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Markku Linnoila, MD, PhD; Farouk Karoum, PhD; William Z. Potter, MD, PhD

Arch Gen Psychiatry. 1983;40(9):1015-1017.

Abstract
• Effects of five antidepressant treatments—clorgyline, desipramine hydrochloride, electroconvulsive treatment, lithium carbonate, and zimelidine hydrochloride—on urinary outputs of dopamine, dihydroxyphenylacetic acid, and homovanillic acid (HVA) were investigated in unipolar and bipolar depressed patients. Clorgyline and lithium carbonate, which stabilized mood in bipolar patients, reduced the urinary output of HVA and whole-body dopamine turnover. Electroconvulsive treatment and zimelidine were without major effects, whereas desipramine had variable effects on these indexes of dopamine metabolism. Three patients, two receiving desipramine and one receiving clorgyline, who had increased HVA output during the drug treatments, became severely agitated and delusional.

Author Affiliations
From the Clinical Psychology (Drs Linnoila and Potter) and Adult Psychiatry (Dr Karoum) Branches, National Institute of Mental Health, Bethesda, Md.

Footnotes
Accepted for publication Jan 5, 1983.

Reprint requests to National Institute of Mental Health, Room 4S-239, Bldg 10, 9000 Rockville Pike, Bethesda, MD 20205 (Dr Linnoila).

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