Psychopharmacoendocrinology and Depression Research

Specificaties
Paperback, 219 blz. | Engels
Springer Berlin Heidelberg | 1990
ISBN13: 9783540520757
Rubricering
Springer Berlin Heidelberg e druk, 1990 9783540520757
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Samenvatting

1.1 Outline of the Study In this study the influence of psychotropic drugs on anterior pituitary hormone (APR) secretion was investigated in healthy subjects and in depressed patients. The basis for this study is formed by pharmacological investigations which indicate that the therapeutic effect of psychotropic drugs can be attributed to their functional influence on central nervous aminergic impulse transmission (stimuli) as well as by endocrinological investigations which show that central nervous aminergic neurons influence APR secretion in man. The purpose was to frod out if psychotropic drugs with differing pharmacological actions also influence APR secretion differently, even though the complex processes of central nervous stimuli transmission, the effect of psychotropic drugs on these processes, as well as the action of aminergic neuronal systems on APR secretion are not completely understood. Furthermore, it was investigated if it is possible to reach conclusions on the effects of drugs on central nervous aminergic neurons based upon APR secretion data. Specifically, the effects of various antidepressants, neuroleptics, and benzodiazepine-type tranquilizers on the secretion of growth hormone (GR), prolactin (PRL), adrenocorticotropic hormone (ACTR), and cortisol were investigated in healthy male subjects. The first part of this study presents in detail the results of these experiments and also incorporates the results of other investigators. It is endeavored to answer the question whether and to what extent the different psychotropic drugs influence APR secretion and whether the APR secretion profiles of the different psychotropic drugs can serve as a possible pharmacoendocrinological model in humans.

Specificaties

ISBN13:9783540520757
Taal:Engels
Bindwijze:paperback
Aantal pagina's:219
Uitgever:Springer Berlin Heidelberg

Inhoudsopgave

1 Introduction.- 1.1 Outline of the Study.- 1.2 Effect of Psychotropic Drugs on Central Nervous Aminergic Stimuli Transmission.- 1.3 Influence of Aminergic Neuronal Systems on Anterior Pituitary Hormone Secretion.- 1.4 Aminergic Neurons, APH Secretion and Depression Research.- 2 Influence of Psychotropic Drugs on Anterior Pituitary Hormone Secretion in Healthy Subjects.- 2.1 Healthy Subjects and Methods.- 2.2 Influence of Psychotropic Drugs on GH Secretion.- 2.2.1 Antidepressants and GH Secretion.- 2.2.1.1 Desipramine.- 2.2.1.2 Clomipramine.- 2.2.1.3 Nomifensine.- 2.2.1.4 L- and D-Oxaprotiline.- 2.2.1.5 Bupropion.- 2.2.1.6 Indalpine.- 2.2.1.7 Summary.- 2.2.2 Neuroleptics and GH Secretion.- 2.2.2.1 Haloperidol.- 2.2.2.2 Summary.- 2.2.3 Benzodiazepine Derivatives and GH Secretion.- 2.2.3.1 Diazepam and Metaclazepam.- 2.2.3.2 Summary.- 2.2.4 Discussion.- 2.3 Influence of Psychotropic Drugs on Prolactin Secretion.- 2.3.1 Antidepressants and PRL Secretion.- 2.3.1.1 Desipramine.- 2.3.1.2 Clomipramine.- 2.3.1.3 Nomifensine.- 2.3.1.4 L- and D-Oxaprotiline.- 2.3.1.5 Bupropion.- 2.3.1.6 Indalpine.- 2.3.1.7 Summary.- 2.3.2 Neuroleptics and PRL Secretion.- 2.3.2.1 Haloperidol.- 2.3.2.2 Summary.- 2.3.3 Benzodiazepine Derivatives and PRL Secretion.- 2.3.3.1 Diazepam.- 2.3.3.2 Summary.- 2.3.4 Discussion.- 2.4 Influence of Psychotropic Drugs on Cortisol/ACTH Secretion.- 2.4.1 Antidepressants and Cortisol/ACTH Secretion.- 2.4.1.1 Desipramine.- 2.4.1.2 Clomipramine.- 2.4.1.3 L- and D-Oxaprotiline.- 2.4.1.4 Indalpine.- 2.4.1.5 Summary.- 2.4.2 Neuroleptics and Cortisol Secretion.- 2.4.2.1 Sulpiride.- 2.4.2.2 Summary.- 2.4.3 Benzodiazepine Derivatives and Cortisol/ACTH Secretion.- 2.4.3.1 Diazepam.- 2.4.3.2 Summary.- 2.4.4 Discussion.- 2.5 Discussion.- 3 Influence of Receptor Blockers and Receptor Agonists on Antidepressant-Induced Anterior Pituitary Hormone Secretion in Healthy Subjects.- 3.1 Healthy Subjects and Methods.- 3.2 Influence of Receptor Blockers and Receptor Agonists on DMI-Induced GH Stimulation.- 3.2.1 GH, DMI, and Methysergide.- 3.2.2 GH, DMI, and Phentolamine.- 3.2.3 GH, DMI, and Yohimbin.- 3.2.4 GH, DMI, and Prazosin.- 3.2.5 GH, DMI, and Propranolol.- 3.2.6 GH, DMI, and Clenbuterol.- 3.2.6 Summary.- 3.3 Influence of Receptor Blockers and Receptor Agonists on DMI-Induced PRL Stimulation.- 3.3.1 PRL, DMI, and Methysergide.- 3.3.2 PRL, DMI, and Phentolamine.- 3.3.3 PRL, DMI, and Yohimbin.- 3.3.4 PRL, DMI, and Prazosin.- 3.3.5 PRL, DMI, and Propranolol.- 3.3.6 PRL, DMI, and Clenbuterol.- 3.3.7 Summary.- 3.4 Influence of Receptor Blockers and Receptor Agonists on DMI-Induced Cortisol/ACTH Stimulation.- 3.4.1 Cortisol, DMI, and Methysergide.- 3.4.2 Cortisol, DMI, and Phentolamine.- 3.4.3 Cortisol, DMI, and Yohimbin.- 3.4.4 Cortisol, ACTH, DMI, and Prazosin.- 3.4.5 Cortisol, DMI, and Propranolol.- 3.4.6 Cortisol, DMI, and Clenbuterol.- 3.4.7 Summary.- 3.5 Discussion.- 4 Desipramine-Induced Growth Hormone Stimulation in Depressive Patients and Healthy Subjects.- 4.1 GH Secretion after Desipramine in Depressive Patients and Healthy Subjects.- 4.2 Healthy Subjects, Patients, and Methods.- 4.2.1 GH Secretion after DMI in Male and Female Healthy Subjects of Differing Age.- 4.2.2 Case Records of the Patients.- 4.2.3 Selection of the Patients.- 4.2.4 Evaluation of the Trial Group.- 4.3 Results.- 4.3.1 Healthy Male and Female Subjects.- 4.3.1.1 GH Secretion after DMI in Healthy Male Subjects Grouped According to Their Age in Decades.- 4.3.1.2 GH Secretion after DMI in Healthy Female Subjects Grouped According to Their Age in Decades.- 4.3.1.3 GH Secretion after DMI in Healthy Female Subjects in Relationship to the Menstrual Cycle.- 4.3.1.4 Summary.- 4.3.2 GH Secretion after Administration of DMI in Male and Female Patients.- 4.3.2.1 Severity of the Depressive Disease (Hamilton Depression Scale) and GH Secretion.- 4.3.2.2 GH Secretion after DMI in Depressive Patients (Grouped According to Diagnosis) in Comparison with Healthy Subjects.- 4.3.2.2.1 Monopolar Endogenous Depressive Male Patients (ICD 296.1).- 4.3.2.2.2 Bipolar Endogenous Depressive Male Patients (ICD 296.3).- 4.3.2.2.3 Neurotic Depressive Male Patients (ICD 300.4).- 4.3.2.2.4 Monopolar Endogenous Depressive Female Patients (ICD 296.1).- 4.3.2.2.5 Bipolar Endogenous Depressive Female Patients (ICD 296.3).- 4.3.2.2.6 Neurotic Depressive Female Patients (ICD 300.4).- 4.3.2.3 Summary.- 4.3.3 Group Comparison of GH Secretion after DMI and DMI-Induced GH Stimulation in Patients and Healthy Subjects.- 4.3.3.1 GH Secretion Reflected in the AUCs after DMI in Male Patients and in Healthy Male Subjects.- 4.3.3.2 GH Secretion Reflected in the AUCs after DMI in Female Patients and Healthy Female Subjects.- 4.3.3.3 GH Stimulation 60 min after DMI in Male Patients in Comparison with Healthy Male Subjects.- 4.3.3.4 GH Stimulation 60 min after DMI in Female Patients in Comparison with Healthy Female Subjects.- 4.4 Summary and Discussion.- 5 Summary.- 6 Reference.
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        Psychopharmacoendocrinology and Depression Research