Bougerol T
Service de psychiatrie d'adultes, CHU Sainte-Marguerite, Marseille.
Rev Prat. 1994 Nov 1;44(17):2293-8.
In the last decade, progress in psychopharmacology had led to the synthesis of newer antidepressant compounds. Known as "new generation antidepressants", they belong either to classical families of anti-depressants (tricyclics or MAOIs) or to new pharmacological groups. The first ones differ from classical tricyclics or classical MAOIs for the absence of major contraindications for their use (mostly few or no anticholinergic properties for new tricyclics and no dietary restriction rules for new MAOIs). The nontricyclics-non MAOIs antidepressants are, for most of them, particularly well tolerated and safe. The clinical potency of such compounds seems to reach conditions beyond depressive states and they have indeed some specific effects in obsessive-compulsive disorders or other anxiety disorders. In this group, selective serotonin reuptake inhibitors seem to represent a major progress in antidepressive therapy. All these advantages invite now the practitioners to use these "new generation antidepressants" as the first choice medication, when treating uncomplicated depressive disorders.
在过去十年中,精神药理学的进展促成了更新型抗抑郁化合物的合成。它们被称为“新一代抗抑郁药”,要么属于传统的抗抑郁药类别(三环类或单胺氧化酶抑制剂),要么属于新的药理学类别。前者与传统三环类或传统单胺氧化酶抑制剂不同,使用时没有重大禁忌(新型三环类大多很少或没有抗胆碱能特性,新型单胺氧化酶抑制剂没有饮食限制规则)。大多数非三环类-非单胺氧化酶抑制剂抗抑郁药耐受性特别好且安全。这类化合物的临床效力似乎能达到超越抑郁状态的程度,并且它们在强迫症或其他焦虑症中确实有一些特定作用。在这一类中,选择性5-羟色胺再摄取抑制剂似乎代表了抗抑郁治疗的一项重大进展。所有这些优势促使从业者在治疗无并发症的抑郁症时,将这些“新一代抗抑郁药”作为首选药物。