TY - JOUR T1 - Β-blocker therapy and depression AU - Messerli FH, Grossman E Y1 - 2002/10/16 N1 - 10.1001/jama.288.15.1845 JO - JAMA SP - 1845 EP - 1846 VL - 288 IS - 15 N2 - To the Editor: We disagree with the conclusions of Ko et al1 that the conventional wisdom of β-blocker therapy being associated with depressive symptoms, fatigue, and sexual dysfunction is not supported by data from clinical trials. Their data show that the withdrawal rate of β-blockers because of fatigue was more than 2 times higher, and that due to sexual dysfunction almost 5 times higher, than in patients receiving placebo. In the Medical Research Council studies,2- 3 the withdrawal rate for patients taking β-blockers because of fatigue was between 10 and 24 times that for those receiving placebo and also significantly higher than that for those taking diuretics, which are known to have a well-documented adverse effects profile. SN - 0098-7484 M3 - doi: 10.1001/jama.288.15.1845 UR - http://dx.doi.org/10.1001/jama.288.15.1845 ER -