米氮平治疗抑郁症患者的序贯儿茶酚胺和血清素耗竭。

P. Delgado, F. Moreno, Larry Onate, A. Gelenberg
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引用次数: 38

摘要

这项研究旨在确定患者或抗抑郁相关变量是否对血清素(5-HT)或儿茶酚胺消耗的情绪反应最重要。使用开放标签米氮平治疗的抑郁症患者(>或=6周)间隔1周接受两次消耗试验(5-羟色胺和儿茶酚胺消耗)。在大多数患者中,5-羟色胺和儿茶酚胺的消耗都会导致抑郁症的部分复发。米氮平的抗抑郁反应依赖于其对去甲肾上腺素和5-HT神经传递的双重作用。对色氨酸或儿茶酚胺消耗的情绪反应取决于消耗期间服用的抗抑郁药的药理学性质。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sequential catecholamine and serotonin depletion in mirtazapine-treated depressed patients.
This study was aimed at determining whether patient- or antidepressant-related variables are most important to the mood response to serotonin (5-HT) or catecholamine depletion. Depressed patients treated with open-label mirtazapine (>or=6 wk) received two depletion tests (5-HT and catecholamine depletion) 1 wk apart. Both 5-HT and catecholamine depletion led to a partial return of depression in most patients. Antidepressant response to mirtazapine is dependent on its dual actions on norepinephrine and 5-HT neurotransmission. Mood response to tryptophan or catecholamine depletion is dependent on the pharmacological properties of the antidepressant being taken during depletion.
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