[Other therapeutic strategies]

Presse Med. 2016 Mar;45(3):350-9. doi: 10.1016/j.lpm.2016.02.005. Epub 2016 Mar 16.
[Article in French]

Abstract

Non-selective and irreversible MAOI have become as third or fourth-line strategy for the management of treatment-resistant depression. Non-selective and irreversible MAOI requires careful monitoring of drug interactions and dietary restrictions. Nutritional supplements such as omega-3 have been found to produce beneficial effects in the management of treatment-resistant depression when administered in combination with the ongoing antidepressant treatment. The glutamate antagonist ketamine has been found to produce beneficial effects in the management of treatment-resistant depression while administered alone. Dopamine and/or norepinephrine agonists, such as methylphenidate, modafinil or pramipexole, have been found to produce beneficial effects in the management of treatment-resistant depression when administered in combination with the ongoing antidepressant treatment.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adrenergic alpha-Agonists / therapeutic use*
  • Antidepressive Agents / pharmacokinetics
  • Antidepressive Agents / therapeutic use*
  • Central Nervous System Stimulants / therapeutic use*
  • Depressive Disorder / drug therapy*
  • Dietary Supplements*
  • Dopamine Agonists / therapeutic use*
  • Double-Blind Method
  • Drug Interactions
  • Drug Resistance
  • Drug Therapy, Combination
  • Excitatory Amino Acid Antagonists / therapeutic use*
  • Fatty Acids, Omega-3 / therapeutic use
  • Folic Acid / therapeutic use
  • Food-Drug Interactions
  • Humans
  • Ketamine / therapeutic use*
  • Monoamine Oxidase Inhibitors / pharmacokinetics
  • Monoamine Oxidase Inhibitors / therapeutic use*
  • Randomized Controlled Trials as Topic
  • S-Adenosylmethionine / therapeutic use

Substances

  • Adrenergic alpha-Agonists
  • Antidepressive Agents
  • Central Nervous System Stimulants
  • Dopamine Agonists
  • Excitatory Amino Acid Antagonists
  • Fatty Acids, Omega-3
  • Monoamine Oxidase Inhibitors
  • Ketamine
  • S-Adenosylmethionine
  • Folic Acid