Treatment of depression
by
Payk TR
Westfalisches Zentrum fur
Psychiatrie der Ruhr-Universitat,
Bochum, Germany.
J Geriatr Psychiatry Neurol 1994 Oct; 7 Suppl 1:S3-5
ABSTRACT
Depressions are the most common psychiatric diseases. For treatment, plant
extracts have been used for thousands of years: examples are extracts from the
(sleeping) poppy (opium), deadly nightshade (Atropa belladonna), Indian hemp
(hashish), henbane (hyoscyamine), thorn apple (scopolamine), and St. John's wort
(hypericum oil). In addition, psychotherapeutic measures, like playing music,
dancing, playing theatre, and also the temple sleep, were used. In the 19th
century, the introduction of brome (1826), codeine (1832), chloral hydrate
(1869), and paraldehyde (1882), as well as the barbiturates (at the turn of the
century) introduced significant improvements in pharmacotherapy. The modern
thymoleptica therapy started in 1957 with the introduction of imipramine. Now
about 40 active antidepressants are marketed. New drug developments should be
characterized mainly by an improvement in tolerance.
TCAs
SSRIs
Options
Reward
Cocaine
Cannabis
Recovery
Dopamine
Barbiturates
St John's wort
Chronic depression
Atypical depression
Retarded depression
New antidepressants
Antidepressants: how fast?
Antidepressants and the brain
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