Modulation of hyperreactivity to 35% CO2 after one week of treatment with paroxetine and reboxetine: a double-blind, randomized study.
The effects of short treatments (7 days) with paroxetine and with reboxetine on the reactivity to inhalations of 35% carbon dioxide (CO2)/65% oxygen (O2) were compared in 28 patients with Panic Disorder who had positive responses to 35% CO2 inhalations. A double-blind, randomized design was applied. Each patient was given the 35% CO2 challenge on days 0 (before starting the treatment) and 7. Anxiety reactivity to CO2 decreased significantly with both drugs but the decrease was significantly stronger in the group treated with paroxetine. The rate of patients whose reactivity has reduced of at least 50% after 7 days was significantly higher in the group treated with paroxetine (10/14, 71.5%) than in the one treated with reboxetine (3/14, 21.5%). These results indicate that the modulation of the serotonergic system is more relevant for CO2 hyperreactivity than the modulation of the noradrenergic one.
Perna
Giampaolo
G
Anxiety Disorders Clinical and Research Unit, Department of Neuropsychiatric Sciences, Vita-Salute University, Istituto Scientifico HS Raffaele, San Raffaele Hospital, 20 via Stamira d'Ancona, 20127 Milan, Italy. perna.giampolo@hsr.it
Bertani
Angelo
A
Caldirola
Daniela
D
Di Pasquale
Danila
D
Migliarese
Giovanni
G
Bellodi
Laura
L
D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D016535:Bronchial Hyperreactivity / Q000139:chemically induced* / Q000188:drug therapy* / Q000523:psychology; D002245:Carbon Dioxide / Q000008:administration & dosage*; D016009:Chi-Square Distribution; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D008297:Male; D009025:Morpholines / Q000627:therapeutic use*; D016584:Panic Disorder / Q000188:drug therapy / Q000523:psychology; D017374:Paroxetine / Q000627:therapeutic use*; D000077593:Reboxetine; D018709:Statistics, Nonparametric
D009025:Morpholines; D002245:Carbon Dioxide; D017374:Paroxetine; D000077593:Reboxetine