Metformin for the Improvement of Comorbid Depression Symptoms in Diabetic Patients: A Systematic Review.

antidiabetic drugs depression  diabetes mellitus high blood glucose levels metformin

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 27 07 2022
accepted: 30 08 2022
entrez: 3 10 2022
pubmed: 4 10 2022
medline: 4 10 2022
Statut: epublish

Résumé

Diabetes mellitus and depression are chronic debilitating disorders and can occur comorbidly. They are thought to be linked not only through environmental and behavioral factors but through molecular mechanisms as well. Antidepressant medication and psychological therapy, standard treatments for depressive symptoms in Type 2 diabetes mellitus, are linked to high rates of treatment failure and non-adherence; therefore, understanding the molecular mechanisms linking diabetes and depression could lead to discovering new targets and developing novel therapeutics. Metformin is considered a first-line anti-diabetic medication for Type 2 diabetes mellitus, and several studies have discussed its antidepressant effect. Metformin is thought to promote neurogenesis, enhance spatial memory function and protect the brain against oxidative imbalance. This systematic review aims to compile information on metformin's effect on depression symptoms and assess current knowledge on the relationship between depression and diabetes. After reviewing several studies, we concluded that metformin might help treat comorbid depression in diabetic patients, but before it can be recommended as a depression medication, more extensive and better-designed trials are needed.

Identifiants

pubmed: 36185927
doi: 10.7759/cureus.28609
pmc: PMC9523099
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

e28609

Informations de copyright

Copyright © 2022, Hamal et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Chandani Hamal (C)

Internal Medicine/Family Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Lakshmi Sai Deepak Reddy Velugoti (LSDR)

Neurology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Godfrey Tabowei (G)

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Greeshma N Gaddipati (GN)

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Maria Mukhtar (M)

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Mohammed J Alzubaidee (MJ)

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Raga Sruthi Dwarampudi (RS)

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Sheena Mathew (S)

Pediatrics, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Sumahitha Bichenapally (S)

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Vahe Khachatryan (V)

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Asmaa Muazzam (A)

Pathology Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Lubna Mohammed (L)

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Classifications MeSH