Review Article

Pharmacological Treatments in Gambling Disorder: A Qualitative Review

Table 1

Antidepressants in gambling disorder.

StudyDrug tested and mean-range dosage Study designStudy group and duration Findings

Antidepressants in GD
Hollander et al. 2000 [11]Fluvoxamine (SSRI)
mean dose 195 mg/day
Double-blind cross-over
placebo-controlled
15 patients
for 16 weeks
Fluvoxamine is superior to placebo
Blanco et al. 2002 [20]Fluvoxamine (SSRI)
mean dose 200 mg/day
Double-blind
placebo-controlled
32 patients
for 6 months
Fluvoxamine is not significantly superior to placebo
Kim et al. 2002 [12]Paroxetine (SSRI)
20–60 mg/day
Double-blind
placebo-controlled
45 patients
for 8 weeks
Paroxetine is superior to placebo
Grant and Potenza 2003 [23]Paroxetine (SSRI)
10–60 mg/day
Double-blind
placebo-controlled
76 patients
for 16 weeks
Paroxetine is not significantly superior to placebo
Saiz-Ruiz et al. 2005 [14]Sertraline (SSRI)
50–150 mg/day
Double-blind
placebo-controlled
60 patients
for 6 months
Sertraline is not significantly superior to placebo
Grant et al. 2006 [13]Escitalopram (SSRI)
mean dose 25 mg/day
Open-label
for 12 weeks
Double-blind
placebo-controlled
for 8 weeks
13 patients
with comorbid anxiety
for 20 weeks
Escitalopram is superior to placebo
Black et al. 2007 [26]Bupropion (NDRI)
mean dose 325 mg/day
Double-blind
placebo-controlled
39 patients
for 12 weeks
Bupropion is not significantly superior to placebo