Abstract
The development of antidepressants and of theories as to the causes of depression have taken a parallel course and have influenced each other. All classic antidepressants have the property of potentiating monoaminergic transmission, either by inhibiting neuronal reuptake or by inhibiting the monoamino-oxidase enzymes. To explain the clinical efficacy of these drugs, it was assumed in the theories about depression that the disease is induced by a deficiency of noradrenaline (NA), serotonin, or dopamine at the neuronal-synaptic receptor sites (Bunney and Davis 1965; Lapin and Oxenkrug 1969; Randrup and Braestrup 1977). Research was therefore carried out to discover antidepressants which selectively potentiate noradrenergic, serotoninergic, or dopaminergic transmission. There is now no doubt about the therapeutic efficacy of selective inhibitors of NA reuptake (such as maprotiline), but that of the selective inhibitors of serotonin reuptake (such as zimelidine and fluoxetine) is still disputed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bär W (1984) Studie zur Verträglichkeit und Berechnung pharmakokinetischer Parameter nach mehrfacher Gabe eines antidepressiv wirksamen Maprotilin-Derivates. Thesis, University of Heidelberg
Bunney WE, Davis JW (1965) Norepinephrine in depressive reactions. Arch Gen Psychiatry 13: 483–494
Checkley SA, Tompson C, Burton S, Franey C, Arendt J (1985) Clinical studies of the effects of (+) and (—)-oxaprotiline upon noradrenaline uptake. Psychopharmacology 87:116– 118
Cording-Tömmel C (1984) Methodische Probleme bei der klinischen Wirksamkeitsprüfung von Antidepressiva. Neuropsychiatr Clin 3: 41–53
Enkelmann R, Nippert M, Wendt G, Binz U (1986) CGP 12’103 A in patients with anxiety. In: Abstracts, the world psychiatric association regional symposium, Copenhagen, p 52
Gnirss FA (1986) Depression and sleep disorders: the optical isomers of oxaprotiline and their effect on sleep parameters in healthy subjects. Psychopathology 19 (Suppl 2): 231–238
Herrmann W, Wagner W, Irrgang U (1982) Nachweis der ZNS-Wirkung des L-Enantiomers von Hydroxymaprotilin CGP12’103A, 150 mg unter Anwendung des quantitativen Pharmako-EEG im Vergleich zu Imipramin 75 mg und Placebo. Report, Gesellschaft für Arzneimittelprüfung mbH, Berlin
Laakmann G (1988) Psychopharmakoendokrinologie und Depressionsforschung. Springer, Berlin Heidelberg New York London Paris Tokyo, pp 36–43 (Monographien aus dem Gesamtgebiet der Psychiatrie, vol 46 )
Laakmann G, Wittmann M, Neulinger E, Meissner R (1984) Effects of psychotropic drugs on neuroendocrine regulation of pituitary hormones in man. Clin Neuropharmacol 7 (1): 156–157
Lapin IP, Oxenkrug GF (1969) Intensification of the central serotoninergic processes as a possible determinant of the thymoleptic effect. Lancet 5: 132–136
Möller HJ (1984) Methodische Prinzipien bei der klinischen Evaluation psychopharmakologischer und psychotherapeutischer Depressionsbehandlungen. In: Wolfersdorf M, Straub R, Hole G (eds) Depressiv Kranke in der Psychiatrischen Klinik. Roderer, Regensburg, pp 236–249
Müller AA, BinzU, Wendt G (1981) Oxaprotiline (C49’802Ba) versus one of its enanti- omeres (CGP 12’103 A): a double blind study in depressive patients. In: Abstracts, 3rd world congress on biological psychiatry, Stockholm, p F 325
Müller AA, Binz U, Wendt G (1983) A double-blind comparison: oxaprotiline and maprotiline. In: Abstracts, 7th world congress of psychiatry, p 570
Müller AA, Binz U, Wendt G (1984a) Discussion of the validity of an reuptake inhibition for antidepressive therapy with regard to the oxaprotiline R-(—)-enantiomer CGP 12’103 A. In: Abstracts, 14th CINP-congress, Florence, p 207
Müller AA, Middendorf E, Wendt G, Binz U (1984b) Antidepressive therapy with CGP 12’103 A versus oxaprotiline/enantiomer versus racemat. In: Abstracts, 1st european conference - recent advances in psychiatric treatment, Vienna, p 28
RandrupA, Braestrup C (1977) Uptake inhibition of biogenic amines by newer antidepressant drugs: relevance to the dopamine hypothesis of depression. Psychopharmacology 53: 309–314
Roffmann M, Gould EE (1982) A double-blind comparative study of oxaprotiline with amitryptiline and placebo in moderate depression. Current Ther Res 32 (2): 247–256
Schmauss M, Laakmann G, Dieterle D, Blaschke D (1985a) Oxaprotiline in the treatment of endogenous depressed in patients. An early clinical trial. Pharmacopsychiatry 17: 282–285
Schmauss M, Laakmann G, Dieterle D, Schmitz R, Wittmann M (1985b) Clinical investigation on the importance of Na-reuptake inhibition for antidepressive efficacy: oxaprotiline versus its R-(-) enantiomer CGP 12’103 A. Pharmacopsychiatry 18: 86–87
Schmauss M, Laakmann G, Dieterle D (1987) Oxaprotiline versus maprotiline in patients with endogenous depression. A double-blind, controlled study. Current Ther Res 41 (3): 342–350
Schmidlin O, Gundert-Remy U, Maurer W, Weber E (1982) Differences of sympathomimetic and anticholinergic action of OH-maprotiline and its R-(—)-enantiomer. Br J Clin Pharmacol 14: 799–804
ShopsinB, Wilk S, Sathananthan C, Gershon S, Davis K (1974) Catecholamines and affective disorders. A critical assessment. J Nerv Ment Dis 158: 369–383
SulserF, Mobley PL (1980) Biochemical effects of antidepressants in animals. In: Hoffmeister F, Stille G (eds) Psychotropic agents. Part I. Springer, Berlin Heidelberg New York, pp 471–490 (Handbook of experimental pharmacology, vol 55 )
Waldmeier P, Baumann P, Hauser K, Maitre L, Stroni A (1982) Oxaprotiline, a noradrenaline uptake inhibitor with an active and inactive enantiomer. Biochem Pharmacol 31 (12): 2169–2176
Wendt G, Binz U (1986) Summary of the results from studies performed so far. In: Abstracts, the world psychiatric association regional symposium, Copenhagen, p 399
Wendt G, Müller AA, BinzU, Möller HJ (1987) Global assessment and/or detailed rating scales in studies with antidepressant agents. In: Abstracts, the world psychiatric association regional symposium, Buenos Aires, p 15
WoggonB, Angst J (1978) Grundlagen und Richtlinien für erste klinische Psychopharmakaprüfungen ( Phase I, II) aud der Sicht des klinischen Prüfers. Arzneimittelforschung (Drug Res ) 28: 1257–1259
Wolfersdorf M, BinzU, Wendt G, Metzger R, Hole G (1987) Double-blind study of oxaprotiline versus clomipramine in the treatment of depressive inpatients. Neuropsycho- biology 17(1 /2):41 –48
Wolfersdorf M, Wendt G, Binz U, Steiner B, Hole G (1988) CGP 12’103 A versus clomipramine in the treatment of depressed inpatients - results of a double-blind study. Pharmacopsychiatry 21: 203–220
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Wendt, G. (1990). Levoprotiline: Clinical Therapeutic Efficacy and Tolerability. In: Bunney, W.E., Hippius, H., Laakmann, G., Schmauss, M. (eds) Neuropsychopharmacology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74034-3_29
Download citation
DOI: https://doi.org/10.1007/978-3-642-74034-3_29
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-74036-7
Online ISBN: 978-3-642-74034-3
eBook Packages: Springer Book Archive