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丙咪嗪治疗合并抑郁症的酒精中毒

Imipramine treatment of alcoholism with comorbid depression.

作者信息

Nunes E V, McGrath P J, Quitkin F M, Stewart J P, Harrison W, Tricamo E, Ocepek-Welikson K

机构信息

Depression Evaluation Service, New York State Psychiatric Institute, NY 10032.

出版信息

Am J Psychiatry. 1993 Jun;150(6):963-5. doi: 10.1176/ajp.150.6.963.

DOI:10.1176/ajp.150.6.963
PMID:8494079
Abstract

Of 60 depressed alcoholics who completed an open trial of imipramine, 27 (45%) responded with improvement in both mood and drinking behavior, and eight (13%) responded after further dosage increases or treatment with disulfiram. In a subsequent 6-month, randomized discontinuation trial, four of 13 subjects (31%) relapsed during imipramine treatment and seven of 10 (70%) relapsed while taking placebo. This suggests a potential treatment approach for a high-risk subgroup of alcoholics.

摘要

在完成丙咪嗪开放试验的60名抑郁酗酒者中,27人(45%)在情绪和饮酒行为方面均有改善,8人(13%)在进一步增加剂量或接受双硫仑治疗后有反应。在随后的6个月随机停药试验中,13名服用丙咪嗪的受试者中有4人(31%)复发,10名服用安慰剂的受试者中有7人(70%)复发。这表明了一种针对酗酒高危亚组的潜在治疗方法。

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Relapse Prevention in Alcoholism : Recent Advances and Future Possibilities.酒精中毒复发预防:最新进展和未来可能。
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