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Related Concept Videos

Electroconvulsive Therapy01:30

Electroconvulsive Therapy

Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early years,...
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Antidepressant Drugs: MAOIs and Other Agents

Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...

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Related Experiment Video

Updated: Jun 14, 2026

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
04:51

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy

Published on: April 11, 2019

Transdermal selegiline in patients receiving electroconvulsive therapy.

Pamela J Horn1, Irving Reti, Geetha Jayaram

  • 1Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, MD, USA. phorn2@jhmi.edu

Psychosomatics
|March 25, 2010
PubMed
Summary

Concurrent use of electroconvulsive therapy (ECT) with transdermal selegiline, a monoamine oxidase inhibitor (MAOI), showed no adverse events in depressed patients. This combination is a viable option for relapse prevention during ECT treatment.

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Electroconvulsive Seizures in Rats and Fractionation of Their Hippocampi to Examine Seizure-induced Changes in Postsynaptic Density Proteins
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Area of Science:

  • Neuroscience
  • Psychiatry
  • Pharmacology

Background:

  • The concurrent use of monoamine oxidase inhibitors (MAOIs) and electroconvulsive therapy (ECT) is a subject of clinical debate.
  • Investigating the safety and efficacy of novel MAOI formulations with ECT is crucial for treatment optimization.

Observation:

  • This report details two cases of patients undergoing electroconvulsive therapy (ECT) while receiving transdermal selegiline, a recently approved MAOI for depression.
  • Transdermal selegiline was initiated at a low dose prior to the completion of the ECT course.

Findings:

  • No complications or adverse events were observed during the concurrent administration of ECT and low-dose, transdermally delivered selegiline.
  • The study suggests that this combination treatment is safe for patients with depression.

Implications:

  • Beginning low-dose transdermal selegiline before ECT completion presents a viable strategy for preventing relapse in depression.
  • This approach may offer a new therapeutic option for managing treatment-resistant depression, enhancing patient outcomes.