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Maprotiline (Maprotiline Hydrochloride) - Summary

 
 



Suicidality and Antidepressant Drugs

Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders. Anyone considering the use of maprotiline or any other antidepressant in a child, adolescent, or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. Maprotiline is not approved for use in pediatric patients. (See WARNINGS: Clinical Worsening and Suicide Risk, PRECAUTIONS: Information for Patients and PRECAUTIONS: Pediatric Use.)

 

MAPROTILINE SUMMARY

MAPROTILINE HYDROCHLORIDE TABLETS, USP

Maprotiline hydrochloride, USP is a tetracyclic antidepressant, available as 25 mg, 50 mg and 75 mg tablets for oral administration.

Maprotiline hydrochloride tablets are indicated for the treatment of depressive illness in patients with depressive neurosis (dysthymic disorder) and manic-depressive illness, depressed type (major depressive disorder). Maprotiline is also effective for the relief of anxiety associated with depression.


See all Maprotiline indications & dosage >>

NEWS HIGHLIGHTS

Media Articles Related to Maprotiline

Could laughing gas be used to treat severe depression?
Source: Depression News From Medical News Today [2014.12.10]
A small pilot study suggests treatment with nitrous oxide or laughing gas may help patients with severe depression whose illness is not responding to conventional therapies.

Malnutrition in U.S. - greatest cost linked to seniors, depression, COPD, coronary artery disease and dementia
Source: Depression News From Medical News Today [2014.12.10]
Even in food-abundant industrialized countries like the U.S., an alarming number of people, particularly seniors, are in a state of diseased-associated malnutrition1.

A Guide to Treating Depression
Source: Medscape Internal Medicine Headlines [2014.12.08]
Dr Matt Goldenberg walks through his approach to treating patients with depression.
Medscape Psychiatry

Depression in people who live in unhappy places experienced more than a week a month
Source: Anxiety / Stress News From Medical News Today [2014.12.07]
People in the country's unhappiest communities spend about a quarter of the month so far down in the dumps that it can harm their productivity, according to economists.

Holiday Depression, Anxiety, and Stress
Source: MedicineNet Alcohol Abuse and Alcoholism Specialty [2014.12.04]
Title: Holiday Depression, Anxiety, and Stress
Category: Diseases and Conditions
Created: 11/8/1999 12:00:00 AM
Last Editorial Review: 12/4/2014 12:00:00 AM

more news >>

Published Studies Related to Maprotiline

Comparisons of glucose-insulin homeostasis following maprotiline and fluoxetine treatment in depressed males. [2007.11]
BACKGROUND: To investigate the effects of antidepressants on glucose-insulin homeostasis, we provided homogenous situation and performed standard procedures to assess the interactions of antidepressants and glucose regulation during hospitalization... CONCLUSIONS: The results suggest that the beta-cell function is hyperbolic in order to offset the insulin resistance following maprotiline treatment. Our findings imply that norepinephrine reuptake inhibitor (NRI) antidepressants might attenuate insulin sensitivity.

more studies >>

Clinical Trials Related to Maprotiline

Treatment-Resistant Depression, Hippocampus Atrophy and Serotonin Genetic Polymorphism [Recruiting]
Reduction of volume of the hippocampus has been associated with major depression in many studies. It has been suggested that antidepressants may protect against hippocampus volume loss in humans associated with multiple episodes of depression and may also reverse the reduction of volume caused by the depression. In addition, genetic markers for serotonin are implicated with depression, and may be an indication of reduced response to antidepressant treatments.

This study aims to enroll patients who are defined as having treatment resistant depression (no remission after at least 2 treatments trials with an antidepressant). They will receive an MRI scan at the initial visit and either 6 months after sustained remission or 12 months after they enter the study for non-remitters. They will also be asked to give a blood sample for genotyping. They will be matched by age and handedness to healthy volunteers with no personal history of depression who will also receive an MRI scan and genotyping.

The first aim is to compare hippocampal volume of depressed subjects to healthy controls. It is anticipated that subjects will initially have smaller hippocampal volume but of those who sustain remission, there will be a small increase in hippocampal volume. It is also anticipated that specific genetic markers will be related to individuals response to antidepressant treatments.

more trials >>


Page last updated: 2014-12-10

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