Wheatley D
Arch Gen Psychiatry. 1975 May;32(5):653-5. doi: 10.1001/archpsyc.1975.01760230119009.
It has been suggested that depression is a disease of cholinergic dominance and since the beta-adrenergic blocking drug propranolol hydrochloride can cause depression, there arises the possibility that a beta-adrenergic stimulant could benefit the condition. For ethical reasons, the adrenergic drug metaproterenol sulfate was combined with chlordiazepoxide hydrochloride and compared to placebo and chlordiazepoxide in a formal double-blind trial. However, the results did not show any advantage for the addition of metaproterenol either in respect of enhanced antidepressant effect or a reduced incidence, nature, or severity of side-effects.
有人认为抑郁症是一种胆碱能占优势的疾病,而且由于β-肾上腺素能阻滞剂盐酸普萘洛尔可导致抑郁,因此存在β-肾上腺素能兴奋剂可能改善病情的可能性。出于伦理原因,在一项正式的双盲试验中,将肾上腺素能药物硫酸间羟异丙肾上腺素与盐酸氯氮卓联合使用,并与安慰剂和盐酸氯氮卓进行比较。然而,结果并未显示添加硫酸间羟异丙肾上腺素在增强抗抑郁效果或降低副作用的发生率、性质或严重程度方面有任何优势。