Studie

Effects of magnesium supplementation on serum brain-derived neurotrophic factor levels and cognitive function in patients undergoing fluoxetine therapy for depression.

Noor NJ, Syamsuddin S, Liaury K, Tawali S, Idris I

RANDOMISED ADJUNCTIVE TRIAL OF MAGNESIUM PLUS FLUOXETINE VERSUS FLUOXETINE Tier 3 2026

Among 40 adults with depression taking fluoxetine, 350 mg/day magnesium for 6 weeks was linked to greater cognitive improvement.

StudiedesignRANDOMISED ADJUNCTIVE TRIAL OF MAGNESIUM PLUS FLUOXETINE VERSUS FLUOXETINE
TierNivå 3, Blandad humana bevis, mekanism trovärdig
År2026
TidskriftEast Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan
Publicerad2026 jun
Tillagd i NO1GEVITYjun 22, 2026

Den randomiserade studien undersökte magnesium som tillägg till fluoxetin hos 40 öppenvårdspatienter med depression i åldern 18 till 50 år i Makassar i Indonesien. Tjugo deltagare fortsatte med enbart fluoxetin under 6 veckor och 20 fick fluoxetin plus 350 mg oralt magnesium en gång om dagen. Serum brain-derived neurotrophic factor (BDNF) was measured by enzyme-linked immunosorbent assay, and cognition was assessed using the Indonesian Montreal Cognitive Assessment, MoCA-Ina, at baseline and week 6. Both groups improved significantly on MoCA-Ina from baseline, according to the abstract. The conclusion states that magnesium plus fluoxetine was associated with greater cognitive improvement than fluoxetine alone. It also reports a positive association between changes in serum BDNF and cognitive improvement, especially in the magnesium group. The supplied abstract does not provide the MoCA-Ina change, BDNF concentrations, between-group p-values, or clinical depression outcomes. This was an adjunctive treatment study in people with depression already receiving an antidepressant. It cannot show whether magnesium improves cognition in healthy people, whether it treats depression on its own, or whether the observed effect persists after 6 weeks.

Magnesium supplementation as an adjunct to fluoxetine was associated with greater cognitive improvement than fluoxetine alone in patients with depression.
Kritikernoter

The trial was small, with 20 people per arm, and lasted 6 weeks. It enrolled patients taking fluoxetine, and the abstract omits numerical cognitive and BDNF results needed to judge the magnitude of any added benefit.

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