Introduced decades ago as the next step in antidepression pills,
Monoamine Oxidase Inhibitors (MAOIs) soon fell out of favor. Extremely
effective in some people, they caused potentially lethal blood pressure
spikes in others because of interactions with food in the gut. That and
the subsequent rise of selective Serotonin Reuptake Inhibitors (SSRIs)
put them on a shelf. But a new skin patch has resurrected the drugs from
obscurity.



The patch, Emsam, developed by Somerset Pharmaceuticals
<http://www.somersetpharm.com>   and marketed by Bristol-Myers Squibb
<http://www.bms.com>  , delivers an MAOI, Selegiline, directly and
continuously into the bloodstream, eliminating exposure to the gut and
maximizing its effect in the brain. "This is big news for long-term
patient benefit," says Alexander Bodkin
<http://www.mclean.harvard.edu/about/bios/detail.php?username=abodkin%20\
>  , chief of clinical psychopharmacology research at Harvard
University's Mclean Hospital <http://www.mclean.harvard.edu>  , who
was part of the research team. "Now those who have been untreatable
could be safely treated."

That is about 30 percent of the 14 million Americans who have major
depressive disorder, Bodkin says. These patients, suffering with
entrenched symptoms such as oversleeping and overeating, typically are
not helped with prevailing SSRIs such as Prozac or standard talk
therapies. The transdermal dose significantly improved symptoms in
studies in adults. The Food and Drug Administration recently approved
the commercial version of the patch.

Outside experts are still taking a wait-and-see attitude about
widespread application of a class of drugs that was so dubious for a
long. "It's too early to tell," says Michael Thase
<http://www.wpic.pitt.edu/research/psychobiodeb/default.htm%20>  ,
professor of psychiatry at the University of Pittsburgh Medical Center,
although he adds that the studies do suggest that the selegiline patch
compares favorably with other modern antidepressants.

Happy Learning,



Yovan P. Putra

www.primastudy.com <http://www.primastudy.com/>



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