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Antidepressants: Recent Developments

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Encyclopedia of Psychopharmacology
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Synonyms

Depression medications

Definition

Antidepressants are drugs used to treat depression, although many have been studied in and are used to treat a wide variety of conditions, including anxiety disorders, pain disorders, and others.

Pharmacological Properties

History

Since the serendipitous discovery of the antidepressant effects of tricyclics in the 1950s, depression has generally been treated by agents that boost the synaptic actions of one or more of the three monoamines (serotonin (5HT), norepinephrine (NE), and dopamine (DA)). Acutely enhanced synaptic levels of monoamines could lead to adaptive downregulation and desensitization of postsynaptic receptors over time, a pharmacological action consistent with current aminergic hypotheses of depression, which posit that the disorder may be due to the pathological upregulation of neurotransmitter receptors (Stahl 2008a). Thus, antidepressants theoretically reverse this pathological upregulation of receptors over time. Adaptive...

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References

  • Avery DH, Holtzheimer PE III, Fawaz W, Russo J, Neumaier J, Dunner DL, Haynor DR, Claypoole KH, Wajdik C, Roy-Byrne P (2006) A controlled study of repetitive transcranial magnetic stimulation in medication-resistant major depression. Biol Psychiatry 59:187–194

    Article  PubMed  Google Scholar 

  • Duman RS, Nakagawa S, Malberg J (2001) Regulation of adult neurogenesis by antidepressant treatment. Neuropsychopharmacology 25:836–844

    Article  PubMed  CAS  Google Scholar 

  • Fava M (2007) Augmenting antidepressants with folate: a clinical perspective. J Clin Psychiatry 68(Suppl 10):4–7

    PubMed  CAS  Google Scholar 

  • Mayberg HS, Lozano AM, Von V, McNeely HE, Seminowicz D, Hamani C, Schwab JM, Kennedy SH (2005) Deep brain stimulation for treatment-resistant depression. Neuron 45:651–660

    Article  PubMed  CAS  Google Scholar 

  • Papakostas GI, Shelton RC, Smith J, Fava M (2007) Augmentation of antidepressants with atypical antipsychotic medications for treatment-resistant major depressive disorder: a meta-analysis. J Clin Psychiatry 68:826–831

    Article  PubMed  CAS  Google Scholar 

  • Stahl SM (2008a) Stahl’s essential psychopharmacology, 3rd edn. Cambridge University Press, New York

    Google Scholar 

  • Stahl SM (2008b) Do dopamine partial agonists have partial efficacy as antipsychotics? CNS Spectr 13:279–282

    PubMed  Google Scholar 

  • Stahl SM (2009) Stahl's essential psychopharmacology: the prescriber’s guide, 3rd edn. Cambridge University Press, New York

    Google Scholar 

  • Warden D, Rush AJ, Trivedi MH, Fava M, Wisniewski SR (2007) The STAR*D Project results: a comprehensive review of findings. Curr Psychiatry Rep 9:449–459

    Article  PubMed  Google Scholar 

  • Wise DD, Felker A, Stahl SM (2008) Tailoring treatment of depression for women across the reproductive life cycle: the importance of pregnancy, vasomotor symptoms, and other estrogen-related events in psychopharmacology. CNS Spectr 13:647–662

    PubMed  Google Scholar 

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Correspondence to Meghan M. Grady .

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Grady, M.M., Stahl, S.M. (2010). Antidepressants: Recent Developments. In: Stolerman, I.P. (eds) Encyclopedia of Psychopharmacology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68706-1_362

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