Kinetic effects of desmethylimipramine treatment on platelet serotonin uptake in depressed patients: a comparison with imipramine.
Kinetic effects of desmethylimipramine treatment on platelet serotonin uptake in depressed patients: a comparison with imipramine.
复制标题
去甲基丙咪嗪治疗对抑郁症患者血小板血清素摄取的动力学影响:与丙咪嗪的比较。
DOI:
10.1016/0165-1781(91)90028-n
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发表时间:
1991
影响因子:
11.3
通讯作者:
Moeller,FG
中科院分区:
文献类型:
--
作者:
Rausch,JL;Moeller,FG
The kinetic effects of desmethylimipramine (DMI) on platelet serotonin (5HT) uptake were compared to those of imipramine (IMI) in eight DMI-treated depressed patients and seven IMI-treated depressed patients, and compared to values after patients were off drug for 19 (± 8 SD) and 33 (± 15) days. As expected, IMI was a stronger inhibitor of 5HT uptake than DMI during treatment, with the mean apparentKmin treated patients being elevated nearly threefold over that of the drug-free condition. In DMI-treated patients, the meanKmwas elevated nearly twofold over that of the drug-free condition. Although DMI is considered a preferential norepinephrine uptake inhibitor, the results suggest the following: (1) Significant decreases in the apparent platelet 5HT affinity are achieved with DMI; (2) the inhibition kinetics in depressed patients are competitive; (3) there was a significant relationship betweenKmchange and depression outcome with DMI discontinuation; and (40 DMI, as a metabolite, appears to contribute to the %HT uptake inhibition of IMI in vivo.