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A randomized, double-blind placebo-controlled trial of oral creatine monohydrate augmentation for enhanced response to a selective serotonin reuptake inhibitor in women with major depressive disorder

In Kyoon Lyoo, Sujung Yoon, Tae-Suk Kim, Jaeuk Hwang, Jieun E Kim, Wangyoun Won, Sujin Bae, Perry F Renshaw
Am J Psychiatry 2012 169(9):937-945

Bibliography

PubMed
PMID 22864465
PubMed Central
PMC4624319
Funding
Supported by NARSAD, the Korean Brain Research Center/Korea Research Foundation, U.S. Department of Veterans Affairs, NIDA and NIMH grants reported by the paper.
Competing interests
The paper reports research support for In Kyoon Lyoo from several pharmaceutical companies and consultancy/research-support/patent disclosures for Perry F. Renshaw; see the original publication for the complete author disclosures.

Study snapshot

DesignRandomized double-blind placebo-controlled augmentation trial
ModelHuman
Sample52 women enrolled
InterventionCreatine monohydrate 5 g/day plus escitalopram versus placebo plus escitalopram
Duration8 weeks
EndpointsHamilton Depression Rating Scale; Treatment response; Brain bioenergetic markers

What the study showed, in plain terms

Clinical trial of creatine as an adjunct to SSRI therapy in women with major depressive disorder.

Key findings

Creatine augmentation was associated with a faster and greater reduction in depressive symptom scores than placebo augmentation in this small trial.

What this study can and cannot tell us

Women with diagnosed depression receiving escitalopram; findings do not support self-treatment with creatine and require replication in larger psychiatric trials.

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