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蒽衍生物达尼曲辛(WA335-BS)与阿米替林对抑郁症患者疗效的比较(作者译)

[Comparison of the effects of the anthracene derivative danitracen (WA335-BS) and amitriptyline in depressive patients (author's transl)].

作者信息

Matussek N, Benkert O, Fidetzis K, Flach D, Hermann H U, Kaumeier S, Kindt H, Kinzler E, Rüther E, Watzka W

出版信息

Arzneimittelforschung. 1976;26(6):1160-2.

PMID:786311
Abstract

9,10-Dihydro-10-(1-methyl-4-piperidylidene)-9-anthrol (danitracen, WA 335) is a substance with a stronger peripheral and partly central antiserotonin and antihistamine effect than cyproheptadine. In 5 different hospitals, WA 335 (3 X 1 mg/die) was investigated versus amitriptyline (3 X 50 mg/die) in a double-blind study in 116 depressive patients of different nosology. In the end of the investigation period (20 days), under WA 335 treatment 67.7% and under ami-riptyline treatment 66.7% of the patients showed an improvement of 50% = decrease in the Hamilton depression score. However, a decrease of 50% in the selfrating scale (von Zerssen) was only shown by 57% of the patients under WA 335 administration and 51% under amitriptyline administration. There were no significant differences seen as regards course and side effects of the two drugs. Like amitriptyline, WA 335 shows sedative properties at the beginning of therapy.

摘要

9,10-二氢-10-(1-甲基-4-哌啶亚基)-9-蒽醇(达尼曲辛,WA 335)是一种外周作用较强且部分具有中枢抗血清素和抗组胺作用的物质,其作用比赛庚啶更强。在5家不同医院,对116例不同疾病分类的抑郁症患者进行了双盲研究,比较WA 335(3×1毫克/日)与阿米替林(3×50毫克/日)的疗效。在研究期末(20天),接受WA 335治疗的患者中有67.7%、接受阿米替林治疗的患者中有66.7%的汉密尔顿抑郁评分改善了50%(即降低)。然而,在WA 335治疗组中,仅57%的患者自评量表(冯·泽尔森量表)评分降低了50%,在阿米替林治疗组中这一比例为51%。两种药物在病程和副作用方面未见显著差异。与阿米替林一样,WA 335在治疗开始时也表现出镇静作用。

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