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词条 List of antidepressants
释义

  1. Selective serotonin reuptake inhibitors (SSRIs)

  2. Serotonin–norepinephrine reuptake inhibitors (SNRIs)

  3. Serotonin modulator and stimulators (SMSs)

  4. Serotonin antagonist and reuptake inhibitors (SARIs)

  5. Norepinephrine reuptake inhibitors (NRIs)

  6. Norepinephrine–dopamine reuptake inhibitors (NDRIs)

  7. Tricyclic antidepressants (TCAs)

  8. Tetracyclic antidepressants (TeCAs)

  9. Monoamine oxidase inhibitors (MAOIs)

     Irreversible  Non-selective  Selective for MAO-B  Reversible  Non-selective  Selective for MAO-A  Mixed  Non-selective 

  10. Others

     Marketed  Discontinued/withdrawn  Over-the-counter 

  11. Adjunctive treatments

     Atypical antipsychotics  Others 

  12. Combination products

  13. See also

  14. References

This is a complete list of clinically approved prescription antidepressants throughout the world, as well as clinically approved prescription drugs used to augment antidepressants, by pharmacological and/or structural classification. Chemical/generic names are listed first, with brand names in parentheses. All drugs listed are approved specifically for major depressive disorder unless noted otherwise.

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Selective serotonin reuptake inhibitors (SSRIs)

  • Citalopram (Celexa, Cipramil)
  • Escitalopram (Lexapro, Cipralex)
  • Fluoxetine (Prozac, Sarafem)
  • Fluvoxamine (Luvox, Faverin)
  • Paroxetine (Paxil, Seroxat)
  • Sertraline (Zoloft, Lustral)

Serotonin–norepinephrine reuptake inhibitors (SNRIs)

  • Desvenlafaxine (Pristiq)
  • Duloxetine (Cymbalta)
  • Levomilnacipran (Fetzima)
  • Milnacipran (Ixel, Savella)
  • Venlafaxine (Effexor)

Serotonin modulator and stimulators (SMSs)

  • Vilazodone (Viibryd)
  • Vortioxetine (Trintellix)

Serotonin antagonist and reuptake inhibitors (SARIs)

  • Nefazodone (Dutonin, Nefadar, Serzone) – withdrawn/discontinued in most countries
  • Trazodone (Desyrel)

Norepinephrine reuptake inhibitors (NRIs)

  • Atomoxetine (Strattera) - an NRI approved to treat ADHD
  • Reboxetine (Edronax)
  • Teniloxazine (Lucelan, Metatone) – also a 5-HT2A receptor antagonist
  • Viloxazine (Vivalan)

Although marketed as an antidepressant, a meta-analysis found that reboxetine was ineffective and potentially harmful.[1]

Norepinephrine–dopamine reuptake inhibitors (NDRIs)

  • Bupropion (Wellbutrin) – weak NDRI, although its dopaminergic actions are controversial; may act as a norepinephrine–dopamine releasing agent (NDRA) alternatively or additionally; also a non-competitive antagonist of nicotinic acetylcholine receptors[2]

Tricyclic antidepressants (TCAs)

  • Amitriptyline (Elavil, Endep)
  • Amitriptylinoxide (Amioxid, Ambivalon, Equilibrin)
  • Clomipramine (Anafranil)
  • Desipramine (Norpramin, Pertofrane)
  • Dibenzepin (Noveril, Victoril)
  • Dimetacrine (Istonil)
  • Dosulepin (Prothiaden)
  • Doxepin (Adapin, Sinequan)
  • Imipramine (Tofranil)
  • Lofepramine (Lomont, Gamanil)
  • Melitracen (Dixeran, Melixeran, Trausabun)
  • Nitroxazepine (Sintamil)
  • Nortriptyline (Pamelor, Aventyl)
  • Noxiptiline (Agedal, Elronon, Nogedal)
  • Opipramol (Insidon)
  • Pipofezine (Azafen/Azaphen)
  • Protriptyline (Vivactil)
  • Trimipramine (Surmontil)

Tetracyclic antidepressants (TeCAs)

  • Amoxapine (Asendin)
  • Maprotiline (Ludiomil)
  • Mianserin (Tolvon)
  • Mirtazapine (Remeron)
  • Setiptiline (Tecipul)

Mianserin, mirtazapine, and setiptiline are also sometimes described as noradrenergic and specific serotonergic antidepressants (NaSSAs).

Monoamine oxidase inhibitors (MAOIs)

Irreversible

Non-selective

  • Isocarboxazid (Marplan)
  • Phenelzine (Nardil)
  • Tranylcypromine (Parnate)

Selective for MAO-B

  • Selegiline (Eldepryl, Zelapar, Emsam)

Reversible

Non-selective

Caroxazone (Surodil, Timostenil) was formerly used as an antidepressant, but has been discontinued.

Selective for MAO-A

  • Metralindole (Inkazan)
  • Moclobemide (Aurorix, Manerix)
  • Pirlindole (Pirazidol)
  • Toloxatone (Humoryl)

These drugs are sometimes described as reversible inhibitors of MAO-A (RIMAs).

Eprobemide (Befol) and minaprine (Brantur, Cantor) were also formerly used as antidepressants, but have been discontinued.

Mixed

Non-selective

  • Bifemelane (Alnert, Celeport) – RIMA, irreversible inhibitor of MAO-B, and weak NRI

Others

Marketed

  • Agomelatine (Valdoxan) – 5-HT2C receptor antagonist and MT1 and MT2 receptor agonist
  • Esketamine (Spravato) – non-competitive NMDA receptor antagonist[3]
  • Ketamine (Ketalar) – non-competitive NMDA receptor antagonist – not specifically approved for depression (used off-label)[4]
  • Tandospirone (Sediel) – 5-HT1A receptor partial agonist
  • Tianeptine (Stablon, Coaxil) – weak and atypical μ-opioid receptor agonist

Discontinued/withdrawn

  • α-Methyltryptamine [αMT] (Indopan) – non-selective serotonin receptor agonist, serotonin–norepinephrine–dopamine releasing agent (SNDRA), and weak RIMA
  • Etryptamine [α-Ethyltryptamine (αET)] (Monase) – non-selective serotonin receptor agonist, SNDRA, and weak RIMA
  • Indeloxazine (Elen, Noin) – serotonin releasing agent (SRA), NRI, and NMDA receptor antagonist
  • Medifoxamine (Clédial, Gerdaxyl) – weak serotonin–dopamine reuptake inhibitor (SDRI) and 5-HT2A and 5-HT2C receptor antagonist
  • Oxaflozane (Conflictan) – 5-HT1A, 5-HT2A, and 5-HT2C receptor agonist
  • Pivagabine (Tonerg) – unknown/unclear mechanism of action

Over-the-counter

The following antidepressants are available both with a prescription and over-the-counter:

  • Ademetionine [S-Adenosyl-L-methionine (SAMe)] (Heptral, Transmetil, Samyl) – cofactor in monoamine neurotransmitter biosynthesis
  • Hypericum perforatum [St. John's Wort (SJW)] (Jarsin, Kira, Movina) – TRPC6 activator, and various other actions
  • Oxitriptan [5-Hydroxytryptophan (5-HTP)] (Cincofarm, Levothym, Triptum) – precursor in serotonin biosynthesis
  • Rubidium chloride [RbCl] (Rubinorm) – unknown/unclear mechanism of action[5]
  • Tryptophan (Tryptan, Optimax, Aminomine) – precursor in serotonin biosynthesis

Adjunctive treatments

Atypical antipsychotics

  • Amisulpride (Solian) – specifically approved, in low doses, as a monotherapy for dysthymia
  • Aripiprazole (Abilify) – specifically approved as an adjunct for major depressive disorder
  • Brexpiprazole (Rexulti) – specifically approved as an adjunct for major depressive disorder
  • Lurasidone (Latuda) – specifically approved for depressive episodes in bipolar disorder
  • Olanzapine (Zyprexa) – specifically approved as an adjunct for major depressive disorder
  • Quetiapine (Seroquel) – approved as an adjunct for both major depressive disorder and depressive episodes in bipolar disorder
  • Risperidone (Risperdal) – not specifically approved as an adjunct for major depressive disorder (used off-label)[6]

Others

  • Buspirone (Buspar) – 5-HT1A receptor partial agonist – not specifically approved for depression (used off-label)
  • Lithium (Eskalith, Lithobid) – mood stabilizer (mechanism of action unknown/unclear) – not specifically approved for depression (used off-label)
  • Thyroxine (T4) – thyroid hormone (thyroid hormone receptor agonist) – not specifically approved for depression (used off-label)
  • Triiodothyronine (T3) – thyroid hormone (thyroid hormone receptor agonist) – not specifically approved for depression (used off-label)

Combination products

  • Amitriptyline/perphenazine (Etafron) – TCA and typical antipsychotic combination
  • Flupentixol/melitracen (Deanxit) – TCA and typical antipsychotic combination
  • Olanzapine/fluoxetine (Symbyax) – SSRI and atypical antipsychotic combination – specifically approved as a monotherapy for depressive episodes in bipolar disorder and treatment-resistant depression
  • Tranylcypromine/trifluoperazine (Parstelin, Parmodalin, Jatrosom N, Stelapar) – MAOI and typical antipsychotic combination

See also

  • List of investigational antidepressants

References

1. ^{{cite journal | vauthors = Eyding D, Lelgemann M, Grouven U, Härter M, Kromp M, Kaiser T, Kerekes MF, Gerken M, Wieseler B | title = Reboxetine for acute treatment of major depression: systematic review and meta-analysis of published and unpublished placebo and selective serotonin reuptake inhibitor controlled trials | journal = BMJ | volume = 341 | issue = | pages = c4737 | year = 2010 | pmid = 20940209 | pmc = 2954275 | doi = 10.1136/bmj.c4737| url = }}
2. ^{{cite journal | vauthors = Arias HR, Santamaría A, Ali SF | title = Pharmacological and neurotoxicological actions mediated by bupropion and diethylpropion | journal = Int. Rev. Neurobiol. | volume = 88 | issue = | pages = 223–55 | year = 2009 | pmid = 19897080 | doi = 10.1016/S0074-7742(09)88009-4 | url = | series = International Review of Neurobiology | isbn = 9780123745040 }}
3. ^{{cite web | title = SPRAVATO™ (esketamine) nasal spray FDA label | publisher = Food and Drug Administration | date = 5 March 2019 | url = https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/211243lbl.pdf | format = PDF | accessdate = 6 March 2019}}
4. ^{{cite journal | vauthors = Zhang MW, Harris KM, Ho RC | title = Is off-label repeat prescription of ketamine as a rapid antidepressant safe? Controversies, ethical concerns, and legal implications | journal = BMC Med Ethics | volume = 17 | issue = | pages = 4 | year = 2016 | pmid = 26768892 | pmc = 4714497 | doi = 10.1186/s12910-016-0087-3 | url = }}
5. ^{{cite book|author1=Gian F. Placidi|author2=Liliana Dell'Osso|author3=Giuseppe Nistico |author4=Hagop S. Akiskal|title=Recurrent Mood Disorders: New Perspectives in Therapy|url=https://books.google.com/books?id=pIvcBQAAQBAJ&pg=PT293|date=6 December 2012|publisher=Springer Science & Business Media|isbn=978-3-642-76646-6|pages=293–}}
6. ^{{cite journal | vauthors = Thase ME | title = Adverse Effects of Second-Generation Antipsychotics as Adjuncts to Antidepressants: Are the Risks Worth the Benefits? | journal = Psychiatr. Clin. North Am. | volume = 39 | issue = 3 | pages = 477–86 | year = 2016 | pmid = 27514300 | doi = 10.1016/j.psc.2016.04.008 | url = }}
{{Antidepressants}}{{Mood stabilizers}}{{DEFAULTSORT:Antidepressants}}

3 : Antidepressants|Drug-related lists|Mood stabilizers

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