Nies A
J Clin Psychiatry. 1984 Jul;45(7 Pt 2):70-7.
The concept of atypical depression is reviewed and data comparing the clinical effects of monoamine oxidase inhibitors and tricyclic antidepressants are presented. Monoamine oxidase inhibitors are indicated for treatment of syndromes of panic and generalized anxiety with or without supervening atypical depression. The two classes of drugs have contrasting effects on adrenergic metabolism which may be related to the superior antianxiety and antipanic effects of monoamine oxidase inhibitors.
本文回顾了非典型抑郁症的概念,并给出了比较单胺氧化酶抑制剂和三环类抗抑郁药临床效果的数据。单胺氧化酶抑制剂适用于治疗伴有或不伴有后续非典型抑郁症的惊恐和广泛性焦虑综合征。这两类药物对肾上腺素能代谢有相反的作用,这可能与单胺氧化酶抑制剂更优的抗焦虑和抗惊恐作用有关。