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The British Journal of Psychiatry (1974) 125: 496-499. doi: 10.1192/bjp.125.5.496
© 1974 The Royal College of Psychiatrists
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Response of Depressed Patients to Methylamphetamine

L. G. KILOH M.D., F.R.C.P., F.R.C.Psych., F.A.N.Z.C.P.1, MEGAN NEILSON B.Sc.2, and GAVIN ANDREWS M.D., M.R.C.Psych., M.A.N.Z.C.P.3

1 Professor of Psychiatry, School of Psychiatry, University of New South Wales, The Prince Henry Hospital, Little Bay, N.S.W. 2036, Australia
2 Scientific Officer, School of Psychiatry, University of New South Wales, The Prince Henry Hospital, Little Bay, N.S.W. 2036, Australia
3 Associate Professor, School of Psychiatry, University of New South Wales, The Prince Henry Hospital, Little Bay, N.S.W. 2036, Australia

One hundred and ninety-one patients, including 39 with endogenous depression and 56 with neurotic depression were each given 15 mg. methylamphetamine intravenously. There was a strong tendency for all patients—including those with schizophrenia—to feel better, irrespective of diagnosis. No significant difference was found between the responses of patients with neurotic and those with endogenous depression. No significant relationship was established between prognosis on discharge from hospital and six months later in any diagnostic group.

Those patients who felt worse after methylamphetamine showed a high incidence of hysterical symptoms and/or hysterical personality traits (p < 0.0005). Among those reporting no change there was a significant preponderance of those dependant on drugs or alcohol.

The response to intravenous methylamphetamine would appear to have no diagnostic or prognostic significance in patients with depressive illnesses.

Submitted on February 18, 1974




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