Long-Term Use of Tianeptine in 380 Depressed Patients
| Autor: | H. Scharbach, Jean-Pierre Olié, Henry Dufour, H. Ganry, R. Malka, C. Marey, J D Guelfi, H. Loo, J. Tignol, A. Kamoun |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
chemistry.chemical_classification
business.industry Poison control Irritability 030227 psychiatry Clinical trial 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine chemistry Anesthesia Heart rate medicine Antidepressant Tianeptine 030212 general & internal medicine medicine.symptom business Depression (differential diagnoses) medicine.drug Tricyclic |
| Zdroj: | British Journal of Psychiatry. 160:61-65 |
| ISSN: | 1472-1465 0007-1250 |
| DOI: | 10.1192/s0007125000296700 |
| Popis: | Tianeptine is a new tricyclic compound whose principal action is to increase the reuptake of serotonin. In a multicentre trial in which 380 depressed patients were treated for one year, tianeptine produced a significant reduction in the MADRS scores from day 14, with a sustained reduction maintained for up to 12 months; other measures of efficacy (HRSA, HSCL, and CGI) also reflected the improvement. Only 11% of patients withdrew because of recurrence of depression and 2% because of side-effects, which were mainly drowsiness, irritability, and gastrointestinal disturbance. Apart from a minor reduction in heart rate, unaccompanied by any conduction changes, no clinically relevant changes in vital signs or laboratory tests were seen. Seven subjects who attempted suicide by tianeptine overdose had favourable outcomes, in spite of also taking other psychotropic drugs or alcohol. No evidence of tolerance or withdrawal symptoms was seen after treatment was stopped. These results suggest that tianeptine has the potential to provide safe antidepressant activity in both the acute and chronic phases of treatment. |
| Databáze: | OpenAIRE |
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