Pare C M
Br J Psychiatry. 1985 Jun;146:576-84. doi: 10.1192/bjp.146.6.576.
The present status of monoamine oxidase inhibitors in the treatment of depression is reviewed. With adequate doses they are effective antidepressants, but dosages have in the past been too low. Provided proper dietary precautions are taken, the incidence of fatality from dietary interactions is very small and should not deter doctors from using these drugs, especially in those depressed patients who do not respond to tricyclic-type antidepressants. The present status of combining monoamine oxidase inhibitors with tricyclics is discussed, as are the newer specific inhibitors particularly clorgyline and deprenyl.
本文综述了单胺氧化酶抑制剂在抑郁症治疗中的现状。使用足够剂量时,它们是有效的抗抑郁药,但过去的剂量过低。只要采取适当的饮食预防措施,因饮食相互作用导致的死亡发生率非常低,不应阻碍医生使用这些药物,尤其是对于那些对三环类抗抑郁药无反应的抑郁症患者。文中还讨论了单胺氧化酶抑制剂与三环类药物联合使用的现状,以及新型特异性抑制剂,特别是氯吉兰和丙炔苯丙胺。