Original medicationAdded medicationOutcomeDifferenceEvidence quality
Fluoxetine (Prozac), 20 mg dailyMianserin (not available in the United States), 60 mg dailyRemission rate (HAM-D score < 8)NNT = 4 (95% CI, 1.3 to 59)Low (1 study, n = 70)
Response rate (≥ 50% HAM-D score reduction)NNT = 4 (95% CI, 1.5 to 91)Moderate (1 study, n = 70)
Drop-out rateNot significantLow (1 study, n = 70)
VariousQuetiapine (Seroquel), 150 to 300 mg dailyRemission rate (MADRS score < 9)NNT = 9 (95% CI, 7 to 19)Moderate (3 studies, n = 977)
Response rate (≥ 50% MADRS reduction)NNT = 9 (95% CI, 6 to 25)Moderate (3 studies, n = 977)
Drop-out rateNot significantModerate (3 studies, n = 977)
VariousCariprazine (Vraylar), 1 to 4.5 mg dailyRemission rate (MADRS score < 10)Not significantModerate (1 study, n = 808)
Response rate (50% MADRS reduction)NNT = 10 (95% CI, 5 to 37)Moderate (1 study, n = 808)
Drop-out rateNNH = 13 (95% CI, 6 to 53)Moderate (1 study, n = 821)
VariousZiprasidone (Geodon), 40 to 160 mg dailyRemission rate (clinician rated)Not significantModerate (2 studies, n = 199)
Response rate (≥ 50% reduction in MADRS/HAM-D score)NNT = 7 (95% CI, 3 to 77)Moderate (2 studies, n = 199)
Drop-out rateNNH = 8 (95% CI, 3 to 500)Moderate (2 studies, n = 199)