Sections
Classification of Antidepressant Drugs and Overview of Their Mechanism of Action | Neuroprotection Hypotheses and Evidence | Stress, Antidepressants, Antimanic Agents
Excerpt
Most effective antidepressants potently increase synaptic
levels of norepinephrine (NE) and/or serotonin (5 hydroxytryptamine [5-HT]),
and in some cases dopamine (DA). Most accomplish this by inhibiting
reuptake of monoamines (NE, DA, and serotonin) or inhibiting the
enzyme monoamine oxidase (MAO). Although increased synaptic monoamine levels
are not temporally correlated with therapeutic response, they are
an essential aspect of the mechanism of action of some medications
(Delgado et al. 1993). Selective partial depletion
of serotonin or NE and DA causes rapid depression relapse in depressed
patients on antidepressant medications that have been effective.