What is it about?
Advanced diagnostic technology and accumulated research findings have provided a deeper understanding of the pathophysiology of depression. In particular inflammation, glutamate neurotoxicity and cerebral insufficiency have been found to play a role in major depressive disorder and/or late-life or vascular depression. This suggests that targeting inflammatory mediators, cytokines, glutamate receptors and brain ischemia, through screening antidepressant effects of currently approved medications and centrally acting drugs which have not been used for treating depressed patients (drug repurposing), could be the solution to the problem of insufficient therapeutic effects of currently approved antidepressants in almost 2 thirds of depressed patients.
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Why is it important?
The number of patients with refractory depression has remarkably increased, reflecting the indispensable need for novel treatments to be approved in a short duration. Drug repurposing has been found to accelerate the addition of new antidepressants which could be used as stand alone or add on therapy to the first line antidepressant medications such as selective serotonin reputable inhibitors. Drug repurposing is a promising alternative to the traditional drug discovery process as novel antidepressent (repurposed) drugs could be approved after relatively rapid and cost-effective procedures.
Perspectives
Being depressed is very common in our increasingly stressful life and many people fail to overcome repeated challenges, and their suffering would be worse unless more effective antidepressant medication have become available. Drug repurposing has contributed to the development of new drugs for various diseases. Likewise, novel antidepressant drugs could be rapidly generated into the market by screening certain approved medications targetting the different pathological features of depression.
Mohamed Elsaed Ebada
Department of Pharmacology, National Organization for Drug Control and Research (NODCAR)
Read the Original
This page is a summary of: Drug repurposing may generate novel approaches to treating depression, Journal of Pharmacy and Pharmacology, September 2017, Wiley,
DOI: 10.1111/jphp.12815.
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