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On the Slowness of Action of Tricyclic Antidepressant Drugs

Published online by Cambridge University Press:  29 January 2018

Ian Oswald
Affiliation:
Department of Psychiatry, University of Edinburgh, Edinburgh, EH10 5HF, Scotland
Vlasta Brezinova
Affiliation:
Department of Psychiatry, University of Edinburgh, Edinburgh, EH10 5HF, Scotland
D. L. F. Dunleavy
Affiliation:
Department of Psychiatry, University of Edinburgh, Edinburgh, EH10 5HF, Scotland

Extract

It is widely believed that tricyclic antidepressants such as imipramine bring little benefit for ten days, that three or four weeks are needed to be sure, and that five or six weeks are needed to get the patient really back to health. Why should it take so long? Is it even true? If true it seems remarkable that such a challenge should have been largely ignored by theorists content to rest their arguments upon acute experiments with animals.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1972 

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References

Åsberg, M., Cronholm, B., Sjöqvist, F., and Tuck, D. (1970). ‘Correlation of subjective side effects with plasma concentrations of nortriptyline.’ British Medical Journal, 4, 1821.CrossRefGoogle ScholarPubMed
Callingham, B. A. (1967). ‘The effects of imipramine and related compounds on the uptake of noradrenaline into sympathetic nerve endings.’ Excerpta Medica International Congress Series, No. 122, 3543.Google Scholar
Dunleavy, D. L. F., Brezinova, V., Oswald, I., Maclean, A. W., and Tinker, M. (1972). ‘Changes during weeks in effects of tricyclic drugs on the human sleeping brain.’ British Journal of Psychiatry, 120, 663–72.CrossRefGoogle ScholarPubMed
Guilford, J. P. (1956). Fundamental Statistics in Psychology and Education. New York.Google Scholar
Häggendal, C. J., and Dahlström, A. B. (1969). ‘The transport and life-span of amine storage granules in bulbospinal noradrenaline neurones of the rat.’ Journal of Pharmacy and Pharmacology, 31, 55–7.Google Scholar
Häggendal, C. J., and Dahlström, A. B. (1970). In: New Aspects of Storage and Release Mechanisms of Catecholamines (ed. Schümann and Kroneberg), p. 280. Berlin.Google Scholar
Hammer, W., Ideström, C. M., and Sjöqvist, F. (1967). ‘Clinical control of antidepressant drug therapy’, in Antidepressant Drugs (ed. Garattini, S., and Dukes, M. N. G.). Amsterdam.Google Scholar
Jonsson, C. O. (1969). ‘Behavioural studies of diethylpropion in man.’ In: Abuse of Central Stimulants (ed. Sjöqvist and Tottie). Stockholm.Google Scholar
Lewis, S. A., and Oswald, I. (1969). ‘Overdose of tricyclic antidepressants and deductions concerning their cerebral action.’ British Journal of Psychiatry, 115, 1403–10.CrossRefGoogle ScholarPubMed
Livett, B. G., Geffen, L. B., and Austin, L. (1968). ‘Proximo-distal transport of 14C-noradrenaline and protein in sympathetic nerves.’ Journal of Neurochemistry, 15, 931939.CrossRefGoogle Scholar
Medical Research Council (1965). ‘Clinical trial of treatment of depressive illness.’ British Medical Journal, 1, 881–6.Google Scholar
Oswald, I., Lewis, S. A., Dunleavy, D. L. F., Brezinova, V., and Briggs, M. (1971). ‘Fenfluramine and imipramine: drugs of dependence though not of abuse.’ British Medical Journal, iii, 7073.CrossRefGoogle Scholar
Schildkraut, J. J., Winokur, A., and Applegate, C. W. (1970). ‘Norepinephrine turnover and metabolism in rat brain after long-term administration of imipramine.’ Science, 168, 867–9.CrossRefGoogle ScholarPubMed
Todrick, S., and Tait, A. C. (1969). ‘The inhibition of human platelet 5-hydroxytryptamine uptake by tricyclic antidepressive drugs. The relation between structure and potency.’ Journal of Pharmacy and Pharmacology, 21, 751–62.Google ScholarPubMed
Walter, C. J. S. (1971). ‘Clinical significance of plasma imipramine levels.’ Proceedings of the Royal Society of Medicine, 64, 282–5.Google ScholarPubMed
Zealley, A. K., and Aitken, R. C. B. (1969). ‘Measurement of mood.’ Proceedings of the Royal Society of Medicine, 62, 993–6.Google ScholarPubMed
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