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色氨酸抗抑郁药“生理性镇静剂”:事实还是幻想?

Tryptophan antidepressant 'physiological sedative': fact or fancy?

作者信息

Cooper A J

出版信息

Psychopharmacology (Berl). 1979 Mar 14;61(1):97-102. doi: 10.1007/BF00426818.

Abstract

Some recent publications relating to the allegedly antidepressive and sedative effects of L-tryptophan the precursor of 5-HT have been reviewed. The evidence to date suggests that the amino acid is as effective as standard tricyclic drugs in alleviating the symptoms of depression, especially those cases presenting with mainly psychomotor retardation, and is synergistic with MAOIs. L-Tryptophan would also appear to be a 'physiological sedative'. This action, however, appears to be related to the time of administration and at present has only been demonstrated at night. when endogenous levels of 5-HT are at their peak. In terms of practical therapeutics L-tryptophan would appear to have greater potential as an 'antidepressant' than as a 'sedative'.

摘要

近期一些有关5-羟色胺前体L-色氨酸的所谓抗抑郁和镇静作用的出版物已被综述。迄今为止的证据表明,这种氨基酸在缓解抑郁症状方面与标准三环类药物一样有效,尤其是那些主要表现为精神运动迟缓的病例,并且与单胺氧化酶抑制剂具有协同作用。L-色氨酸似乎也是一种“生理性镇静剂”。然而,这种作用似乎与给药时间有关,目前仅在夜间得到证实,此时5-羟色胺的内源性水平处于峰值。就实际治疗而言,L-色氨酸作为“抗抑郁药”似乎比作为“镇静剂”具有更大的潜力。

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