Dergi Ara >>
Yıl:2002; Cilt: 10; Sayı: Ek 1>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 2002;10(Ek 1):11-16
Reboksetinin farmakokinetik ve farmakodinamik özellikleri
Ü Tural
Kocaeli Ü. Tıp Fak. Psikiyatri ABD
Depresyonda noradrenalin hipotezini destekleyen bilginin zenginliğine rağmen güçlü bir secici noradrenalin geri alım inhibitörüne ihtiyaç devam etmektedir. Reboksetin, antidepresan olarak geliştirilmiş yeni, güçlü ve secici bir noradrenalin geri alım inhibitörüdür. Reboksetinin farmakokinetiği doğrusaldır ve günlük dozu bölünmüş olarak 12 mg/gün'e çıkabilir. Önerilen klinik kullanım dozu ikiye bölünmüş şekilde günde 8-10 mg'dır. Eliminasyon yari ömrü yaklaşık 12 saattir. Noradrenerjik sisteme belirgin etkileri olmasına rağmen iyi tolere edilmektedir. Reboksetin noradrenalin geri emilimini çok güçlü olarak inhibe ederken serotonin geri alımı üzerine çok az etkiye sahiptir. Daha ötesi dopamin veya asetilkolin gibi pek çok reseptöre afinitesi çok azdır. Farmakolojik profili nedeniyle reboksetinin, psikofarmakolojik araştırmalar ve depresyon tedavisinde güçlü ve seçici bir araç olacağı tahmin edilebilir.



Pharmacokinetics and pharmacodynamics of Reboxetine
Given the wealth of data supporting the noradrenaline hypothesis of depression, there remains a need for a potent and selective noradrenaline reuptake inhibitor. Reboxetine is a novel, potent, and selective noradrenaline reuptake inhibitor developed as an antidepressant. Reboxetine phannacokinetics is linear and multipl-dose range up to 12 mg/day. The recommended clinical dose is 8-10 mg/day in two divided doses. The elimination half-life is approximately 12 h. In spite of its marked effects on the noradrenergic system, reboxetine is well tolerated. Reboxetine has high potency in inhibiting the noradrenaline uptake whilst having little effect on the uptake of serotonin. Furthermore, it has very low affinity for a wide range ofneuroreceptors such as dopamine or acetylcholine. Given the pharmacological profile, reboxetine is expected to be a selective and potent tool for both psychopharmacological research and treatment of depression.

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