Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-19T14:55:31.062Z Has data issue: false hasContentIssue false

48-Hour Depressive Cycling induced by Antidepressant

Published online by Cambridge University Press:  29 January 2018

B. Lerer
Affiliation:
Department of Psychiatry, Hadassah University Hospital, Jerusalem, Israel; Now Research Fellow, Jerusalem Mental Health Center, POB 140, Jerusalem, Israel
B. Birmacher
Affiliation:
Department of Psychiatry, Hadassah University Hospital, Jerusalem
R. P. Ebstein
Affiliation:
Jerusalem Mental Health Center
R. H. Belmaker
Affiliation:
Jerusalem Mental Health Center, POB 140, Jerusalem, Israel

Extract

Several cases of increases in frequency of mood cycling have recently been reported in women as a result of tricyclic antidepressant treatment (Siris et al, 1979; Wehr and Goodwin, 1979). We report here the occurrence of 48-hour rapid cycling in a man with recurrent unipolar depression after treatment with dibenzepin (Noveril), an atypical tricyclic antidepressant. Alterations in urinary cyclic adenosine monophosphate (AMP) have been reported with mood changes and were therefore evaluated at the same time.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1980 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abdullah, Y. H. & Hamadah, K. (1970) 3′ 5′ Cyclic adenosine monophosphate in depression and mania. Lancet, i, 378–81.CrossRefGoogle Scholar
Biederman, J., Rimon, R., Ebstein, R., Belmaker, R. H. & Davidson, J. T. (1977) Cyclic AMP in the CSF of patients with schizophrenia. British Journal of Psychiatry, 130, 64–7.CrossRefGoogle ScholarPubMed
Brown, B. L., Salway, J. G., Albano, J. D. M., Hullin, R. P. & Ekins, R. P. (1972) Urinary excretion of cyclic AMP and manic-depressive psychosis. British Journal of Psychiatry, 120, 405–8.CrossRefGoogle ScholarPubMed
Dunner, D. L. & Fieve, R. R. (1974) Clinical factors in lithium carbonate prophylaxis failure. Archives of General Psychiatry, 30, 229–33.CrossRefGoogle ScholarPubMed
Hamilton, M. (1960) A rating scale of depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 5662.CrossRefGoogle Scholar
Hullin, R. P., Salway, J. G., Allsopp, M. N. E., Dawn Barnes, G., Albano, J. D. M. & Brown, B. L. (1974) Urinary cyclic AMP in the switch process from depression to mania. British Journal of Psychiatry, 125, 457–8.CrossRefGoogle ScholarPubMed
Janowsky, D. S., El-Yousef, M. K. & Davis, J. M. (1972) The elicitation of psychotic symptomatology by methylphenidate. Comprehensive Psychiatry, 13, 83–5.CrossRefGoogle Scholar
Jenner, F. A., Sampson, G. S., Thompson, E. A., Somerville, A. R., Beard, N. A. & Smith, A. A. (1972) Manic-depressive psychosis and urinary excretion of cyclic AMP. British Journal of Psychiatry, 121, 236–7.CrossRefGoogle ScholarPubMed
Paul, M. I., Cramer, H., Bunney, W. E. Jnr. (1971) Urinary adenosine 3 5 monophosphate in the switch process from depression to mania. Science, 171, 300–3.CrossRefGoogle ScholarPubMed
Rechavi, M., Maayani, S., Goldstein, L., Assael, M. & Sokolowsky, M. (1977) Antimuscarinic properties of antidepressants: Dibenzepin (Noveril). Psychopharmacology, 54, 35–8.Google Scholar
Sinanan, K., Keatinge, A. M. B., Beckett, P. G. S. & Claytonlove, W. (1975) Urinary cyclic AMP in ‘endogenous' and ‘neurotic’ depression. British Journal of Psychiatry, 126, 4955.CrossRefGoogle ScholarPubMed
Siris, S. G., Chertoff, H. R. & Perel, J. M. (1979) Rapid cycling affective disorder during impramine treatment: A case report. American Journal of Psychiatry, 136, 341–2.Google Scholar
Wehr, T. A. & Goodwin, F. K. (1979) Rapid cycling in manic-depressives induced by tricyclic antidepressants. Archives of General Psychiatry, 36, 555–9.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.