Skip to main content

Drug Treatment of Depression

  • Chapter
Current Themes in Psychiatry 1
  • 20 Accesses

Abstract

Depressive illness is the most common affective disorder and the range of disturbance that patients may present with is extremely wide. In its mildest form it may be very difficult to distinguish between apparently normal feelings of disappointment, frustration and unhappiness and morbid depression. At the other extreme, urgent measures are indicated for psychotic symptoms, depressive stupor and suicidal intent. The depressive syndrome also leads to considerable morbidity with impairment of domestic, social and occupational aspects of life. However, with regard to therapy, the tricyclic compounds and monoamine oxidase inhibitors (MAOIs) introduced almost 20 years ago, have proved to be effective and relatively safe treatments. The tricyclic compounds still remain the most popular antidepressant medication although the prescription of minor tranquillisers for mild depressive reactions is a recent trend and lithium has become established as the drug of choice for stabilisation of manic depressive illness. The tetracyclic compounds, L-tryptophan and low dose neuroleptics are all relatively new antidepressant treatments that are still being evaluated clinically.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Alexanderson, B., Price-Evans, D. A. and Sjöqvist, F. (1969). Steady-state plasma levels of nortriptyline in twins: influence of genetic factors and drug therapy. Br. med. J., 4, 764–768

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Alexanderson, B. and Sjöqvist, F. (1971). Individual differences in the pharmacokinetics of mono methylated tricyclic antidepressants: role of genetic and environmental factors and clinical importance. Ann. N. Y. Acad. Sci., 179, 739–751

    Article  PubMed  CAS  Google Scholar 

  • Angst, J. and Rothweiler, R. (1974). In Classification and Prediction of Outcome of Depression, pp. 237–244. Symposia Medica Hoechst, 8, F. K. Schattauer Verlag, Stuttgart

    Google Scholar 

  • Asberg, M. (1974). Plasma nortriptyline levels—relationship to clinical effects. Clin. Pharmac. Ther., 16, 215–229

    Article  CAS  Google Scholar 

  • Asberg, M., Cronholm, N., Sjöqvist, F. and Tuck, D. (1970). Correlation of subjective side-effects with plasma concentrations of nortriptyline. Br. med. J., 4, 18–21

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Asberg, M., Cronholm, B., Sjöqvist, F. and Tuck, D. (1971). Relationship between plasma level and therapeutic effect of nortriptyline. Br. med. J., 3, 331–334

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Asberg, M. and Germanis, M. (1972). Ophthalmological effects of nortriptyline — relationship to plasma level. Pharmacology, 7, 349–356

    Article  PubMed  CAS  Google Scholar 

  • Asberg, M., Bertilsson, L., Tuck, D., Cronholm, B. and Sjöqvist, F. (1973). Indoleamine metabolites in the cerebrospinal fluid of depressed patients before and during treatment with nortriptyline. Clin. Pharmac. Ther., 14, 277–286

    Article  CAS  Google Scholar 

  • Bayliss, P. F. C. and Duncan, S. M. (1974). The clinical pharmacology of viloxazine hydrochloride: a new antidepressant of novel chemical structure. Br. J. clin. Pharmac., 1, 431–437

    Article  CAS  Google Scholar 

  • Bayliss, P. F. C., Dewsbury, A. R. and Donald, J. F. (1974). A double-blind controlled trial of ‘vivalan’ (viloxazine hydrochloride) and imipramine hydrochloride in the treatment of depression in general practice. J. int. med. Res., 2, 260–264

    Google Scholar 

  • Bertilsson, L., Asberg, M. and Thoren, P. (1974). Differential effect of chlorimipramine and nortriptyline on cerebrospinal fluid metabolities of serotonin and noradrenaline in depression. Eur. J. clin. Pharmac., 7, 365–368

    Article  CAS  Google Scholar 

  • Boakes, A. J. (1971). Monoamine oxidase inhibitors—interactions with other drugs and foodstuffs. Prescribers J., 11, (5) 109–115

    Google Scholar 

  • Braithwaite, R. A., Goulding, R., Theano, G., Bailey, J. and Coppen, A. (1972). Plasma concentrations of amitriptyline and clinical response. Lancet, i, 1297–1300

    Google Scholar 

  • Burrows, G. D., Davies, B. and Scoggins, B. A. (1972). Plasma concentrations of nortriptyline and clinical response in depressive illness. Lancet, ii, 619–623

    Google Scholar 

  • Burrows, G. D., Scoggins, B. A., Turecek, L. R. and Davies, B. (1974a). Plasma nortriptyline and clinical response. Clin. Pharmac. Ther., 16, 639–644

    Article  CAS  Google Scholar 

  • Burrows, G. D., Vohra, J., Hunt, D., Sloman, G., Scoggins, B. and Davies, B. (1974b). Cardiological aspects of tricyclic antidepressants. J. Pharmacologie, 5, 13

    Google Scholar 

  • Carlsson, A. (1965). Drugs which block the storage of 5-hydroxytryptamine and related amines. In Handbuch der experimentellen Pharmakologic (ed. Erspamer, V.), Vol. 19, pp. 529–592, Berlin

    Google Scholar 

  • Carlsson, A. and Hillarp, N-A. (1956). Release of adrenaline from the adrenal medulla of rabbits produce by reserpine. Kgl. Fysiogr. Sällsk. Lund. Förh., 26, 8

    Google Scholar 

  • Carlsson, A., Corrodi, H., Fuxe, K. and Hökfelt, T. (1969a). Effect of antidepressant drugs, on the depletion of intraneuronal brain 5-hydroxytryptamine stores caused by 4-methyl-a-ethyl-meta-tyramine. Eur. J. Pharmac., 5, 357–366

    Article  CAS  Google Scholar 

  • Carlsson, A., Corrodi, H., Fuxe, K. and Hökfelt, T. (1969b). Effects of some antidepressant drugs on the depletion of intraneuronal brain catecholamine stores caused by 4-a-dimethyl-meta-tyramine. Eur. J. Pharmac., 5, 367–373

    Article  CAS  Google Scholar 

  • Carroll, B. J., Mowbray, R. M. and Davies, B. (1970). Sequential comparison of L-Tryptophan with E.C.T. in severe depression. Lancet, i, 967–969

    Google Scholar 

  • Case, D. E. and Reeves, P. R. (1975). The disposition and metabolism of I.C.I. 58, 834 (Viloxazine) in humans. Xenobiotica, 5, 113–129

    Article  PubMed  CAS  Google Scholar 

  • Coppen, A. (1967). The biochemistry of affective disorders. Br. J. Psychiat., 113, 1237–1264

    Article  CAS  Google Scholar 

  • Coppeh, A. (1972). Biogenic amines and affective disorder. J. psychiatr. Res., 9, 163–175

    Article  Google Scholar 

  • Coppen, A., Eccleston, E. G. and Peet, M. (1973). Total and free Tryptophan concentration in the plasma of depressive patients. Lancet, ii, 60–63

    Google Scholar 

  • Coppen, A., Shaw, D. M. and Farrell, M. B. (1963). Potentiation of the antidepressive effect of a monamine-oxidase inhibitor by Tryptophan. Lancet, i, 79–81

    Google Scholar 

  • Coppen, A., Shaw, D. M., Herzberg, B. and Maggs, R. (1967). Tryptophan in the treatment of depression. Lancet, ii, 1178–1180

    Google Scholar 

  • Coppen, A., Whybrow, P. C., Noguera, R., Maggs, R. and Prange, A. J. (1972). The comparative antidepressant value of L-Tryptophan and Imipramine with and without attempted potentiation by Liothyronine. Archs gen. Psychiat., 26, 234–241

    Article  CAS  Google Scholar 

  • Coppen, A., Montgomery, S. A., Gupta, R. K. and Bailey, J. E. (1976a). A double-blind comparison of Lithium Carbonate and Maprotiline in the prophylaxis of the affective disorders. Br. J. Psychiat., 128, 479–485

    Article  CAS  Google Scholar 

  • Coppen, A., Gupta, R. K., Montgomery, S. A., Ghose, K., Bailey, J., Mianserin Hydrochloride: a novel antidepressant. Br. J. Psychiat., 129, 342–345

    Article  CAS  Google Scholar 

  • Davis, J. M. (1976). Overview: maintenance therapy in psychiatry: II affective disorders. Am. J. Psychiat., 133, 1–13

    Article  PubMed  CAS  Google Scholar 

  • Delini-Stula, A. (1972). The pharmacology of Ludiomil. In Depressive Illness, Diagnostic, Assessment, Treatment (ed. Kielholz, P.) Hans Huber, Bern

    Google Scholar 

  • Drug and Therapeutics Bulletin (1977). Two more new antidepressives: Mianserin and Butriptyline. 15, 1–2

    Google Scholar 

  • Fink, M., Klein, D. F. and Kramer, J. C. (1965). Clinical efficacy of chlorpromazineprocyclidine combinations, imipramine and placebo in depressive disorders. Psychopharmacologia (Berlin), 5, 27–36

    Article  Google Scholar 

  • Frelund, F. (1974). Treatment of depression in general practice: a controlled trial of Flupenthixol (`Fluanxol’). Curr. med. Res. Opinion, 2 (2), 78–89

    Article  Google Scholar 

  • General Practice Clinical Trials (1972). Thioridazine as an antidepressant. Practitioner, 209, 95–98

    Google Scholar 

  • Ghose, K., Turner, P. and Grant, I. N. (1976a). The assessment of interaction in man between Tyramine and Viloxazine Hydrochloride, an antidepressant drug. Br. J. clin. Pharmac., 3, 668–671

    Article  CAS  Google Scholar 

  • Ghose, K., Coppen, A. and Turner, P. (1976b). Autonomic actions and interactions of Mianserin Hydrochloride (ORG. GB94) and amitriptyline in patients with depressive illness. Psychopharmacologia, 49, 201–204

    Article  CAS  Google Scholar 

  • Goodlet, I. and Sugrue, M. F (1974). The effect of a new antidepressant, ORG GB94, on amine uptake mechanism. Br. J. Pharmac., 52, 431

    Google Scholar 

  • Gram, L. F., Reisby, N., Ibsen, I., Nagy, A., Dencker, S. J., Bech, P., Petersen, G. O. and Christiansen, J. (1976). Plasma levels and antidepressive effect of Imipramine. Clin. Pharmac. Ther., 19, 318–324

    Article  CAS  Google Scholar 

  • Hamberger, B. and Tuck., J. R. (1973). Effect of tricyclic antidepressants on the uptake of noradrenaline and 5-hydroxytryptamine by rat brain slices incubated in buffer or human plasma. Eur. J. clin. Pharmac., 5, 229–235

    Article  CAS  Google Scholar 

  • Hendley, D. E. and Snyder, S. M. (1968). Relationship between the action of monamine-oxidase inhibitors on the noradrenaline uptake system and their antidepressant efficacy. Nature, 220, 1350

    Article  Google Scholar 

  • Herr, F., Stewart, J. and Charest, M. P. (1961). Tranquillizers and antidepressants: pharmacological comparison, Arch. Int. Pharmacodyn., 134, 328–342

    PubMed  CAS  Google Scholar 

  • Herrington, R. N., Bruce, A., Johnstone, E. C. and Lader, M. H. (1974). Comparative trial of L-Tryptophan and E.C.T. in severe depressive illness. Lancet, ii, 731–734

    Google Scholar 

  • Itil, I. M. (1973). Drug developments in Europe: Discovery of `Tetracyclic’. Psychotropic Drug. Psychopharmacology Bulletin, 9, 41–43

    Google Scholar 

  • Janowsky, D. S., El-Yousef, M. K. and Davis, J. M. (1972). A cholinergic-adrenergic hypothesis of mania and depression. Lancet, ii, 632–635

    Google Scholar 

  • Jensen, K. (1975). Tryptophan/Imipramine in depression. (Correspondence). Lancet, ii, 920

    Google Scholar 

  • Johnson, D. A. W. (1973). Treatment of depression in general practice. Br. med. J., 2, 18–20

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Johnstone, E. C. and Marsh, W. (1973). Acetylator status and response to Phenelzine in depressed patients. Lancet, i, 567–570

    Google Scholar 

  • Kellet, J. M. (1976). Flupenthixol for depression. Br. med. J., 1, 1116–1118

    Article  Google Scholar 

  • Kelly, D. (1973). Phenelzine in phobic states. Proc. R. Soc. Med., 66, 37–38

    Google Scholar 

  • Kendell, R. E. (1976). The classification of depressions: a review of contemporary confusion. Br. J. Psychiat., 129, 15–28

    Article  CAS  Google Scholar 

  • Knott, P. J. and Curzon, G. (1972). Free tryptophan in plasma and brain tryptophan metabolism. Nature, 239, 452–453

    Article  PubMed  CAS  Google Scholar 

  • Kopin, I. J., Fischer, J. E., Musacchino, J. M., Host, W. D. and Weise, V. F. (1965). `False neurochemical transmitters’ and mechanism of sympathetic blockade by monamine-oxidase inhibitors. J. Pharmac. exp. Ther., 147, 186–193

    CAS  Google Scholar 

  • Kragh-Sorensen, P., Asberg, M. and Eggert-Hansen, C. (1973). Plasma nortriptyline levels in endogenous depression. Lancet, i, 113–115

    Google Scholar 

  • Kragh-Sorensen, P., Hannen, C. E., Larsen, N. E., Naestoft, J. and Hvidberg, E. F. (1974). Long term treatment of endogenous depression with nortriptyline with control of plasma levels. Psycho!. Med., 4, 174–180

    Article  CAS  Google Scholar 

  • Kragh-Sorensen, P., Eggert-Hansen, C., Baastrup, P. C. and Hvidberg, E. F. (1976). Self-inhibiting action of nortriptyline’s antidepressive effect at high plasma levels. Psychopharmacologia (Berlin), 45, 305–312

    Article  CAS  Google Scholar 

  • Kuhn, R. (1957). Uber die behandlung depressives Zustande mit einem iminodibenzylderivat. Schweiz. Med. Wochr., 87, 1135–1140

    CAS  Google Scholar 

  • Kuhn-Gebhardt, V. (1972). Results obtained with a new antidepressant in children. The Pharmacology of Ludiomil. In Depressive Illness, Diagnostic Assessment, Treatment (ed. Kielholz, P. ), Hans Huber, Bern

    Google Scholar 

  • Lancet(1965). Leading Article, ii, 118

    Google Scholar 

  • Lidbrink, P., Jonsson, G. and Fuxe, K. (1971). The effect of Imipramine-like drugs and antihistamine drugs on uptake mechanisms in the central noradrenaline and 5-hydroxytryptamine neurones. Neuropharmacology, 10, 521–536

    Article  PubMed  CAS  Google Scholar 

  • Lippmann, W. and Pugsley, T. A. (1976). Effects of Viloxazine, an antidepressant agent, on biogenic amine uptake mechanisms and related activities. Can. J. Physiol. Pharmac., 54, 494–509

    Article  CAS  Google Scholar 

  • Lipsedge, M. (1976). Drug treatment. In Recent Advances in Clinical Psychiatry (ed. Granville-Grossman, K.), No. 2, London, Churchill Livingstone

    Google Scholar 

  • Lloyd K. G., Farley, I. J. and Deck, J. H. N. (1974). Serotonin and 5-hydroxyindoleacetic acid in discreet areas of the brainstems of suicide victims and control patients. Adv. Biochem. Psychopharmac., 11, 387–397

    CAS  Google Scholar 

  • Lyle, W. H., Braithwaite, R. A., Brooks, P. W., Cathill, J. M., Early, D. F., Goulding, R., Laggett, W. P., Pearson, I. B., Silverman, G., Snaith, R. P. and Strong, G. E. (1974). Plasma concentrations of nortriptyline as a guide to treatment. Postgrad. med. J., 50, 282–287

    Article  PubMed Central  Google Scholar 

  • Mass, J. W., Fawcett, J. A. and Dekirmenjian, H. (1972). Catecholamine metabolism, depressive illness, and drug response. Archs gen. Psychiat., 26, 252–262

    Article  Google Scholar 

  • Maître, L., Staehelin, M. and Bein, H. J. (1971). Blockade of noradrenaline uptake by 34276-Ba a new antidepressant drug. Biochem. Pharmac., 20, 2169–2186

    Article  Google Scholar 

  • Mallion, K. B. (1972). (2-Ethoxyphenoxymethyl) Tetra-hydro 1, 4-oxazine hydrochloride: a potential psychotropic agent. Nature, 238, 157–158

    Article  PubMed  CAS  Google Scholar 

  • McMenamey, R. H., Lund, C. C. and Oncley, J. L. (1957). Unbound amino acid concentrations in human blood plasmas. J. clin. Invest., 36, 1672–1679

    Article  Google Scholar 

  • Medical Research Council (1965). Clinical Trial of the treatment of depressive illness. Br. med. J., 1, 881–886

    Article  Google Scholar 

  • Mendels, J. and Frazer, A. (1974). Brain biogenic amine depletion and mood. Archs gen. Psychiat., 30, 447–451

    Article  CAS  Google Scholar 

  • Merskey, H. (1971). Flupenthixol (Fluanxol). Br. J. Psychiat., 119, 230

    Article  Google Scholar 

  • Moir, D. C., Crooks, J., Cornwell, W. B., O’Malley, K., Dingwall-Fordyce, I., Turnbull, M. J. and Weir, R. D. (1972). Cardiotoxicity of amitriptyline. Lancet, ii, 561–564

    Google Scholar 

  • Montgomery, S. (1975). The relationship between plasma concentrations of amitriptyline and therapeutic response. Paper read to the British Academy of Psychopharmacology, London

    Google Scholar 

  • Montgomery, S., Braithwaite, R. and Crammer, J. L. (1977). Routine nortriptyline levels in the treatment of depression. Submitted for publication.

    Google Scholar 

  • Morris, J. B. and Beck, A. T. (1974). The efficacy of antidepressant drugs. Archs gen. Psychiat., 30, 667–674

    Article  CAS  Google Scholar 

  • Müller, V. and Burckhardt, D. (1974). The effect of tri- and tetracyclic antidepressants on the cardiovascular system. Schweiz. Med. Wschr., 104, 1911

    PubMed  Google Scholar 

  • Neff, N. H. and Yang, H. Y. T. (1974). Another look at the monoamine-oxidases and the monoamine-oxidase inhibitor drugs. Life Sci., 14, 2061–2074

    Article  PubMed  CAS  Google Scholar 

  • Olivier-Martin, R., Buschsenschutz, D. M. E., Pichot, P. and Boissier, J. (1975). Plasma levels of Imipramine and Desmethylimipramine and antidepressant effect during controlled therapy. Psychopharmacologia (Berlin), 41, 187–195

    Article  Google Scholar 

  • Overall, J. E., Hollister, L. E., Meyer, F., Kimbell, I. and Shelton, J. (1964). Imipramine and Thioridazine in depressed and schizophrenic patients. J. Am. med. Ass., 189, 605–608

    Article  CAS  Google Scholar 

  • Ovhed, I. (1976). A \double-blind study of Flupenthixol (`Fluanxol’) in general practice. Curr. med. Res. Opinion, 4, 144–150

    Article  CAS  Google Scholar 

  • Pare, C. M. B. (1963). Potentiation of monamine-oxidase inhibitors by Tryptophan. Lancet, ii, 527–528

    Google Scholar 

  • Pare, C. M. B. (1965). Treatment of depression. Lancet, i, 923–925

    Google Scholar 

  • Paykel, E. S., Price, J. S., Gillan, R. U., Palmai, G. and Chesser, E. S. (1968). A comparative trial of Imipramine and Chlorpromazine in depressed patients. Br. J. Psychiat., 114, 1281–1287

    Article  CAS  Google Scholar 

  • Peet, M. (1973). A clinical trial of I.C.I. 58, 834—a potential antidepressant. J. Int. med. Res., 1, 624–626

    Google Scholar 

  • Predescu, V., Ciurezu, T., Timofte, G. and Roman, I. (1973). Symptomatic relief with Flupenthixol (`Fluanxol’) in the anxious-algetic-depression syndrome complex in neurotic states. Acta. Psychiat. Scand., 49, 15–27

    Article  PubMed  CAS  Google Scholar 

  • Prien, R. F., Klett, C. J. and Caffey, E. M. (1974). Lithium prophylaxis in recurrent affective illness. Am. J. Psychiat., 131, 198–203

    Article  PubMed  CAS  Google Scholar 

  • Quetsch, R. M., Achor, R. W. P., Litin, E. M. and Fawcett, R. L. (1959). Depressive reactions in hypertensive patients: a comparison of those treated with Rauwolfia and those receiving no specific antidepressant treatment. Circulation, 19, 366–375

    Article  PubMed  CAS  Google Scholar 

  • Rao, B. and Broadhurst, A. D. (1976). Tryptophan and depression. Br. med. J., 1, 460

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Raskin, A., Schulterbrandt, J. G., Reating, N., Chase, C. and McKeon, J. J. (1970). Differential response to Chlorpromazine, Imipramine and placebo. Archs gen. Psychiat., 23, 164–173

    Article  CAS  Google Scholar 

  • Reiter, P. J. (1969). On Flupenthixol, an antidepressant of a new chemical group. Br. J. Psychiat., 115, 1399–1402

    Article  CAS  Google Scholar 

  • Renfordt, V. E., Busch, H., Fahndrich, E. and Muller-Oerlinghausen, B. (1976). Untersuchung Einer Neuen Antidepressiven Substanz (Viloxazine) mit Hilfe der Zeit-Reihen-Analyse TV —Gespeicherter Interviews. Arzneim. Forsch., 26, 1114–1116

    CAS  Google Scholar 

  • Robinson, P. S., Nies, A., Ravans, C. L. and Lamborn, K. (1973). The monoamine-oxidase inhibitor, Phenelzine, in the treatment of depressive-anxiety states. Archs gen. Psychiat., 29, 407–413

    Article  CAS  Google Scholar 

  • Sandler, M., Carter, S. B., Cuthbert, M. F. and Pare, C. M. B. (1975). Is there an increase in monoamine-oxidase activity in depressive illness? Lancet, i, 1045–1048

    Google Scholar 

  • Sargant, W. (1961). Drugs in the treatment of depression. Br. med. J., 1, 225 Sargant

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Sargant, W. (1963). Combining the antidepressant drugs. Lancet, i, 923–925

    Google Scholar 

  • Schildkraut, J. J. (1965). The catecholamine hypothesis of affective disorders: a review of supporting evidence. Am. J. Psychiat., 122, 509–522

    Article  PubMed  CAS  Google Scholar 

  • Schildkraut, J. J. and Kety, F. F. (1967). Biogenic amines and emotions. Science, 156, 3771, 21–30

    Article  PubMed  CAS  Google Scholar 

  • Schou, M. (1973). Prophylactic Lithium maintenance treatment in recurrent endogenous affective disorders. In Lithium: Its Role in Psychiatric Research and Treatment. (ed. Gershan, S. and Shopsin, B. ) pp. 269–294, Plenum, New York and London

    Chapter  Google Scholar 

  • Schou, M., Baastrup, P. C., Grof, P., Weis, P. and Angst, J. (1970). Pharmacological and clinical problems of Lithium prophylaxis. Br. J. Psychiat., 116, 615–619

    Article  CAS  Google Scholar 

  • Sethna, E. R. (1974). A study of refractory cases of depressive illness and their response to combined antidepressant therapy. Br. J. Psychiat., 124, 265–272

    Article  CAS  Google Scholar 

  • Shaw, D. M., Camps, F. E. and Eccleston, E. G. (1967). 5-hydroxytryptamine in the hind-brain of depressive suicides. Br. J. Psychiat., 113, 1407–1411

    Article  CAS  Google Scholar 

  • Shore, P. A., Silver, S. L. and Brodie, B. B. (1955). Interaction of reserpine, serotonin and lysergic acid diethylarmid in brain. Science, 122, 284–285

    Article  PubMed  CAS  Google Scholar 

  • Sjöqvist, F. (1971). A pharmacokinetic approach to the treatment of depression. Int. Pharmacopsychiat., 6, 147–169

    Google Scholar 

  • Sonne, L. M. (1966). Behandling an depressive tilstande med Flupenthixol. Nordisk Psykiatrisk Tidsskrift, 20, 322–324

    Article  PubMed  CAS  Google Scholar 

  • Spector, 301274IS., Hirsch, C. W. and Brodie, B. B. (1963). Association of behavioural effects of pargyline, a non-hydrazine monoamine oxidase inhibitor with increase in brain norepinephrine. Int. J. Neuropharmac., 2, 81–93

    Article  Google Scholar 

  • Sulser, F., Watts, J. and Brodie, B. B. (1962). On the mechanism of antidepressant action of Imipramine-like drugs. Ann. N. Y. Acad. Sci., 96, 279–286

    Article  PubMed  CAS  Google Scholar 

  • Tagliamonte, A., Biggio, G., Vargin, L. and Gessa, G. L. (1973). Free Tryptophan in serum controls brain Tryptophan level and synthesis. Life Sci., 12 (Part II), 277–287

    Article  CAS  Google Scholar 

  • Taylor, D. J. E. and Braithwaite, R. A. (1977). Cardiac effects of tricyclic antidepressant medication: a preliminary study of nortriptyline (in press)

    Google Scholar 

  • Tissot, R. (1975). The common pathophysiology of monaminergic psychoses: a new hypothesis. Neuropsychobiology, 1, 243–260

    Article  PubMed  CAS  Google Scholar 

  • Tsegos, I. K. and Ekdawi, M. Y. (1974). Study of Viloxazine and Imipramine in depression. Curr. med. Res. Opinion, 2, 455–460

    Article  CAS  Google Scholar 

  • Tuck, J. R. and Punell, G. (1973). Uptake of [3H] 5-hydroxytryptamine and [3H] noradrenaline by slices of rat brain incubated in the plasma from patients treated with chlorpromazine, imipramine or amitriptyline. J. Pharm. Pharmac., 25, 573–574

    Article  CAS  Google Scholar 

  • Tyrer, P. (1973). Are monoamine-oxidase inhibitors antidepressants? Proc. R. Soc. Med., 66, 38–39

    Google Scholar 

  • Tyrer, P. (1974). Indications for combined antidepressant therapy. Br. J. Psychiat., 124, 620

    Article  Google Scholar 

  • Tyrer, P. (1976). Towards rational therapy with monoamine-oxidase inhibitors. Br. J. Psychiat., 128, 354–360

    Article  CAS  Google Scholar 

  • Van Praag, H. M., Korf, J. and Puite, J. (1970). 5-hydroxyindoleacetic acid levels in the cerebrospinal fluid of depressive patients treated with probenecid. Nature, 225, 1259–1260

    Article  PubMed  Google Scholar 

  • Van Praag, H. M. and Korf, J. (1973). Cerebral monoamines and depression. Archs gen. Psychiat., 28, 827–831

    Article  Google Scholar 

  • Walinder, J. (1975). Potentiation of antidepressant action of clomipramine by Tryptophan. Lancet, i, 984

    Article  Google Scholar 

  • Walter, C. J. S. (1971). Clinical significance of plasma Imipramine levels. Proc. R. Soc. Med., 64, 282–285

    PubMed  CAS  PubMed Central  Google Scholar 

  • Whyte, S. F., Macdonald, A. J., Naylor, G. J. and Moody, J. P. (1976). Plasma concentrations of protriptyline and clinical effects in depressed women. Br. J. Psychiat., 128, 384–390

    Article  CAS  Google Scholar 

  • Willcox, D. R. C., Gillan, R. and Hare, E. H. (1965). Do psychiatric out-patients take their drugs? Br. med. J. 2, 790–801

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Winston, F. (1971). Combined antidepressant therapy. Br. J. Psychiat., 118, 301–304

    Article  CAS  Google Scholar 

  • Youdim, M. B. H. (1973). Multiple forms of mitochondrial monamine-oxidase. Br. med. Bull., 29, 120–122

    PubMed  CAS  Google Scholar 

  • Young, J. P. R., Hughes, W. C. and Lader, M. H. (1976). A controlled comparison of Flupenthixol and amitriptyline in depressed out-patients. Br. med. J., 1, 1116–1118

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Ziegler, V. E., Co, B. T., Taylor, J. R., Clayton, P. and Biggs, J. T. (1976a). Clin. Pharmac. Ther., 19, 795–801

    Article  CAS  Google Scholar 

  • Ziegler, V. E., Clayton, P., Taylor, J. R., Co, B. T. and Biggs, J. T. (1976b). Nortriptyline plasma levels and therapeutic response. Clin. Pharmac. Ther., 20, 458–463

    Article  CAS  Google Scholar 

Download references

Authors

Copyright information

© 1978 Raghu N. Gaind and Barbara L. Hudson

About this chapter

Cite this chapter

Barnes, T., Braithwaite, R. (1978). Drug Treatment of Depression. In: Current Themes in Psychiatry 1. Palgrave, London. https://doi.org/10.1007/978-1-349-03642-4_28

Download citation

  • DOI: https://doi.org/10.1007/978-1-349-03642-4_28

  • Publisher Name: Palgrave, London

  • Print ISBN: 978-1-349-03644-8

  • Online ISBN: 978-1-349-03642-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics