Early-morning administration of short-acting beta blockers for treatment of winter depression

Am J Psychiatry. 1994 Sep;151(9):1383-5. doi: 10.1176/ajp.151.9.1383.

Abstract

Propranolol, 60 mg or less, was administered daily between 5:30 and 6:00 a.m. to 33 patients with winter depression. After open treatment with a mean dose of 33 mg/day, 24 patients (73%) met the remission criteria; 23 completed double-blind continuation or placebo substitution. Subjects who continued to receive propranolol had a mean increase in Hamilton depression score of 3.5, whereas patients switched to placebo had an increase of 11.2; the difference was statistically significant. These findings are consistent with the hypothesis that duration of nocturnal melatonin secretion is the critical seasonal time cue in humans.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Circadian Rhythm
  • Double-Blind Method
  • Drug Administration Schedule
  • Female
  • Humans
  • Male
  • Melatonin / metabolism
  • Melatonin / physiology
  • Middle Aged
  • Placebos
  • Propranolol / administration & dosage
  • Propranolol / therapeutic use*
  • Psychiatric Status Rating Scales
  • Seasonal Affective Disorder / drug therapy*
  • Seasonal Affective Disorder / physiopathology
  • Seasonal Affective Disorder / psychology
  • Treatment Outcome

Substances

  • Placebos
  • Propranolol
  • Melatonin