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Re: Amantadine add to ssri

Posted by SLS on October 26, 2001, at 21:39:38

In reply to Re: Amantadine add to ssri » Cam W., posted by Elizabeth on October 26, 2001, at 20:09:05

> > Petters - I have seen amantadine tried with antidepressants. Some people are still taking it, most stop. For relief of sexual dysfunction it is in the 20% effective range (as are most drugs used for SSRI-induced sexual dysfunction). - Cam
>
> How about for augmentation?
>
> I was talking to my pdoc the other day, and I brought up the idea of trying Mirapex. He said he'd been involved in a clinical trial (presumably, as one of the researchers, not as a subject!) of pergolide and had been underwhelmed.
>
> What do you think?
>
> -elizabeth

Hi.

Just a quick note.

The mode of action of amantadine in the treatment of Parkinson's Disease is not well understood (at least, not last time I looked). It is possible that NMDA antagonism plays a more significant role than any presumed DA reuptake inhibition or increased DA synthesis or release. It seems hard to imagine, though, that it doesn't potentiate DAergic neurotransmission directly because it so readily produces stereotypy experimentally. If I can't get my hands on memantine should I intend to explore NMDA antagonism, I might try amantadine.


- Scott

 

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