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Related Experiment Videos

Continuation therapy with amitriptyline in depression.

A Coppen, K Ghose, S Montgomery

    The British Journal of Psychiatry : the Journal of Mental Science
    |July 1, 1978
    PubMed
    Summary
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    Continuing antidepressant medication, such as amitriptyline, for eight months after recovery significantly reduces relapse rates in patients with depressive illness. Ensuring patient compliance is crucial for maintaining treatment efficacy.

    Area of Science:

    • Psychiatry and Clinical Psychology
    • Pharmacology and Therapeutics

    Background:

    • Depressive illness management often involves antidepressant medication.
    • Long-term treatment strategies for maintaining remission require further investigation.
    • Amitriptyline is a commonly prescribed tricyclic antidepressant.

    Purpose of the Study:

    • To evaluate the efficacy of continued amitriptyline treatment in preventing relapse in patients with depressive illness.
    • To assess the impact of patient compliance on treatment outcomes.
    • To determine the optimal duration for maintenance antidepressant therapy.

    Main Methods:

    • Thirty-two patients who responded to amitriptyline (150 mg daily) were randomized to receive either placebo or continued amitriptyline for one year.
    • Plasma amitriptyline concentrations were monitored.

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  • Relapse rates and patient compliance were recorded.
  • Main Results:

    • None of the patients who continued amitriptyline treatment relapsed.
    • Five out of sixteen patients (31.25%) in the placebo group relapsed.
    • No correlation was found between plasma amitriptyline concentration and residual affective morbidity.
    • Three patients who did not adhere to the prescribed amitriptyline regimen relapsed.

    Conclusions:

    • Continued treatment with amitriptyline for eight months post-recovery is effective in preventing relapse in responders.
    • Patient compliance is a critical factor in maintaining remission.
    • Maintenance antidepressant therapy is recommended for selected patients with depressive illness.