Summary:
There is a close association between thyroid disorders and mental disorders. On the one hand it was revealed that
the therapeutic effect of antidepressants depends on the functional state of the thyroid and that the concurrent
administration of thyroid hormones, in particular triiodothyronine, with antidepressants hastens their therapeutic
effect and suppresses the resistance to them. On the other hand, evidence was provided that antidepressants affect
the hypothalamo-pituitary-thyroid axis (HPT) and that they reduced in particular the serum thyroxin level. The
greater the decline of thyroxin after an antidepressant, the more effective the antidepressant. It is assumed that the
effect of antidepressants on the HPT axis is due to their interference with noradrenergic and serotoninergic systems.
Antidepressants may affect also various stages of biosynthesis of thyroid hormones, deiodases, thyroid peroxidase.
They may form complexes with iodine. It is important to take into consideration that antidepressant treatment is
long-term treatment and it is thus important while administering thyroid hormones, in particular triiodothyronine,
to monitor TSH, by sensitive method to avoid the development of a thyrotoxic effect. In future it will be moreover
necessary to elucidate more closely mechanisms of the effect of thyroid hormones on the human psyche.
The possibility to suppress depression by administration of oestrogens is restricted above all to the group of
premenopausal or postmenopausal women. Oestrogens improve also in healthy postmenopausal women the mood,
cognitive capacity, protract the onset of dementia in women with Alzheimer’s disease and moreover suppress
osteoporosis and reduce cardiovascular diseases. The mechanism of action of oestrogens as antidepressants is not
clear so far.
Key words:
thyroid hormones, oestrogens, depression, fluoxetine
|