Summary
This article reviews the results of clinical studies with Deprenyl in various neurologic and psychiatric disorders except Parkinson’s disease. Promising results could be observed both in narcolepsy in a dose of at least 20 mg/day in three different trials and in one study of Tourette’s syndrome including attention hyperactivity disorders using an average dosis of 8.1 mg/ day. Controversial results were reported for Alzheimer’s disease. On the one hand significant improvement of cognitive functions was found by various authors. On the other hand in a more recent study no effect on the progression of the disease could be observed. For depression a higher dosage of deprenyl between 30 to 60 mg/day appears to be necessary for effective treatment. No positive results were found in amyotrophic lateral sclerosis and in tardive dyskinesias.
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
Agid Y, Javoy-Agid F, Ruberg M, et al (1986) Progressive supranuclear palsy: anatomoclinical and biochemical considerations. Adv Neurol 45: 191–206
Agnoli A, Martucci N, Fabbrini G, et al (1990) Monoamine oxidase and dementia: treatment with an inhibitor of MAO-B activity. Dementia 1: 109–114
Baldessarini RJ (1979) Neurological toxicology of antipyschotic drugs. McLean Hosp J 4:2–19
Bamford CR, Montgomery EB Jr, Munoz JE, et al (1993) Postpolio syndrome-response to deprenyl (selegiline). Int J Neurosci 71(1–4): 183–188
Bucci L (1987) The negative symptoms of schizophrenia and the monoamine oxidase inhibitors. Psychopharmacology 91: 104–108
Burke WJ, Roccaforte WH, Wengel SP, et al (1993) L-Deprenyl in the treatment of mild dementia of the Alzheimer type: results of a IS-month trial. J Am Geriatr Soc 41(11): 1219–225
Campi N, Todeschini GP, Scarzella L (1990) Selegiline versus L-acetylcarnitine in the treatment of Alzheimer type dementia. Clin Ther 12: 306–314
Chouinard G, Jones BD, Annable L (1980) L-dopa in neuroleptic induced extrapyramidal symptoms. 35th Annual Convention of Society of Biological Psychiatry of USA, Boston
Cohen G, Spina MB (1989) Deprenyl suppresses the oxidant stress associated with increased dopamine turn-over. Ann Neurol 26: 689–690
Crow TJ (1980) Molecular pathology of schizophrenia: more than one disease process? Br Med J 280: 66–68
Gewirtz GR, Sharif Z, Cadet JL, Sarti P, Gorman JM (1993) Selegiline for neuroleptic-induced Parkinsonism. Pharmacopsychiat 26: 128–129
Goff DC, Renshaw PF, Sarid-Segal O, et al (1993) A placebo-controlled trial of selegiline (L-deprenyl) in the treatment of tardive dyskinesia. Biol Psychiatry 33: 700–706
Heinonen EH, Lammintausta R (1991) A review of the pharmacology of selegiline. Acta Neurol Scand 136 [Suppl]: 44–59
Hublin C, Partinen M, Heinonen EH, Punkka P, Salmi T (1994) Selegiline in the treatment of narcolepsy. Neurology 44: 2095–2101
Jankovic J (1992) Diagnosis and classification of tics and Tourette Syndrome. Adv Neurol 58: 7–14
Jankovic J (1993) Deprenyl in attention deficit associated with Tourette’s syndrome. Arch Neurol 50:286–288
Jossan SS, Ekblom J, Gudjonsson O, Hagbarth KE (1994) Double blind cross over trial with deprenyl in amyotrophic lateral sclerosis. J Neural Transm [Suppl] 41: 237–241
Knoll J (1989) The pharmacology of selegiline ((−)deprenyl). New aspects. Acta Neurol Scand 126 [Suppl]: 83–91
Knoll J, Magyar K (1972) Some puzzling pharmacological effects of monoamine oxidase inhibitors. In: Costa E, Sandler M (eds) Monoamine oxidase — new vistas. Raven Press, New York, pp 393–408
Kuritzky A, Zoldan Y, Melamed E (1992) Selegiline, a MAO-B inhibitor, is not effective in the prophylaxis of migraine without aura — an open study. Headache 32(8): 416
Lavie P, Wajsbort J, Youdim MBH (1980) Deprenyl does not cause insomnia in parkinsonian patients. Commun Psychopharmacol 4: 303–307
Lohr JB (1991) Oxygen radicals and neuropsychiatric illness. Arch Gen Pschiatry 48: 1097–1106
Mangoni A, Grassi MP, Frattola L, Piolti R, Bassi S, Motta A, Marcone A, Smirne S (1991) Effects of a MAO-B inhibitor in the treatment of Alzheimer’s disease. Eur Neurol 31: 100–107
Mann J, Gershon S (1980) L-Deprenyl, a selective monoamine oxidase type-B inhibitor in endogenous depression. Life Sci 26: 877–882
Mann JJ, Frances A, Kaplan RD, et al (1982) The relative efficacy of 1-Deprenyl, a selective monoamine oxidase type B inhibitor, in endogenous and nonendogenous depression. J Clin Psychopharmacol 2(sn1): 54–57
Mann JJ, Aarons SF, Wilner PJ, Keilp JG, Sweeney JA, Pearlstein T, Frances AJ, Kocsis JH, Brown RP (1989) A controlled study of the antidepressant efficacy and side effects of (−)-deprenyl: a selective monoamine oxidase inhibitor. Arch Gen Psychiatry 46: 45–50
Mayer G, Ewert Meier K, Klinik Hephata (1995) Selegiline Hydrochloride treatment in narcolepsy. A double-blind, placebo-controlled study. Clin Neuropharmacol 18/4: 306–319
Mazzini L, Testa D, Balzarini C, Mora G (1994) An open-randomized clinical trial of selegiline in amyotrophic lateral sclerosis. J Neurol 241: 223–227
Meltzer HY, Sommers AA, Luchins DJ (1986) The effect of neuroleptics and other psychotropic drugs on negative symptoms in schizphrenia. J Clin Psychopharmacol 6: 329–338
Mendis N, Pare CMB, Sandler M, et al (1981) Deprenyl in the treatment of depression. In: Youdim MBH, Paykel ES (eds) Monoamine oxidase inhibitors: the state of the art. John Wiley and Sons, Chichester, pp 171–176
Mendlewicz J, Youdim MBH (1983) L-Deprenyl, a selective monoamine oxidase type B inhibitor, and the treatment of depression: a double blind evaluation. Br J Psychiatry 142: 508–511
Mitchell JD, Houghton E, Kilshow J, et al (1993) Free radicals, sporadic motor neurone disease and selegiline. Symposium on Neuroprotection and clinical trials in MND/ ALS, Paris (Abstract)
Monteverde A, Gnemmi P, Rossi F, Monteverde A (1990) Selegiline in the treatment of mild to moderate Alzheimer type dementia. Clin Ther 12: 315–322
Nakamura S, Kawamata T, Akiguchi I, Kameyama M, Nakamura N, Kimura H (1990) Expression of monoamine oxidase B activity in astrocytes of senile plaques. Acta Neuropathol 80: 419–425
Nieforth KA, Golbe LI (1993) Retrospective study of drug response in 87 patients with progressive supranuclear palsy. Clin Neuropharmacol 16/4: 338–346
Oreland L, Gottfries CG (1986) Brain and brain monoamine oxidase in aging and in dementia of Alzheimer’s type. Prog Neuropsychopharmacol Biol Psychiatry 10: 533–540
Perenyi A, Bagdy G, Arato M (1983) An early phase II trial with l-deprenyl for the treatment of neuroleptic-induced Parkinsonism. Pharmacopsychiat 16: 143–146
Perenyi A, Goswami U, Frecska E, Arata M, Bela A (1992) L-Deprenyl in treating negative symptoms of schizophrenia. Psychiatry Res 42: 189–191
Piccinin GL, Finali G, Piccarilli M (1990) Neuropsychological effects of L-deprenyl in Alzheimer’s dementia. Clin Neuropharmacol 13: 147–163
Quitkin FM, Liebowitz MR, Stewart JW, McGrath PJ, Harrison W, Rabkin JG, Markowitz J, Davies SO (1984) L-Deprenyl in a typical depressives. Arch Gen Psychiatry 41: 777–781
Quitkin FM, Liebowitz MR, Stewart JW, et al (1985) Deprenyl in atypical depressives. I. Clinical efficacy. Proceedings of the International Symposium in Deprenyl. Chinoin, Budapest, pp 115–119
Roselar SE, Langdon N, Lock CB, Jenner P, Parkes JD (1987) Selegiline in narcolepsy. Sleep 10(5): 491–495
Schachter M, Price PA, Parkes JD (1979) Deprenyl in narcolepsy. Lancet i: 831–832
Schneider LS, Olin JT, Pawluczyk S (1993) A double-blind crossover pilot study of l-deprenyl (selegiline) combined with cholinesterase inhibitor in Alzheimer’s disease. Am J Psychiatry 150: 321–323
Sunderland T, Cohen R, Molchan S, et al (1994) High dose selegiline in treatmentresistant older depressive patients. Arch Gen Psychiatry 51: 607–615
Tariot PN, Cohen R, Sunderland T, et al (1987a) L-Deprenyl in Alzheimer’s disease. Arch Gen Psychiatry 44: 427–433
Tariot PN, Sunderland T, Weingartner H, et al (1987b) Cognitive effects of L-deprenyl in Alzheimer’s disease. Psychopharmcology 91: 489–495
Tatton WG (1993) Selegiline can mediate neuronal rescue rather than neuronal protection. Mov Disord 8: 520–530
Thornton C, Dore CJ, Elsworth JD, Herbert M, Stern GM (1980) The effect of Deprenyl, a selective monoamine oxidase B inhibitor, on sleep and mood in man. Psychopharmcol 70: 163–166
Tringer L, Haits G, Varga E (1971) The effect of L-E-280 (L-phenylisopropyl-methyl-propinylamine) in depression. Soc Pharmacol Hungarica, Budapest, pp 111–113
Varga E, Tringer L (1967) Clinical trial of a new type of promptly acting psychoenergetic agent (Phenyl-isopropyl-methyl propinyl-HCL, E 250). Acta Med Acad Sci Hung 23: 289–295
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Springer-Verlag/Wien
About this paper
Cite this paper
Kuhn, W., Müller, T. (1996). The clinical potential of Deprenyl in neurologic and psychiatric disorders. In: Kuhn, W., Kraus, P., Przuntek, H. (eds) Deprenyl — Past and Future. Journal of Neural Transmission, vol 48. Springer, Vienna. https://doi.org/10.1007/978-3-7091-7494-4_8
Download citation
DOI: https://doi.org/10.1007/978-3-7091-7494-4_8
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-82891-5
Online ISBN: 978-3-7091-7494-4
eBook Packages: Springer Book Archive