Pharmaco-EEG profiles of typical and atypical antidepressants

Adv Biochem Psychopharmacol. 1982:32:257-68.

Abstract

Utilizing quantitative analysis of the human electroencephalogram (EEG), the effect of typical and atypical antidepressants on the central nervous systems (CNS) was studied in several double-blind, placebo-controlled trials. At least two types of pharmaco-EEG profiles may be differentiated: 1) a thymeretic, desipramine-like pharmaco-EEG profile suggesting activating properties of the drug (desipramine, tranylcypromine, nomifensine, higher doses of pirlindol and to some extent of fluoxetine); 2) a thymoleptic imipramine- and amitriptyline-like pharmaco-EEG profile showing also sedative qualities (imipramine, amitriptyline, maprotiline, binodaline, danitracene and fluvoxamine). A small number of new compounds exhibit still another pharmaco-EEG profile which may reflect some activating properties different from the above-described ones (clovoxamine, ciclopramine, tandamine). Trazodon on the other hand, produced just opposite changes indicating sedative effects. Aside from determining the type of EEG changes, the pharmaco-EEG method seems to be of value in determining time- and dose-efficacy relations at the target organ--the human brain. The relationships between pharmacodynamics and pharmacokinetics will be discussed.

MeSH terms

  • Adult
  • Antidepressive Agents / metabolism
  • Antidepressive Agents / pharmacology*
  • Antidepressive Agents, Tricyclic / pharmacology
  • Brain / drug effects*
  • Double-Blind Method
  • Electroencephalography*
  • Humans
  • Kinetics
  • Male
  • Monoamine Oxidase Inhibitors / pharmacology
  • Placebos

Substances

  • Antidepressive Agents
  • Antidepressive Agents, Tricyclic
  • Monoamine Oxidase Inhibitors
  • Placebos