Agomelatine : its role in the management of major depressive disorder

Abstract: Circadian rhythm abnormalities, as shown by sleep/wake cycle disturbances, constitute one the most prevalent signs of depressive illness; advances or delays in the circadian phase are documented in patients with major depressive disorder (MDD), bipolar disorder, and seasonal affective disorder (SAD). The disturbances in the amplitude and phase of rhythm in melatonin secretion that occur in patients with depression resemble those seen in chronobiological disorders, thus suggesting a link between disturbed melatonin secretion and depressed mood. Based on this, agomelatine, the first MT1/MT2 melatonergic agonist displaying also 5-HT2C serotonergic antagonism, has been introduced as an antidepressant. Agomelatine has been shown to be effective in several animal models of depression and anxiety and it has beneficial effects in patients with MDD, bipolar disorder, or SAD. Among agomelatine’s characteristics are a rapid onset of action and a pronounced effectiveness for correcting circadian rhythm abnormalities and improving the sleep/wake cycle. Agomelatine also improves the 3 functional dimensions of depression—emotional, cognitive, and social—thus aiding in the full recovery of patients to a normal life

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Bibliographic Details
Main Authors: Cardinali, Daniel Pedro, Vidal, María Florencia, Vigo, Daniel Eduardo
Format: Artículo biblioteca
Language:eng
eng
Published: Libertas Academica 2012
Subjects:TRASTORNOS DE LA CONDUCTA, DEPRESION, AGOMELATINA, RECEPTORES DE MELATONINA, ANTIDEPRESIVOS, ANSIOLITICOS, RECEPTORES, RECEPTORES DE SEROTONINA,
Online Access:https://repositorio.uca.edu.ar/handle/123456789/1630
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