Effect of antidepressants on motor and functional recovery in stroke: a systematic review and meta-analysis

Certain antidepressants may enhance motor performance and independence in performing activities of daily living during post-stroke recovery among elderly patients. Fluoxetine was the most common antidepressant described in the literature with significant improvement in motor (FMMS) functional (BI) scales. However, substantial heterogeneity and potential study biases warrant cautious interpretation. Rigorous, large-scale RCTs are necessary to verify these findings and establish long-term safety profiles. They will also help define the optimal therapeutic strategies before routine clinical use is considered.