week period of the study. A total of 182 eligible, depressed patients were recruited into the study by a panel of 24 general practitioners. Eighty-seven patients were randomised to receive 50 mg trazodone three times a day and 95 to receive 150 mg trazodone as a single evening dose. Efficacy of the two treatment regimens was assessed using the modified Hamilton depression rating scale scores and by the Investigator's judgement of both the global severity and improvement of depression. The mean HAM-D scores of the two treatment groups were found not to be significantly different. There was strong evidence that the scores decreased over the 6-week trial period and that the rate of this decrease was different for the two study groups. For measures of both current global severity and improvement, no significant treatment differences were revealed. The changes in Hamilton scores occurring during the study period were found to be equal in the two treatment groups. Using a total side effects score to assess the incidence and severity of adverse events, the two dosing regimens were found not to be significantly different.(ABSTRACT TRUNCATED AT 250 WORDS)