Dergi Ara >>
Yıl:1995; Cilt: 3; Sayı: 4>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 1995;3(4):249-252
Major depresyon sağaltımında moklobemid'in etkinliği
A Eğrilmez, Ö Aydemir, C Önal, S Kültür
Atatürk Devlet Hastanesi, İzmir
Amaç: Bir geri dönüşlü MAO-A inhibitörü olan moklobemidin antidepresan etkinliği ve tolerabilitesinin araştırılması. Yöntem: İlacın etkinliği ve tolerabilitesi ICD-9 tam ölçütlerine göre majör depresif epizod tanısı alan, Hamilton Depresyonu Derecelendirme Ölçeği (HDDO) puanı 16 ve üzerinde olan 19 yatan hastada dört haftalık açık bir çalışma dizaynıyla araştırıldı. Bulgular: Çalışma sonunda HDDÖ ortalama puanlarında istatiksel düzeyde anlamlı düşüş saptandı. HDDÖ puanlarının 10 hastada (%52.63) başlangıç düzeyinin yarısından fazla düştüğü görüldü. Tartışma: Bulgular yazın ile uyumluydu. Moklobemidin klinik etkinliğinin iyi, yan etkilerinin çok az ve geçici olduğu ve klasik MAO inhibitörlerine özgü yan etkileri sergilemediği saptandı.
The efficacy of moclobemide in major depression
Objective: To assess the efficacy and the tolerence of moclobemide, a reversible and selective MAO-A inhibitor. Method: The efficacy and tolerability of the drug was assessed in 19 inpatients with major depression ICD-9, having a Hamilton Rating Scale of Depression (HRSD) score greater than 16, with an open design. Results: Significant decreases were observed in HRSD scores at the end of fourth week. The HRSD scores of 10 patients (%52.63) showed a decrease more than 50% of the initial scores. Discussion: Results were in accordance with the relevant literature. The clinical efficacy of moclobemide was good, adverse effects were negligible and transient, and were not similar to the adverse effects of the classical MAO inhibitors.

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