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Depression and Antidepressants Essay

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Depression and Antidepressants

Specifically the serotonergic hypothesis and the action of Prozac

The cause of Clinical depression has long been a mystery to physicians and researchers. Many different theories have been proposed, but no conclusive evidence has been put forth. However, most of what we know about depression stems from the results of certain drugs which have been successful in treating the clinically depressed. These anti--depressants have led to the assumption that depression is most likely due to a chemical imbalance (of neurotransmitters) which somehow leads to the symptoms of depression. To try and write a paper on all the theories of depression would be endless, as would be a study on all the different types of …show more content…

The pertinent findings will be explained, and their implications on future anti-depressants will be addressed.

Many clinical studies have been used to suggest a role for serotonin in the propensity for depression or suicidal tendencies. Most of these studies measured the level of serotonin in the CSF in certain individuals. Results established a link between reduced serotonin neurotransmission and aggression, impulsivity, depression, and suicidal tendencies. Other data, using markers in presynaptic and postsynaptic serotonergic neurons have shown that reduction in serotonin neurotransmission is a biochemical "risk factor" for suicide (1).

Other clinical studies have implicated fluoxetine’s effects on serotonin neurotransmitters, based on the fact that serotonin is synthesized from the essential amino acid tryptophan. Patients taking fluoxetine who were in remission from major depression were given a special diet which was tryptophan-free. This rapidly decreased plasma serotonin levels, and after a short period of time (as little as 30 minutes) many of the patients began to have signs of specific depressive symptoms. Later, the reappearance of more general depressive symptoms were observed in a majority of the patients. Thus it was shown that fluoxetine has a profound effect on the neurotransmitter serotonin, and decreased

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