A Potential Clinical Use for Methylphenidate with Tricyclic Antidepressants

Seven patients with recurrent refractory psychotic depressive illness were treated with tricyclic antidepressants plus methylphenidate (Ritalin). The effect of methylphenidate appears to involve an increase in the blood levels of antidepressants through enzymatic inhibition of the metabolism of imip...

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Veröffentlicht in:The American journal of psychiatry 1971-06, Vol.127 (12), p.1619-1625
Hauptverfasser: WHARTON, RALPH N, PEREL, JAMES M, DAYTON, PETER G, MALITZ, SIDNEY
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container_end_page 1625
container_issue 12
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container_title The American journal of psychiatry
container_volume 127
creator WHARTON, RALPH N
PEREL, JAMES M
DAYTON, PETER G
MALITZ, SIDNEY
description Seven patients with recurrent refractory psychotic depressive illness were treated with tricyclic antidepressants plus methylphenidate (Ritalin). The effect of methylphenidate appears to involve an increase in the blood levels of antidepressants through enzymatic inhibition of the metabolism of imipramine and desmethylimipramine that is concomitant with clinical improvement. The potentiation by methylphenidate may have important implications for the treatment of depression.
doi_str_mv 10.1176/ajp.127.12.1619
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subjects Adult
Aged
Animals
Chloral Hydrate - therapeutic use
Chromatography, Thin Layer
Depression - drug therapy
Depression - enzymology
Desipramine - antagonists & inhibitors
Desipramine - blood
Desipramine - therapeutic use
Dextroamphetamine - metabolism
Drug Synergism
Electroconvulsive Therapy
Female
Haplorhini
Humans
Imipramine - antagonists & inhibitors
Imipramine - blood
Imipramine - therapeutic use
Liver - metabolism
Male
Methylphenidate - metabolism
Methylphenidate - pharmacology
Methylphenidate - therapeutic use
Mice
Middle Aged
Psychotherapy
Rats
title A Potential Clinical Use for Methylphenidate with Tricyclic Antidepressants
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