2011
DOI: 10.1517/13543784.2011.594039
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Triple reuptake inhibitors for treating subtypes of major depressive disorder: the monoamine hypothesis revisited

Abstract: In this review, a distinction is made between the subtypes of melancholic and atypical depressions and their associated brain abnormalities and dysfunctions in neurotransmitter systems. Subsequently, we propose a hypothetical model: 'the monoamine hypothesis revisited' to predict what kind of pharmacological treatment will be effective in the different subtypes of depression. It is expected that the triple reuptake inhibitors, inhibiting the reuptake of all three monoamines, can produce a greater efficacy than… Show more

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Cited by 89 publications
(60 citation statements)
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References 243 publications
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“…Most present treatment options for depression are based on the monoamine hypothesis, and aim to increase the availability of monoamines, such as serotonin, in the synaptic cleft (Prins et al, 2011;Rush et al, 2006). However, the late onset of therapeutic effects as well as unsatisfactory relapse rates and side effects illustrates the need for improved therapeutics (Thase, 2006).…”
Section: Introductionmentioning
confidence: 99%
“…Most present treatment options for depression are based on the monoamine hypothesis, and aim to increase the availability of monoamines, such as serotonin, in the synaptic cleft (Prins et al, 2011;Rush et al, 2006). However, the late onset of therapeutic effects as well as unsatisfactory relapse rates and side effects illustrates the need for improved therapeutics (Thase, 2006).…”
Section: Introductionmentioning
confidence: 99%
“…Thus, the increases in DA observed are more likely an indirect effect of the increases in 5-HT and NA levels. Indeed, increased DA has been reported in the prefrontal cortex following NRI treatment [21,22].…”
Section: Acute Duloxetine Treatmentmentioning
confidence: 99%
“…A new era in the antidepressant therapy was ushered on the premise that a broader spectrum inhibition of the three major MAT would lead to enhanced efficacy and faster antidepressant response. Moreover, TRIs should be able to address broad range of depressive symptoms including anhedonia and also exhibit reduced side effects, which are associated with currently available antidepressants [84].…”
mentioning
confidence: 99%