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