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Table 4 Adjusted reporting odds ratio for the 9 movement disorders between different classes of antidepressants and between the different antidepressants

From: Antidepressants and movement disorders: a postmarketing study in the world pharmacovigilance database

Antidepressants

aRORa (95% CI)

Akathisia

Bruxism

Dystonia

Myoclonus

Parkinsonism

RLS

TD

Tics

Tremor

Tricyclic antidepressants

0.40 [0.32–0.49]

0.13 [0.08–0.21]

0.88 [0.80–0.97]

0.87 [0.74–1.02]

0.77 [0.68–0.87]

0.36 [0.29–0.45]

0.80 [0.69–0.93]

0.48 [0.34–0.67]

0.76 [0.73–0.79]

Serotonin reuptake inhibitors

1.50 [1.34–1.68]*

1.56 [1.35–1.82]*

1.66 [1.55–1.78]*

1.25 [1.12–1.40]*

1.24 [1.14–1.35]*

0.82 [0.73–0.91]*

1.21 [1.08–1.34]*

1.20 [1.00–1.44]*

1.20 [1.16–1.23]*

Monoamine oxidase inhibitors

0.51 [0.25–1.02]

0.34 [0.11–1.07]

0.96 [0.70–1.32]

2.54 [1.81–3.56]

1.12 [0.75–1.66]

0.27 [0.10–0.72]

0.79 [0.46–1.37]

0.19 [0.03–1.36]

0.77 [0.66–0.90]

“Other” antidepressants

0.98 [0.88–1.11]

1.14 [0.98–1.33]

0.59 [0.54–0.64]

0.78 [0.69–0.88]

0.92 [0.84–1.01]

1.89 [1.70–2.10]

0.94 [0.84–1.05]

1.17 [0.97–1.41]

0.97 [0.94–1.00]

Agomelatine

1.31 [0.49–3.50]

1.02 [0.26–4.11]

0.34 [0.11–1.05]

1.30 [0.49–3.47]

1.06 [0.44–2.57]

2.11 [1.00–4.44]

0.33 [0.05–2.34]

1.70 [0.42–6.84]

0.45 [0.29–0.69]

Amineptine

0.41 [0.10–1.62]

1.16 [0.29–4.64]

1.03 [0.33–3.22]

0.31 [0.15–0.61]

Amitriptyline

0.22 [0.14–0.34]

0.14 [0.07–0.29]

0.65 [0.56–0.76]

0.88 [0.71–1.09]

0.67 [0.56–0.80]

0.44 [0.33–0.58]

0.60 [0.47–0.76]

0.48 [0.29–0.81]

0.64 [0.60–0.69]

Amoxapine

3.22 [1.60–6.48]

4.43 [3.07–6.39]*

1.26 [0.41–3.93]

2.02 [1.04–3.92]

0.41 [0.06–2.90]

4.42 [2.50–7.84]*

0.65 [0.43–0.98]

Bifemelane

8.28 [1.06–64.44]

Bupropion

0.32 [0.23–0.46]

0.67 [0.48–0.92]

0.38 [0.32–0.46]

0.46 [0.34–0.63]

0.75 [0.61–0.93]

0.67 [0.52–0.86]

0.83 [0.66–1.05]

0.85 [0.60–1.20]

1.35 [1.28–1.42]*

Butriptyline

Citalopram

1.60 [1.39–1.84]*

1.48 [1.22–1.78]*

0.95 [0.85–1.05]

1.31 [1.13–1.52]*

1.21 [1.08–1.36]

0.98 [0.84–1.14]

1.07 [0.92–1.25]

1.00 [0.77–1.30]

0.92 [0.88–0.96]

Clomipramine

0.63 [0.36–1.08]

0.19 [0.05–0.77]

1.33 [1.05–1.69]

2.73 [2.01–3.71]*

1.33 [0.97–1.82]

0.24 [0.09–0.64]

0.72 [0.43–1.22]

0.79 [0.36–1.78]

1.42 [1.27–1.59]*

Desipramine

  

0.87 [0.52–1.44]

0.86 [0.32–2.29]

0.62 [0.26–1.50]

0.42 [0.10–1.68]

1.24 [0.59–2.60]

0.40 [0.06–2.83]

1.09 [0.86–1.37]

Desvenlafaxine

0.62 [0.30–1.31]

2.01 [1.18–3.41]

0.66 [0.43–1.02]

0.18 [0.05–0.72]

0.64 [0.35–1.20]

1.37 [0.86–2.18]

1.38 [0.86–2.23]

0.23 [0.03–1.66]

1.17 [1.01–1.35]

Dibenzepin

1.76 [0.96–3.23]

Dosulepin

0.47 [0.18–1.26]

0.40 [0.10–1.59]

1.18 [0.80–1.72]

0.32 [0.10–0.98]

0.61 [0.34–1.11]

0.31 [0.10–0.97]

0.88 [0.46–1.70]

 

0.75 [0.61–0.91]

Doxepin

0.47 [0.22–0.99]

0.12 [0.02–0.88]

0.79 [0.55–1.14]

0.37 [0.17–0.84]

0.82 [0.82–1.22]

0.49 [0.25–0.99]

1.11 [0.72–1.73]

0.61 [0.20–1.89]

0.68 [0.57–0.80]

Duloxetine

1.15 [0.92–1.43]

1.83 [1.46–2.31]*

0.58 [0.48–0.69]

0.74 [0.58–0.96]

0.84 [0.70–1.02]

1.88 [1.61–2.20]*

0.94 [0.76–1.18]

1.26 [0.89–1.80]

1.16 [1.10–1.23]*

Escitalopram

2.02 [1.69–2.42]*

1.62 [1.25–2.10]*

0.81 [0.69–0.95]

0.91 [0.71–1.17]

1.16 [0.97–1.38]

1.11 [0.89–1.38]

1.18 [0.96–1.47]

1.14 [0.79–1.64]

0.97 [0.91–1.04]

Etoperidone

6.88 [2.01–23.50]

Fluoxetine

1.02 [0.86–1.20]

0.66 [0.51–0.85]

1.51 [1.39–1.65]*

1.02 [0.85–1.22]

0.94 [0.81–1.09]

0.64 [0.52–0.79]

1.22 [1.04–1.43]

0.94 [0.72–1.24]

0.96 [0.92–1.01]

Fluvoxamine

1.61 [1.13–2.29]

1.28 [0.74–2.22]

1.48 [1.18–1.86]*

1.81 [1.25–2.64]

1.05 [0.73–1.52]

0.68 [0.38–1.23]

0.87 [0.52–1.44]

1.12 [0.58–2.17]

1.73 [1.56–1.92]*

Hypericum perforatum

0.26 [0.09–0.82]

0.72 [0.23–2.24]

0.70 [0.26–1.86]

0.71 [0.23–2.20]

0.25 [0.04–1.77]

0.36 [0.24–0.54]

Imipramine

0.58 [0.34–1.01]

0.08 [0.01–0.58]

1.17 [0.93–1.48]

0.77 [0.46–1.28]

0.65 [0.43–0.97]

0.50 [0.27–0.94]

1.11 [0.75–1.65]

0.76 [0.36–1.61]

0.95 [0.84–1.07]

Iprindole

2.01 [0.28–14.52]

Iproclozide

Iproniazide

4.92 [0.69–35.06]

4.61 [1.10–19.37]

0.69 [0.17–2.79]

Isocarboxazid

3.31 [0.46–23.59]

2.51 [0.35–18.01]

0.87 [0.32–2.34]

Lofepramine

0.63 [0.24–1.68]

 

0.61 [0.34–1.11]

0.31 [0.08–1.25]

0.72 [0.37–1.39]

 

0.70 [0.29–1.69]

 

0.70 [0.55–0.89]

Maprotiline

1.23 [0.61–2.46]

0.49 [0.25–0.93]

0.96 [0.43–2.14]

1.66 [1.05–2.61]

0.15 [0.02–1.08]

0.42 [0.14–1.32]

0.75 [0.59–0.95]

Medifoxamine

1.14 [0.28–4.65]

Melitracen

0.95 [0.13–6.80]

2.14 [0.95–4.79]

3.87 [2.00–7.50]

4.85 [2.17–10.87]

6.06 [1.51–24.42]

1.71 [1.19–2.45]

Mianserin

2.49 [1.66–3.74]*

0.64 [0.39–1.05]

1.52 [0.96–2.43]

0.75 [0.48–1.16]

0.95 [0.52–1.72]

0.30 [0.11–0.81]

0.49 [0.39–0.61]

Milnacipran

0.71 [0.23–2.22]

0.35 [0.05–2.50]

0.33 [0.13–0.89]

0.41 [0.10–1.63]

0.67 [0.28–1.60]

0.16 [0.02–1.12]

0.38 [0.10–1.52]

0.90 [0.70–1.15]

Minaprine

2.12 [0.29–15.30]

2.77 [0.38–20.05]

0.77 [0.19–3.14]

Mirtazapine

2.55 [2.06–3.14]*

0.42 [0.22–0.82]

0.94 [0.76–1.15]

1.61 [1.26–2.06]*

1.24 [1.02–1.50]

5.24 [4.51–6.10]*

1.11 [0.84–1.47]

0.50 [0.24–1.06]

0.71 [0.64–0.78]

Moclobemide

0.83 [0.35–2.00]

0.29 [0.04–2.04]

1.13 [0.71–1.80]

0.83 [0.34–1.99]

1.09 [0.60–1.97]

0.49 [0.16–1.54]

0.31 [0.08–1.23]

0.72 [0.56–0.93]

Nefazodone

0.88 [0.47–1.65]

0.73 [0.48–1.11]

0.28 [0.09–0.88]

1.09 [0.66–1.78]

0.37 [0.14–0.99]

0.36 [0.13–0.96]

0.49 [0.12–1.95]

0.64 [0.53–0.78]

Nialamide

Nomifensine

0.58 [0.22–1.56]

0.53 [0.34–0.83]

Nortriptyline

0.48 [0.24–0.97]

0.33 [0.11–1.01]

0.98 [0.72–1.33]

0.34 [0.15–0.77]

0.63 [0.41–0.98]

0.31 [0.14–0.68]

1.03 [0.67–1.59]

0.36 [0.09–1.44]

0.84 [0.73–0.96]

Opipramol

0.66 [0.21–2.04]

0.53 [0.07–3.73]

0.61 [0.15–2.43]

0.52 [0.07–3.67]

0.53 [0.07–3.74]

0.72 [0.72–1.13]

Oxaflozane

Oxitriptan

0.86 [0.12–6.16]

3.02 [0.42–21.71]

3.68 [0.91–14.97]

2.69 [0.38–19.19]

1.00 [0.41–2.43]

Paroxetine

1.49 [1.27–1.76]*

1.43 [1.15–1.78]

1.87 [1.70–2.05]*

1.43 [1.21–1.69]*

1.16 [1.01–1.34]

1.18 [0.99–1.41]

1.22 [1.02–1.45]

1.20 [0.90–1.59]

1.52 [1.45–1.58]*

Phenelzine

0.57 [0.18–1.76]

0.85 [0.48–1.50]

4.85 [3.14–7.49]*

1.28 [0.64–2.58]

0.37 [0.09–1.50]

0.83 [0.64–1.08]

Protriptyline

1.45 [0.54–3.90]

1.15 [0.16–8.20]

1.08 [0.15–7.71]

0.81 [0.45–1.47]

Quinupramine

26.74 [3.57–200.29]

1.94 [0.26–14.27]

Reboxetine

1.95 [0.87–4.36]

0.58 [0.08–4.09]

0.70 [0.31–1.55]

0.36 [0.05–2.52]

0.69 [0.22–2.14]

0.36 [0.05–2.57]

0.36 [0.05–2.53]

 

0.62 [0.42–0.92]

Sertraline

0.85 [0.71–1.02]

1.63 [1.35–1.98]*

1.02 [0.92–1.13]

0.74 [0.61–0.91]

1.23 [1.08–1.39]

0.80 [0.66–0.97]

1.03 [0.87–1.22]

1.33 [1.04–1.71]

1.08 [1.03–1.14]*

Tianeptine

0.35 [0.05–2.45]

0.28 [0.07–1.12]

1.58 [0.71–3.53]

0.75 [0.34–1.68]

0.26 [0.04–1.86]

0.51 [0.35–0.75]

Toloxatone

5.86 [0.82–42.07]

0.42 [0.06–3.04]

Tranylcypromine

1.11 [0.28–4.47]

1.06 [0.55–2.04]

2.11 [0.94–4.71]

0.87 [0.32–2.32]

0.31 [0.04–2.18]

2.20 [1.09–4.42]

0.94 [0.13–6.69]

0.83 [0.60–1.16]

Trazodone

1.08 [0.80–1.46]

0.44 [0.23–0.85]

1.01 [0.83–1.24]

0.48 [0.31–0.74]

1.03 [0.83–1.28]

1.01 [0.75–1.36]

1.31 [1.01–1.69]

0.58 [0.29–1.17]

0.73 [0.66–0.81]

Trimipramine

1.06 [0.44–2.55]

0.40 [0.06–2.81]

1.57 [1.00–2.47]

0.63 [0.20–1.95]

0.52 [0.22–1.25]

0.81 [0.30–2.15]

1.30 [0.62–2.74]

0.93 [0.72–1.20]

Tryptophan

0.10 [0.03–0.41]

0.08 [0.01–0.54]

0.07 [0.03–0.19]

0.05 [0.01–0.28]

0.05 [0.01–0.20]

0.04 [0.01–0.30]

0.09 [0.02–0.35]

8.13 [6.06–10.92]*

0.36 [0.30–0.43]

Venlafaxine

0.98 [0.80–1.19]

1.98 [1.63–2.42]*

1.02 [0.90–1.15]

1.31 [1.09–1.57]

1.22 [1.06–1.42]

1.25 [1.06–1.49]

1.35 [1.14–1.59]*

0.81 [0.57–1.16]

1.07 [1.02–1.13]

Vilazodone

0.75 [0.24–2.32]

2.04 [0.85–4.92]

0.18 [0.05–0.72]

1.48 [0.74–2.97]

3.87 [2.40–6.26]*

1.35 [0.61–3.02]

0.64 [0.09–4.54]

1.41 [1.13–1.76]

Viloxazine

4.66 [1.93–11.28]

1.57 [0.58–4.22]

0.43 [0.19–0.95]

Vortioxetine

2.17 [1.03–4.57]

4.71 [2.52–8.80]*

0.51 [0.21–1.23]

0.31 [0.04–2.15]

0.47 [0.12–1.87]

0.82 [0.26–2.55]

0.87 [0.28–2.71]

2.23 [0.72–6.95]

0.59 [0.41–0.85]

Zimeldine

0.47 [0.12–1.90]

1.22 [0.30–4.87]

0.47 [0.26–0.82]

  1. CI confidence interval, aROR adjusted reporting odd ratio; RLS, restless legs syndrome; TD, tardive dyskinesia
  2. aAdjusted ROR were calculated in adjusted univariate logistic regression analysis, with adjustment for age, gender, drugs described as able to induce movement disorders, and drugs used to treat movement disorders
  3. * Significant association was defined as adjusted ROR > 1 with α threshold of 0.001, and the number of cases being at least 10