Resistant geriatric depressions and therapeutic response to monoamine oxidase inhibitors.

Abstract:

:Elderly depressed patients who met the research diagnostic criteria (RDC) for major depressive illness, resistant to other types of treatment, were treated with phenelzine, a nonselective monoamine oxidase (MAO) inhibitor, for a period of 2 to 7 weeks, following 2 weeks of placebo washout period. Dosage ranged from 15-75 mg daily. Clinical status of patients as well as vital signs, EKG, and platelet MAO inhibition were measured weekly. All responders at the end of this period were followed for 1 to 2 years. Analysis of the results showed a 65% response rate as measured by Hamilton, Global, and Self-rating Scales. No significant drug effect in cognitive functioning, as measured by objective cognitive tests, was observed. Clinical improvement was sustained for all participants throughout the follow-up period with no side effects. A direct relationship between platelet MAO inhibition and clinical response was found. The majority of the responders (70%) had achieved high platelet MAO inhibition values (greater than 80%), while most of the nonresponders had platelet MAO inhibition values of less than 80%. These findings have potential clinical and research implications for treating geriatric depression, especially the ones resistant to other forms of treatment.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Georgotas A,Friedman E,McCarthy M,Mann J,Krakowski M,Siegel R,Ferris S

subject

Has Abstract

pub_date

1983-02-01 00:00:00

pages

195-205

issue

2

eissn

0006-3223

issn

1873-2402

journal_volume

18

pub_type

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