Treating the depressed elderly patient: the comparative behavioral pharmacology of mianserin and amitriptyline
- PMID: 7046364
Treating the depressed elderly patient: the comparative behavioral pharmacology of mianserin and amitriptyline
Abstract
MIA is an effective antidepressant, comparable in therapeutic efficacy to the TCAs. Further, because of its weak antimuscarinic effects. Further, because of its weak antimuscarinic effects, MIA produces no significant cognitive impairment, alteration of cardiovascular function of anticholinergic side effects compared to the TCA's. While drowsiness is the most frequently reported adverse reaction with MIA, an h.s. dosing schedule can provide relief of insomnia and improve the quality of sleep (47,61). Therefore, because of MIA's advantageous pharmacodynamic profile, it offers an improvement in therapeutic index over the TCAs in the treatment of depression in the elderly.
Similar articles
-
A double blind comparative study of mianserin and a fixed combination of amitriptyline plus chlordiazepoxide.Adv Biochem Psychopharmacol. 1982;32:213-22. Adv Biochem Psychopharmacol. 1982. PMID: 7046365 Clinical Trial.
-
Three double-blind comparative trials of mianserine (ORG GB 94) and amitriptyline in the treatment of depressive illness.Pharmakopsychiatr Neuropsychopharmakol. 1977 Mar;10(2):101-3. doi: 10.1055/s-0028-1094526. Pharmakopsychiatr Neuropsychopharmakol. 1977. PMID: 360231 Clinical Trial.
-
A double-blind comparative trial with mianserin and amitriptyline in outpatients with major depressive disorders.Br J Clin Pharmacol. 1983;15 Suppl 2(Suppl 2):227S-237S. doi: 10.1111/j.1365-2125.1983.tb05870.x. Br J Clin Pharmacol. 1983. PMID: 6337610 Free PMC article. Clinical Trial.
-
A controlled trial of amitriptyline and cianopramine in major depression.Clin Ther. 1985;7(6):699-703. Clin Ther. 1985. PMID: 3907842 Review.
-
[Mianserin: pharmacology and clinical aspects of an effective antidepressive agents].Fortschr Med. 1993 Nov 10;111(31):497-500. Fortschr Med. 1993. PMID: 8276338 Review. German.
Cited by
-
Amitriptyline versus placebo for major depressive disorder.Cochrane Database Syst Rev. 2012 Dec 12;12(12):CD009138. doi: 10.1002/14651858.CD009138.pub2. Cochrane Database Syst Rev. 2012. PMID: 23235671 Free PMC article.
-
Antidepressant versus placebo for depressed elderly.Cochrane Database Syst Rev. 2001;2001(2):CD000561. doi: 10.1002/14651858.CD000561. Cochrane Database Syst Rev. 2001. PMID: 11405969 Free PMC article.
-
Amitriptyline, clovoxamine and cognitive function: a placebo-controlled comparison in depressed outpatients.Psychopharmacology (Berl). 1992;108(3):327-32. doi: 10.1007/BF02245119. Psychopharmacology (Berl). 1992. PMID: 1523282 Clinical Trial.
-
The safety of antidepressants.Drugs. 1992;43 Suppl 2:40-6; discussion 46-7. doi: 10.2165/00003495-199200432-00007. Drugs. 1992. PMID: 1378373 Review.