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新型抗抑郁药的研究:当前趋势(作者译)

[The research of new antidepressants: present orientations (author's transl)].

作者信息

Fieve R R

出版信息

Encephale. 1979;5(5 Suppl):671-88.

PMID:44869
Abstract

A number of promising antidepressant compounds are presently either being developed in the laboratory or are being tested clinically by pharmaceutical firms and universities around the world. New compounds are sought which will provide: 1. fewer side effects, particularly anticholinergic and cardiovascular effects; 2. more rapid onset of action than 7-10 days required of most antidepressants now used; 3. efficacy in a higher percentage of patients than the 65-70 per cent estimated to respond to currently available antidepressant therapies. Compounds now being investigated include: new tricyclics which are unlike those commonly in use; the tetracyclics; the salts of naturally occurring cations such as lithium and rubidium; and various chemically unrelated new compounds. In addition, several drugs currently being tested as anorectics seem promising for future antidepressant drugs research.

摘要

目前,一些有前景的抗抑郁化合物正在实验室研发中,或正由世界各地的制药公司和大学进行临床测试。人们正在寻找新的化合物,以实现:1. 副作用更少,尤其是抗胆碱能和心血管方面的副作用;2. 起效速度比目前大多数使用的抗抑郁药所需的7至10天更快;3. 对更高比例的患者有效,而目前可用的抗抑郁疗法估计只有65%至70%的患者有反应。目前正在研究的化合物包括:与常用三环类药物不同的新型三环类药物;四环类药物;锂和铷等天然阳离子的盐类;以及各种化学结构不相关的新化合物。此外,目前作为食欲抑制剂进行测试的几种药物似乎对未来的抗抑郁药物研究很有前景。

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