Pharmacopsychiatry 2006; 39(3): 114
DOI: 10.1055/s-2006-946609
Letter
© Georg Thieme Verlag KG Stuttgart · New York

Dramatic Remission of Treatment-resistant Depression after the Cessation of Tricyclic Antidepressants

A Case ReportK. Yoshida1 , Y. Sugawara2 , H. Higuchi3
  • 1Department of Psychiatry, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi 466-8550, Japan
  • 2Department of Psychiatry, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan
  • 3Omagari City Hospital, 210 Aza-sekihigashi, Iida, Omagari 014-0067, Japan.
Further Information

Publication History

Received: 15.11.2005

Accepted: 12.1.2006

Publication Date:
23 May 2006 (online)

Recently, tricyclic antidepressants (TCAs) have been used mainly for treatment-resistant depression (TRD) because of their significant side effects [5]. We report a patient whose prolonged depressive symptoms dramatically improved after the cessation of TCAs. TCAs may cause deterioration of depressive symptoms due to their neurotoxicity.

References

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  • 2 Gerner P, Mujtaba M, Khan M, Sudoh Y, Vlassalov K, Anthony D C. et al . N-phenylethyl amitriptyline in rat sciatic nerve blockade.  Anesthesiology. 2002;  96 1435-1442
  • 3 Müller M J, Himmerich H, Kienzle B, Szegedi A. Differentiating moderate and severe depression using the Montgomery-Åsberg depression rating scale (MADRS).  J Affect Disord. 2003;  77 255-260
  • 4 Perry P J, Pfohl B M. The relationship between antidepressant response and tricyclic antidepressant plasma concentrations. A retrospective analysis of the literature using logistic regression analysis.  Clin Pharmacokinet. 1987;  13 381-392
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Keizo Yoshida, M.D., Ph. D.

Department of Psychiatry

Nagoya University Graduate School of Medicine

65 Tsurumai-cho

Showa-ku

Nagoya

Aichi 466-8550

Japan

Phone: +81 52 744 2283

Fax: +81 52 744 2293

Email: cxw01076@nifty.com

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