The relationship between acetylator status and inhibition of monoamine oxidase, excretion of free drug and antidepressant response in depressed patients on phenelzine.

E C Johnstone
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引用次数: 33

Abstract

This study was designed to examine the hypothesis that phenelzine is metabolized by polymorphic acetylation and that its effects are dependent on acetylator status. 30 depressed inpatients were given a 3-week course of phenelzine 30 mg t.i.d. The antidepressant effect, the degree of inhibition of monoamine oxidase and the amount of free phenelzine excreted in the urine were all significantly greater in slow acetylators than in fast. These findings strongly support the hypothesis.

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苯乙肼与抑郁症患者单胺氧化酶抑制、游离药物排泄及抗抑郁反应的关系
本研究旨在检验苯肼通过多态乙酰化代谢的假设,其作用依赖于乙酰化状态。30例抑郁症住院患者给予苯肼30 mg,每日服用3周。慢速乙酰化组抗抑郁效果、单胺氧化酶抑制程度及尿中游离苯肼排泄量均显著高于快速乙酰化组。这些发现有力地支持了这一假设。
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Biochemical background for clinical drug effect Long term effects of psychotropic drugs Social implications of psychopharmacology Straiatum and neuroleptics Biochemical findings in mental illness. Affective disorders
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