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The Position of Milnacipran in Clinical Practice


Authors: E. Češková
Authors‘ workplace: Psychiatrická klinika LF MU a FN, Brno přednostka prof. MUDr. E. Češková, CSc.
Published in: Čes. a slov. Psychiat., 104, 2008, No. 8, pp. 420-425.
Category: Comprehensive Reports

Overview

Dual –acting antidepressants are relatively recent class of antidepressants. They are represented mainly by serotonin and norepinephrine reuptake inhibitors (SNRI), e.g. venlafaxine, milnacipran and duloxetine. The article deals with milnacipran. The new indication, fibromyalgia, is discussed in more details. Nowadays, the individualized treatment is emphasized. Certain differences in the pharamacodynamics and pharmacokinetics of SNRI may be important to tailor the treatment choice to the patient. Some case reports of patients successfully treated with milnacipran are described.

Key words:
milnacipran, antidepressants, fibromyalgia, pharmacokinetics, pharmacodynamics.


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