Abstract
Drug therapy for depression was introduced in the 1950s. Two distinct chemical classes—hydrazines and dibenzazepines—were originally found useful for the treatment of this disorder. The hydrazines are relatively potent inhibitors of a variety of enzymes, including monoamine oxidase (MAO), which participates in the metabolism of catecholamines and serotonin. The dibenzazepines inhibit the neuronal reaccumulation of monoamines, and in particular, norepinephrine and serotonin. Both groups elevate mood in individuals suffering from endogenous depression, a disorder that, up to that time, could only be effectively reversed with shock therapy. This discovery revolutionized the treatment of affective illness and contributed significantly to the establishment of psychopharmacology.
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Enna, S.J., Eison, M.S. (1987). Second-Generation Antidepressants. In: Iversen, L.L., Iversen, S.D., Snyder, S.H. (eds) Handbook of Psychopharmacology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1819-4_11
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