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Zoloft Improves Depression in Alzheimer's Patients

Reuters Health, July 25, 2003

The antidepressant Zoloft is helpful for treating the depression that often accompanies Alzheimer's disease, a new study shows.

Unfortunately, though, treating depression doesn't help with the declining mental powers that are a key feature of Alzheimer's disease.

Depression is a common problem among Alzheimer's patients that makes their lives even tougher, study author Dr. Constantine G. Lyketsos, from the Johns Hopkins Hospital in Baltimore, Maryland, and colleagues note. Still, based on past studies, it is unclear if these patients benefit from the drugs used to treat depressed patients without Alzheimer's.

AS described in an article in the Archives of General Psychiatry, the team studied 44 patients with Alzheimer's disease and a serious type of mood disorder called major depression. The patients were treated with either Zoloft (sertraline) or an inactive placebo pill for 12 weeks.

Eighty-four percent of patients in the Zoloft group experienced some improvement in their depression, compared with only 35 percent in the placebo group, the investigators note. Furthermore, Zoloft-treated patients had higher scores on two commonly used tests that measure depression.

When Zoloft lifted a patient's mood, they became more active and had fewer behavioral problems. However, even a strong response to the drug did not help patients think more clearly.

Doctors treating Alzheimer's patients may have been reluctant to look for depression because they didn't feel they had any treatments that worked, the researchers note. The new findings, which show Zoloft can work, may help change that attitude, they add.


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