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                  <text>June 17. 1964

Dr. William C. Janssen
Lakeside Laboratories
Milwaukee. Wisconsin
Dear Dr. Jenssen:
Your recent inquiry regarding the potential value of a combination of
doaipramine and chloral hydrate was discussed with my associates, Drs.
Gershon and Itil.

It was my impression that the excitement seen with imipraminc was seen
in a group of schizophrenic patients treated with this compound, and
that chlorpromaeine or similar phenothiaaine drugs would be a logical
and satisfactory blocking agent. With imipramine. when a patient haa
become excited. the effect of barbiturates has been less valuable than
a phenothiaaine. However. this exocrience was in patients with larger
doses of imipramine. averaging 225 mg. per day.

It

Itil‘s

opinion that psychoactive drugs which had a beneficial
seemed to have both stimulatory
and depressing qualities. This seems to be true not only for imipramine
and anitriptyline. but for those phenothiazines used successfully in the
treatment of depression..
was Dr.

ottect'in the treatment of depression

There appears to be no a priori reason why the combination of deoipramine
and a dedating agent like chloral hydrate would not be a satisfactory
combination. Indeed, it the proper dose relationships were established,
one would expect the drug combination to be beneficial in proportion to

the sensitivity of the subject to the inipramine portion of the

combina—

tion with the potential salutary affect of the chloral hydrate. However.
it was our impression that the dose relationships would be critical and
we wondered what dose pattern you were going to try.
Finally, we did consider other drugs which might be effective in conjunc~
tion with desipranine and wonder if ehlordiazepoxide might not be a
better sedating drug in combination with deaipramine.
Thank you very much
some

help.

for

you

inquiry. I trust these

comments

Sincerely yours,
Ha: Fink,

Hrljb

Director

M. D.

will

be of

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              <text>Correspondence to: Janssen, William C.</text>
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              <text>1964 </text>
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              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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