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Pharmacokinetic and pharmacodynamic interaction between the antidepressant tianeptine and oxazepam at steady-state

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Abstract

To assess if any pharmacokinetic or pharmacodynamic interaction at steady-state occurs between the new antidepressant tianeptine and a benzodiazepine (oxazepam) following multiple oral dosing of both drugs, 12 healthy male volunteers entered a balanced three-way double blind cross-over study. Tianeptine (12.5 mg) and/or oxazepam (10 mg) were given three times daily for 4 days. Pharmacokinetic data within a dosing interval at steady-state showed that there were no statistically significant changes in the pharmacokinetics of either tianeptine (and its two major metabolites) or oxazepam when both drugs were co-administered. Psychometric data showed that there was no synergistic negative interaction between the two drugs and that their combination may result in beneficial effects on “alertness” and “happiness”

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References

  • Abernethy DR, Greenblatt DJ, Ochs HR, Shader RI (1984) Benzodiazepine drug-drug interactions commonly occurring in clinical practice. Curr Med Res Opin [Suppl] 8:80–93

    Google Scholar 

  • Baccino E, Bressollete L, Mottier D, Mocaër E, Salvadori C, Kamoun A (1988) Effects of the antidepressant tianeptine on platelet 5-HT uptake in elderly patients. Book of Abstracts, 5th International Meeting on Clinical Pharmacology in Psychiatry, University of Tromso, Norway, June 26–29, p 28

    Google Scholar 

  • Bliding A (1974) Effects of different rates of absorption of 2 benzodiazepines on subjective and objective parameters. J Clin Pharmacol 7:201–211

    Google Scholar 

  • Bond AJ, Lader MH (1974) The use of analogue scales in rating subjective feelings. Br J Med Psychol 47:211–218

    Google Scholar 

  • Curran HV, Schiuwy W, Lader M (1987) Differential amnesic properties of benzodiazepine: a dose-response comparison of two drugs with similar elimination half-lives. Psychopharmacology. 92:358–364

    Google Scholar 

  • Defrance R, Marey C, Kamoun A (1988) Antidepressant and anxiolytic activities of tianeptine. An overview of clinical trials. Clin Neuropharmacol [Suppl 2] 11:S74-S82

    Google Scholar 

  • Delalleau B, Dulcire C, Le Moine P, Kamoun A (1988) Analysis of the side-effects of tianeptine. Clin Neuropharmacol [Suppl 2] 11:S83-S89

    Google Scholar 

  • Ghoneim MM, Mewaldt SP, Berie JL, Hinrichs JV (1981) Memory and performance effects of single and 3-week administration of diazepam. Psychopharmacology 73:147–151

    Google Scholar 

  • Ghoneim MM, Hinrichs JV, Mewaldt SP (1986) Comparison of two benzodiazepines with differing accumulation: behavioural changes during and after 3 weeks of testing. Clin Pharmacol Ther 39:491–500

    Google Scholar 

  • Greenblatt DJ, Franke K, Shader RI (1978) Analysis of lorazepam and its glucuronide metabolite by electron-capture gas-liquid chromatography. Use in pharmacokinetic studies of lorazepam. J Chromatogr 146:311–318

    Google Scholar 

  • Jaffard R, Mocaër E, Beracochea D, Marighetto A, Toumane A (1988) Facilitation of spontaneous alternation, simple and concurrent discrimination learning in mice by the antidepressant drug tianeptine. Psychopharmacology S96, [31.0232]: 275

    Google Scholar 

  • Kato G, Weitsch AF (1988) Neurochemical profile of tianeptine, a new antidepressant drug. Clin Neuropharmacol 11 [Suppl 2]:S43-S50

    Google Scholar 

  • Kucera H, Francis W (1967) Computational analysis of present day American English. Brown University Press, Providence, R. I

    Google Scholar 

  • Lampling DL, Spring B, Gelenberg AJ (1984) Effects of two anti-depressants on memory performance in depressed outpatients: a double-blind study. Psychopharmacology 84:254–261

    Google Scholar 

  • Liljequist R, Seppälä T, Mattila MJ (1978a) Amitriptyline and mianserin-induced changes in acquisition of paired-association learning task. Br J Clin Pharmacol 5:149–153

    Google Scholar 

  • Liljequist R, Linnoila M, Mattila MJ (1978b) Effect of diazepam and chlorpromazine on memory function in man. Eur J Clin Pharmacol 14:229–343

    Google Scholar 

  • Lôo H, Deniker P (1988) Position of tianeptine among antidepressive chemotherapies. Clin Neuropharmacol [Suppl 2] 11:S97-S102

    Google Scholar 

  • Lôo H, Malka R, Defrance R, Barrucand D, Benard JY, Niox-Rivière H, Raab A, Sarda A, Vachonfrance G, Kamoun A (1988) Tianeptine and amitriptyline: controlled double-blind trial in depressed alcoholic patients. Neuropsychobiology 19:79–85

    Google Scholar 

  • Mennini T, Mocaër F, Garattini S (1987) Tianeptine a selective enhancer of serotonin uptake in rat brain. Naunyn Schmiedebergs Arch Pharmacol 336:478–482

    Google Scholar 

  • Mewaldt SP, Ghoneim MM, Hinrichs JV (1986) The behavioural actions of diazepam and oxazepam are similar. Psychopharmacology 88:165–171

    Google Scholar 

  • Mocaër E, Rettori MC, Kamoun A (1988) Pharmacological anti-depressive effects and tianeptine induced 5-HT uptake increase. Clin Neuropharmacol [Suppl 2] 11:S32-S42

    Google Scholar 

  • Nicot G, Lachatre G, Gonnet C, Mallon J, Mocaër E (1986) Paired ion extraction and high performance liquid chromatographic determination of tianeptine and its metabolites in human plasma, urine and tissues. J Chromatogr Biomedical Applications 381:115–126

    Google Scholar 

  • Renaud B, Mocaër E, Weitsch AF, Kato G, Mennini T, Garattini S (1987) Stimulation of serotonin uptake induced by a new antidepressant. Pharmacopsychiatry 21:66

    Google Scholar 

  • Salvadori C, Ward C, Defrance R, Hopkins R (1990) The pharmacokinetics of the antidepressant tianeptine and its main metabolite. Influence of alcohol co-administration. Fundam Clin Pharmacol (in press)

  • Sonne J, Loft S, Dossing M, Vollmer-Larsen A, Olesen KL et al. (1988) Bioavailability and pharmacokinetics of oxazepam. Eur J Clin Pharmacol 35:385–389

    Google Scholar 

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Toon, S., Holt, B.L., Langley, S.J. et al. Pharmacokinetic and pharmacodynamic interaction between the antidepressant tianeptine and oxazepam at steady-state. Psychopharmacology 101, 226–232 (1990). https://doi.org/10.1007/BF02244131

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  • DOI: https://doi.org/10.1007/BF02244131

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