Abstract
The effects of doxepin and diazepam upon anxiety states were studied in a double-blind controlled trial which involved 50 anxious neurotics.
The drugs were prescribed for three weeks and there were no drop-outs.
The mean dose of doxepin was 113 mg/day and of diazepam 21 mg/day.
Ratings of anxiety, physical symptoms and depression were made on entry to the trial and after 7, 14 and 21 days.
The drugs proved to be of comparable efficacy in decreasing anxiety and somatic complaints but doxepin controlled depressive symptoms better. Patients taking diazepam suffered more often from drowsiness, muscular weakness and constipation.
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Bianchi, G. N., Barr, R. F., Kiloh, L. G.: A comparative trial of doxepin and amitriptyline in depressive illness. Med. J. Aust. 1, 843 (1971).
Capstick, N. S., Corbett, M. F., Pare, C. M. B., Pryce, I. G., Rees, W. L.: A comparative trial of diazepam (Valium) and amylobarbitone. Brit. J. Psychiat. 111, 517 (1965).
Congalton, A. A.: Status and prestige in Australia. Melbourne: Cheshire 1969.
Fielding, J. M., Mowbray, R. M., Davies, B.: A preliminary controlled study of doxepin (“Sinequan”) as an antianxiety drug. Med. J. Aust. 2, 851 (1969).
Hamilton, M. Diagnosis and rating of anxiety. In: Studies of anxiety. Ed. by M. H. Lader. Ashford: R.M.P.A., Invicta Press 1969.
— Evaluation of psychotropic drugs—sedatives. In: The principles and practice of clinical trials. Ed. by E. L. Harris and J. D. Fitzgerald. Edinburgh: E. and S. Livingstone 1970.
Hollister, L. E., Overall, J. E., Pokorny, A. D., Shelton, J.: Acetophenazine and diazepam in anxious depressions. Arch. gen. Psychiat. 24, 273 (1971).
Hussain, M. Z., Ahad, A.: Tablet colour in anxiety states. Brit. med. J. 3, 466 (1970).
Jenner, F. A., Kerry, R. J. Comparison of diazepam, chlordiazepoxide and amylobarbitone. Dis. nerv. Syst. 28, 245 (1967).
Kay, D. W. K., Fahy, R., Garside, R. F.: A seven-month double-blind trial of amitriptyline and diazepam in E.C.T.—treated depressed patients. Brit. J. Psychiat. 117, 667 (1970).
McLeod, W. R., Mowbray, R. M., Davies, B.: Controlled trials of Ro 5-3350 and diazepam for anxiety symptoms. Clin. Pharm. Ther. 11, 856 (1970).
Rickels, K., Perloff, M., Stepansky, W., Dion, H. S., Sapra, R. K.: Doxepin and diazepam in general practice and hospital clinic neurotic patients: A collaborative controlled study. Psychomatics 10, 36 (1969).
Simeon, J., Spero, M., Nikolovski, O. T., Fink, M.: A comparison of doxepin and chlordiazepoxide in the therapy of anxiety. Curr. ther. Res. 12, 201 (1970).
Svenson, S. E., Gordon, L. E.: Diazepam: A progress report. Curr. ther. Res. 7, 367 (1965).
Wahler, H. J.: The physical symptoms inventory: measuring levels of somatic complaining behaviour. J. clin. Psychol. 24, 207 (1968).
Winer, B. J.: Statistical principles in experimental design. New York: McGraw-Hill 1962.
Zung, W. W. K.: A self-rating depression scale. Arch gen. Psychiat. 12, 63 (1965).
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Formerly Research Fellow, School of Psychiatry, University of N.S.W.; now Commonwealth Medical Fellow, Institute of Psychiatry, Denmark Hill, London, S.E. 5.
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Bianchi, G.N., Phillips, J. A comparative trial of doxepin and diazepam in anxiety states. Psychopharmacologia 25, 86–95 (1972). https://doi.org/10.1007/BF00422620
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DOI: https://doi.org/10.1007/BF00422620