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Am J Psychiatry 1993; 150:810-812
Copyright © 1993 by American Psychiatric Association


REGULAR ARTICLES

Ketoconazole administration in hypercortisolemic depression

OM Wolkowitz, VI Reus, F Manfredi, J Ingbar, L Brizendine and H Weingartner
Department of Psychiatry, University of California, San Francisco.

Ketoconazole, an antiglucocorticoid drug, was administered to 10 hypercortisolemic depressed patients for up to 6 weeks. Three patients dropped out because of side effects or intercurrent illness. The remaining seven had significant ketoconazole-associated decreases in serum cortisol levels and in depression ratings. Antiglucocorticoid agents may be useful probes for investigating the sequelae of hypercortisolemia in patients with major depression.


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