2009
DOI: 10.1192/bjp.bp.107.048371
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Antidepressant-induced jitteriness/anxiety syndrome: systematic review

Abstract: Jitteriness/anxiety syndrome remains poorly characterised. Despite this, clinicians' perception of this syndrome influences prescribing and it is cited to support postulated mechanisms of drug action. We recommend systematised evaluation of side-effects at earlier time points in antidepressant trials to further elucidate this clinically important syndrome.

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Cited by 153 publications
(108 citation statements)
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References 38 publications
(62 reference statements)
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“…These findings corroborate clinical observations showing that selective serotonin reuptake and selective serotonin and norepinephrine reuptake inhibitors cause anxiety states in the early stages of treatment [34]. Indeed, a single dose ofcitalopram has been found to increase both the alarm reaction [35] and anxiety in healthy volunteers [36].…”
Section: Discussionsupporting
confidence: 88%
“…These findings corroborate clinical observations showing that selective serotonin reuptake and selective serotonin and norepinephrine reuptake inhibitors cause anxiety states in the early stages of treatment [34]. Indeed, a single dose ofcitalopram has been found to increase both the alarm reaction [35] and anxiety in healthy volunteers [36].…”
Section: Discussionsupporting
confidence: 88%
“…21 We obtained terms for other potential precursors to suicidality and violence from the literature. 16,22,23 A systematic review has shown a lack of consensus about what the symptoms of activation are, 22 and we were uncertain about whether some events (e.g., nightmares, which can be a prelude to a psychotic event) should be treated as psychotic events. 24 We therefore consulted a professor in psychiatry.…”
Section: Search Termsmentioning
confidence: 99%
“…However SSRIs have potentially troublesome adverse effects, including initial increased nervousness, insomnia, nausea and sexual dysfunction [I (M)] (Gartlehner et al, 2011;Serretti and Chiesa, 2009;Sinclair et al, 2009). …”
Section: Ssris and Snrismentioning
confidence: 99%