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                  <text>E’ ,7 wn

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WM”
November 3, 1979

E

g

g

E

Alan

Frazer,

Ph.D.

Depression Research Unit

Hospital
Philadepphia,

VA

PA.

Dear Alan,
Thank you

;

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n

{

E

I
i

r

for sending

of beta-adrenergic receptors as a

me

your report on the subsensitivity

test for antidepressant drug activity.

report is quite interesting and well done, but like other such
efforts,which seek a single test to define 'antidepressant' activity,
seems to fail in not being inclusive. The problems with such efforts
are many, but the principal one highlighted by this report is the
expectation that a single system is involved in treatments as diverse
as BCT, TCAD, MAOI, stimulants, etc., just because these various systems
seem to be useful in relieving a single symptom. Is it not likely that
the various 'depression' syndromes reflect different mechanills, just
like fever and headache may reflect different underlying pathophysiologies
The

course, that mianserin did not fit within the model leads
to the speculation that perhaps mianserin is not an antidepressant But,
as you are well aware, it is also possible that the single system studied
is not general enough to be related to the syndrome of depression. I
am confident that mianserin is an antidepressant, not because of its
clinical evidence, but because its EEG profile in man is so like amitryptiline,
that it will have the same or similar effects on brain function, and in
depressed patients, should have the same behavioral effects as seen ﬁith
amitryptiline. To the extent that amitryptiline is "antidepressant', so
is mianserin.
Of

I

I
b

E

?

liberty of sending your report to my
studies, Dr. J. J. de Ridder of Gas, Holland,
with a note that he may write to you if he wishes additional information.
I would be grateful if you would oblige his inquiries, if any.
I

am taking the
my mianserin

collaborator in
My

regards.

Sincerely yours,
Fink, M.D.
Professor of Psychiatry

Max

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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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