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Table 2 Results from selected non-original articles

From: Clinical uses of Bupropion in patients with Parkinson’s disease and comorbid depressive or neuropsychiatric symptoms: a scoping review

Author, year

Country

Type of publication

Aim of the study

BUP indication + dose

Main findings related to BUP

Safety considerations/side effects

Limitations

Agüera-Ortiz, 2021 [43]

Europe (Spain)

Consensus of experts

To assess consensus of exerts (in Psychiatry, Neurology, and Geriatrics) about diagnosis and treatment of depression in PD.

Depression, dose not reported.

Experts agreed BUP is an efficacious pharmacological option for depression in PD.

Experts agreed BUP is well-tolerated, especially regarding the absence or a minimal increase in motor symptoms.

Consensus of experts using Delphi methodology and limited number of experts (n = 37).

Mills, 2018 [44]

North America (the USA)

Systematic review and meta-analysis

To review and analyze results of RCTs about efficacy and tolerability of different antidepressants in PD (20 studies, 5 included in meta-analyses).

Depression, dose not reported.

One study on BUP is listed among treatment options for depression in PD, but data on BUP were not further discussed or included in meta-analyses.

Not reported.

Limited data on BUP.

Paumier, 2010 [45]

North America (the USA)

Meta-analysis

To investigate the effect of different antidepressants (including BUP) on PD progression (data from 6 RCTs, including 2064 subjects with PD prescribed antidepressants or placebo)

Not reported.

Antidepressant- treated subjects showed a lower probability of requiring dopaminergic therapy than those not taking antidepressants (HR = 0.6, p < 0.001); effect not specific to a particular class of antidepressant.

Mean change in UPDRS scores was significantly lower in subjects treated with atypical antidepressants (including BUP) than those not taking antidepressants (p < 0.05).

Not reported.

Only abstract available (poster conference).

Pena, 2018 [46]

Europe (Spain)

Clinical guidelines

To establish a series of clinical recommendations on the use of antidepressants in patients with PD, based on a systematic review of the literature.

Depression,150–300 mg/day.

Clinicians should consider BUP to treat apathy in pts. with PD (class IV: other studies, including consensus or expert opinion; recommendation U: inadequate or conflicting data).

Not reported.

Only one database (Medline) was searched during the review process.

Weintraub, 2005 [47]

North America (the USA)

Review and meta-analysis

To review and analyze results about antidepressant effect in pts. with PD (27 studies, 11 included in meta-analysis, data from 772 pts. with PD and comorbid depressive symptoms/disorder).

Depression, dose not reported.

One study on BUP is listed among treatment options for depression in PD, but data on BUP was not further discussed or included in meta-analyses.

Not reported.

Limited data on BUP.

  1. Legend: BUP Bupropion, HR hazard ratio, PD Parkinson’s disease, RCTs randomized controlled trials, UPDRS Unified Parkinson’s disease rating scale