Phenelzine and Amitriptyline in the Treatment of Depression
- 1 September 1980
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of General Psychiatry
- Vol. 37 (9), 1075-1080
- https://doi.org/10.1001/archpsyc.1980.01780220113013
Abstract
• We present the results of a direct comparison of phenelzine sulfate and amitriptyline hydrochloride therapy in 105 depressed patients. We believe this is the first definitive double-blind controlled clinical trial of a monoamine oxidase inhibitor and a tricyclic antidepressant in the outpatient setting. The results show both antidepressants to be effective, with the similarities between the two exceeding the differences. Both drugs had marked antidepressant and antianxiety effects. Phenelzine tended to exert a stronger antianxiety action; amitriptyline was more effective in reversing weight loss and improving sleep. The incidence of two side effects, sedation and orthostatic hypotension, was almost identical. Dry mouth was more prevalent with amitriptyline. We discuss the indications for the differential clinical use of both drugs in depressed outpatients.This publication has 16 references indexed in Scilit:
- Towards Rational Therapy with Monoamine Oxidase InhibitorsThe British Journal of Psychiatry, 1976
- A Double-Blind Trial of Phenelzine and Amitriptyline in Depressed Out-Patients. a Possible Differential Effect of the Drugs on SymptomsThe British Journal of Psychiatry, 1973
- Are Antidepressants Better Than Placebo?American Journal of Psychiatry, 1971
- Placebo-Control Evaluation of Desipramine in DepressionAmerican Journal of Psychiatry, 1970
- Depressive Illness in a General Practice. A Demographic Study and a Controlled Trial of ImipramineBMJ, 1970
- The Diagnosis of Depressive Syndromes and the Prediction of E.C.T. ResponseThe British Journal of Psychiatry, 1965
- The Independence of Neurotic Depression and Endogenous DepressionThe British Journal of Psychiatry, 1963
- A RATING SCALE FOR DEPRESSIONJournal of Neurology, Neurosurgery & Psychiatry, 1960
- Effects of Iproniazid in Depressive SyndromesBMJ, 1959
- The Treatment of Depressive Conditions with Imipramine (G 22355)Canadian Psychiatric Association Journal, 1958