The authors conducted a first study to evaluate the long-term efficacy of f
luoxetine for decreasing the depressive symptoms and the drinking of patien
ts with comorbid major depressive disorder and alcohol dependence. This stu
dy consisted of a 1-year naturalistic followup of 31 patients who previousl
y had completed a 3-month double-blind, placebo-controlled study of fluoxet
ine in depressed alcoholics. The fluoxetine group continued to demonstrate
less depressive symptoms and less drinking than the placebo group at the 1-
year follow-up evaluation. The results of the 1-year follow-up evaluation s
uggest persistent efficacy for fluoxetine for treating the depressive sympt
oms and the drinking of depressed alcoholics. (C) 2000 Elsevier Science Ltd
.