[Evaluation of side effects and complications during the treatment of affective psychoses with thymoleptics].

Evaluation of effects of amitriptyline, imipramine, maprotiline, mianserin , clomipramine and citalopram was performed in 84 patients (49 females and 35 males) age on average 40 years with diagnosis of affective psychosis treated in the Department of Psychiatry Medical School of Szczecin. Antidepressants independently from their pharmacological profile cause in above 50% of patients side effects mainly from autonomous nervous system. Tricyclic antidepressants caused some cardiotoxic effects which were not observed during administration of antidepressant drugs of different chemical structure, especially of citalopram. No effects on the haemopoietic system and on parenchymatous organs were observed. Neither were affected hypothalamic mechanisms for basal secretion of thyrotropic hormone, prolactin , cortisol and so ACTH. Multifactorial analysis of positive and untoward effects observed during the treatment shows comparable clinical value of all six evaluated drugs. A choice of a drug for an individual should depend on particular clinical contraindications.