Brasseur R
Acta Psychiatr Belg. 1979 Jan-Feb;79(1):96-108.
The author has performed an open study of 27 patients with an acute depressive state, hospitalized and treated with slow intravenous perfusions of amitriptyline. Similar perfusions of chlorimipramine act certainly more rapidly on depression, but conversion to oral dose raises some problems regarding active dosis. Intravenous amitriptyline reduces latency, is more sedative and without major intolerance, such as hemodynamic. Conversion to oral diffused forms (Redomex diffucaps) consolidates the results obtained by parenteral administration, and the antianxiety component permits the use of this drug in monotherapy.
作者对27例急性抑郁状态患者进行了一项开放性研究,这些患者住院并接受阿米替林缓慢静脉滴注治疗。氯米帕明的类似滴注对抑郁症的起效肯定更快,但转换为口服剂量在有效剂量方面会出现一些问题。静脉注射阿米替林可缩短潜伏期,镇静作用更强,且无重大不耐受情况,如血流动力学方面的问题。转换为口服缓释剂型(Redomex缓释胶囊)可巩固胃肠外给药所取得的效果,其抗焦虑成分使该药物可用于单一疗法。