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老年抑郁症患者米安色林和阿米替林的血药浓度与临床反应

Blood levels of mianserin and amitriptyline and clinical response in aged depressed patients.

作者信息

Monteleone P, Fabrazzo M

机构信息

Institute of Psychiatry, First Medical School, University of Naples, Italy.

出版信息

Pharmacopsychiatry. 1994 Nov;27(6):238-41. doi: 10.1055/s-2007-1014311.

DOI:10.1055/s-2007-1014311
PMID:7870745
Abstract

Steady-state plasma levels of mianserin, amitriptyline, and nortriptyline were determined by HPLC in two groups of elderly depressed patients who underwent a 5-week treatment with mianserin (60 mg/day in three oral doses) or amitriptyline (75 mg/day in three oral doses). Both treatments proved to be effective in reducing depressive symptoms. In the mianserin group, responder patients had steady-state plasma concentrations of mianserin higher than nonresponders. No relationship was found between amitriptyline, nortriptyline, or amitriptyline+nortriptyline plasma levels and clinical response in amitriptyline treated patients.

摘要

通过高效液相色谱法(HPLC)测定了两组老年抑郁症患者米安色林、阿米替林和去甲替林的稳态血浆水平。这两组患者分别接受为期5周的米安色林(每日60毫克,分三次口服)或阿米替林(每日75毫克,分三次口服)治疗。两种治疗方法均被证明对减轻抑郁症状有效。在米安色林组中,有反应的患者米安色林的稳态血浆浓度高于无反应者。在接受阿米替林治疗的患者中,未发现阿米替林、去甲替林或阿米替林+去甲替林的血浆水平与临床反应之间存在关联。

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1
Blood levels of mianserin and amitriptyline and clinical response in aged depressed patients.老年抑郁症患者米安色林和阿米替林的血药浓度与临床反应
Pharmacopsychiatry. 1994 Nov;27(6):238-41. doi: 10.1055/s-2007-1014311.
2
A double blind comparative study of mianserin and a fixed combination of amitriptyline plus chlordiazepoxide.
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Low serum levels of tricyclic antidepressants in amitriptyline- and doxepin-treated inpatients with depressive syndromes are associated with nonresponse.在接受阿米替林和多塞平治疗的伴有抑郁综合征的住院患者中,三环类抗抑郁药血清水平低与治疗无反应相关。
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引用本文的文献

1
Amitriptyline for depression.用于治疗抑郁症的阿米替林。
Cochrane Database Syst Rev. 2007 Jul 18(3):CD004186. doi: 10.1002/14651858.CD004186.pub2.
2
Antidepressants for depressed elderly.用于老年抑郁症患者的抗抑郁药
Cochrane Database Syst Rev. 2006 Jan 25;2006(1):CD003491. doi: 10.1002/14651858.CD003491.pub2.
3
Comprehensive survey of the relationship between serum concentration and therapeutic effect of amitriptyline in depression.抑郁症中阿米替林血清浓度与治疗效果关系的综合研究。
Clin Pharmacokinet. 2002;41(11):853-76. doi: 10.2165/00003088-200241110-00004.