In a three-week study of 10,000 general practice patients with depressive illness, a single dose of maprotiline 75 mg at night was effective therapy in three-quarters of the patients who completed the study.
At this dose the drug was well tolerated, and troublesome side-effects presented in only a small percentage of patients. Drowsiness was the most commonly reported side-effect, and the main reason for withdrawal of treatment.
The drug was acceptable to most physicians, and in this study was used in a wide range of patients and over a broad spectrum of depressive illness.
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References
1.
AydFJJr (1974) Once-a-day tricyclic antidepressant drug therapy: A survey. Diseases of the Nervous System35, 475
2.
AydFJJr (1974) Single daily dose of antidepressant. Editorial Journal of the American Medical Association230, 263
3.
BanT (1970) Tricyclic antidepressants; adverse reactions and their treatment. Psychopharmacology p, 283 (William and Wilkins, Baltimore 1969)
4.
Collaborative Study Group (1973) Prospective study of ampicillin rash. British Medical Journal1, 7
5.
ForrestWA (1975) A comparison between daily and nightly dose regimen of amitriptyline and maprotiline (Ludiomil®) in the treatment of reactive depression in general practice. Journal of International Medical Research3, Supplement (2) 120
6.
GatleyM S (1968) To be taken as directed. Journal of the Royal College of General Practitioners16, 39
7.
JohnsonDAW (1973) Treatment of depression in general practice. British Medical Journal2, 18
8.
KalesAKalesJ (1974) Sleep disorders. New England Journal of Medicine290, 487
9.
KarchFELasagnaL (1976) Evaluating adverse drug reactions. Adverse Drug Reaction Bulletin59, 204
10.
MurphyJE (1975) A double-blind general practice trial of maprotiline (Ludiomil®) against amitriptyline in the treatment of reactive depression. Journal of International Medical Research3, Supplement (2) 120
11.
ReigerWRickeisKNorstadNJohnsonJ (1975) Maprotiline (Ludiomil) and imipramine in depressed in-patients: A controlled study. Journal of International Medical Research3, 413
12.
RiessWRajagopalanWKeberleH (1972) The metabolism and pharmacokinetics of maprotiline. ‘Depressive illness; diagnosis, assessment’ treatment‘. KielholzP (Ed). An international symposium p 140
13.
SilverstoneTForrestWA (1976) A comparison of maprotiline (Ludiomil®) and amitriptyline in the treatment of depression in general practice. (In: Research and Clinical Investigation in Depression p 114. Ed MurphyJ Eric, Cambridge Medical Publications Ltd, Northampton, England
14.
TrickKLK (1975) Double-blind comparison of maprotiline (Ludiomil®) with amitriptyline in the treatment of depressive illness. Journal of International Medical Research3, Supplement (2) 67
15.
VereDW (1970) Controlled trials to detect efficacy and toxicity. Training to meet tomorrow's needs. In: The principles and practice of clinical trials p 242 (Livingstone)
16.
WillcoxDCRGillanRHareT (1965) Do psychiatric out-patients take their drugs?British Medical Journal2, 790