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Depression disorders are very common in clinical practice. Ascorbic acid is a cofactor in synthesis of noradrenaline from
dopamine and serotonin from tryptophan. The aim of this work was to study the efficacy of ascorbic acid on antidepressant
therapy. Clinical prospective double blind study is planned to investigate the effect of ascorbic acid on the mental depression
therapy and the possible therapeutic interaction with the pharmacotherapy of the disease. It was applied on twenty two
outpatients who were diagnosed according to diagnostic and statistical manual of mental disorders 4th edition; patients should
have a base line Hamilton rating scale for depression. The patients were randomly assigned to receive tablet of ascorbic acid
with antidepressant (Group A) and tablet of placebo with antidepressants (Group B) for eight weeks. All patients submitted to
laboratory investigation, the complete blood analysis, lipid profile, liver function test, renal function tests, serum electrolytes
and complete urine analysis before and at the end of trial. Ascorbic acid levels in plasma were measured by HPLC. Ascorbic
acid with antidepressants significantly decreased the total Hamilton depression rating scale and total questionnaire. Whole
laboratory investigation were normal and within the normal value. The main overall finding from this study is that ascorbic acid
was therapeutically benefited with antidepressant in the treatment of depression and predicts a good response in treated patients
using combined ascorbic acid with antidepressants to be well tolerated and effective in depressive symptoms. Finally, this clinical
trial results recommend combining ascorbic acid with antidepressants therapy. A large scale trial is advised.
Biography
Suhera M. Aburawi has completed her Ph.D. from Cairo University, Faculty of Pharmacy. Currently she is Professor in Pharmacology and Toxicology
at University of Tripoli, Faculty of Pharmacy, Department of Pharmacology and Clinical Pharmacy. She has published 40 papers in journals and
conferences.
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