TABLE 7. ECT in patients resistant
to HCAs
Ref. |
Sample |
Resistant toa |
Results |
DeCarolis et al. (19) |
190 mixed (UP & BP)
depressed inpatients (109 psychotic) |
Imipramine (200-350
mg/day) for 30 days; crossover,
ECT (8-10 treatments), open trial |
72% ECT response rate (proportions not reported) |
Medical Research Council (59) |
250 depressed inpatients |
Medication failures (IMI
or phenelzine), crossover ECT
(4-8 treatments), open
trial |
50% response in TRD versus 71% in nonresistant patients (proportions not reported) |
Mandel et al. (57) |
76 TCA-resistant or TCA- intolerant depressed
inpatients |
Retrospective review of
100 charts yielded 76 TCA resistant cases (IMI @ 150
mg/day {ewc MVIMG,
MVIMAGE,!times.bmp} 3 weeks); open trial |
54 of 76 (71 %) ECT responders |
Paul et al. (73) |
9 medication-resistant
inpatients |
Adequate pharmacotherapy; open trial |
8 of 9 (89%) ECT responders |
Hamilton (41) |
146 melancholic inpatients |
Medication failure or
intolerant to either IMI or
phenelzine; open trial |
82 of 146 (68%) responders |
Magni et al. (56) |
28 medication-resistant
patients |
Adequate pharmacotherapy; Open trial |
17 of 28 (61%) responders |
Prudic et al. (84) |
24 depressed inpatients (6
psychotic) |
IMI (or equivalent) {ewc
MVIMG, MVIMAGE,!greateq.bmp} 200 mg {ewc MVIMG,
MVIMAGE,!times.bmp} 4 wks, Open trial |
TRD 12 of 24 (50%) ECT responders non TRD: 24 of 29 (86%) ECT responders |
Dinan and Barry (25) |
15 depressed inpatients |
AMI (or equivalent) 175
mg; Randomized trial (versus
Li augmentation, n = 15); 6 bilat. ECT |
ECT: 11 of 15 (73%) responders Li : 10 of 15 (67%) responders |
a Dosages refer to mean prescribed dosage, where
provided, or dosage range.
published 2000