Fernández Labriola R, Caetano Esquivel G, Alvarez M, Servidio M
Centro de Investigaciones Edmundo Fischer (CIEF), Buenos Aires, Argentina.
Acta Psiquiatr Psicol Am Lat. 1991 Dec;37(4):291-8.
One hundred and one depressed inpatients were treated by the authors with a second-generation antidepressive original molecule: Toloxatone, a specific and reversible MAO A inhibitor. Upon admission, all 101 patients with depressive illness did not score higher than 20 on Hamilton's Scale, and did not score lower than 4 on Fischer, Fernández Labriola and Rodríguez Casanova's Endogeneity Test. Biological profiles (Phenyl-ethylamine, NA, and MHPG) were available on 57 subjects. At the beginning of the experiment: (a) No subject was taking antidepressives, (b) Patients' age averaged 46; (c) The 6-week experiment was a double-blind vs. placebo type. Daily toloxatone dose was standardized in a 400 mg intake. Significant modifications were detected in 51 subjects. Among the 59 subjects that were administered active substance, 37 achieved either "excellent" or "good" outcomes. Biological markers pointed out a profile of patients with a better response to Toloxatone: Namely, patients with a lower noradrenergic activity. Anxiety-free depression as well as inhibited depressions are a psychiatrist's choice for administering Toloxatone.
作者使用第二代抗抑郁原分子托洛沙酮(一种特异性可逆单胺氧化酶A抑制剂)对101名住院抑郁症患者进行了治疗。入院时,所有101名抑郁症患者在汉密尔顿量表上的得分均不高于20分,在菲舍尔、费尔南德斯·拉布里奥拉和罗德里格斯·卡萨诺瓦内源性测试中的得分均不低于4分。57名受试者提供了生物学特征(苯乙胺、去甲肾上腺素和3-甲氧基-4-羟基苯乙二醇)。实验开始时:(a)没有受试者正在服用抗抑郁药;(b)患者平均年龄为46岁;(c)为期6周的实验是双盲对照安慰剂类型。托洛沙酮的每日剂量标准化为400毫克。在51名受试者中检测到了显著变化。在接受活性物质治疗的59名受试者中,37人取得了“优秀”或“良好”的治疗效果。生物学标志物指出了对托洛沙酮反应较好的患者特征:即去甲肾上腺素能活性较低的患者。无焦虑性抑郁症以及抑制性抑郁症是精神科医生选择使用托洛沙酮治疗的对象。