Treatment of Postpartum Depression with Neurosteroids

Neurosteroids, such as allopregnanolone, are primarily synthesized substances in the central nervous system which influence processes occurring in the brain. Fluctuations in the levels of neurosteroids can result in an increased anxiety and heightened sensitivity. Significant reduction in neuroster...

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Main Authors: Reda Stankevičiūtė, Robertas Strumila
Format: Article
Language:English
Published: Vilnius University Press 2024-03-01
Series:Neurologijos seminarai
Subjects:
Online Access:https://www.journals.vu.lt/neurologijos_seminarai/article/view/34914
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author Reda Stankevičiūtė
Robertas Strumila
author_facet Reda Stankevičiūtė
Robertas Strumila
author_sort Reda Stankevičiūtė
collection DOAJ
description Neurosteroids, such as allopregnanolone, are primarily synthesized substances in the central nervous system which influence processes occurring in the brain. Fluctuations in the levels of neurosteroids can result in an increased anxiety and heightened sensitivity. Significant reduction in neurosteroid synthesis usually occurs during the perimenstrual and postpartum periods when very low levels of progesterone are observed. It is believed that a lack of neurosteroids in the body is one of the main causes of postpartum depression. Postpartum depression (PPD) is a form of depression which develops in women during the postnatal period. Clinical studies have been conducted, and the results indicate that Brexanolone (a water-soluble formulation of allopregnanolone) is effective in treating postpartum depression. Based on the evaluation of the HAMD-17 depression scale, women with PGD who received injectable neurosteroid doses achieved remission from postpartum depression more effectively and quickly than those in the placebo group. Subsequent studies were also conducted with the tablet form of neurosteroids (Zuranolone), and the results similarly showed favorable outcomes for postpartum depression. Additionally, during treatment with both injectable and tablet forms of neurosteroids, there were relatively few and non-threatening side effects for patients. This suggests that the benefits of neurosteroids in treating PPD may outweigh the potential harm and should possibly be considered and incorporated into the European psychiatric practice.
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spelling doaj-art-d402410de33c40ac854930ac58924ed32025-01-20T18:21:53ZengVilnius University PressNeurologijos seminarai1392-30642424-59172024-03-01273 (97)10.29014/NS.2023.27.97.5Treatment of Postpartum Depression with NeurosteroidsReda Stankevičiūtė0Robertas Strumila1Vilnius University, LithuaniaVilnius University, Lithuania; University of Montpellier, France Neurosteroids, such as allopregnanolone, are primarily synthesized substances in the central nervous system which influence processes occurring in the brain. Fluctuations in the levels of neurosteroids can result in an increased anxiety and heightened sensitivity. Significant reduction in neurosteroid synthesis usually occurs during the perimenstrual and postpartum periods when very low levels of progesterone are observed. It is believed that a lack of neurosteroids in the body is one of the main causes of postpartum depression. Postpartum depression (PPD) is a form of depression which develops in women during the postnatal period. Clinical studies have been conducted, and the results indicate that Brexanolone (a water-soluble formulation of allopregnanolone) is effective in treating postpartum depression. Based on the evaluation of the HAMD-17 depression scale, women with PGD who received injectable neurosteroid doses achieved remission from postpartum depression more effectively and quickly than those in the placebo group. Subsequent studies were also conducted with the tablet form of neurosteroids (Zuranolone), and the results similarly showed favorable outcomes for postpartum depression. Additionally, during treatment with both injectable and tablet forms of neurosteroids, there were relatively few and non-threatening side effects for patients. This suggests that the benefits of neurosteroids in treating PPD may outweigh the potential harm and should possibly be considered and incorporated into the European psychiatric practice. https://www.journals.vu.lt/neurologijos_seminarai/article/view/34914neurosteroidsneuroactive steroidspostpartum depressionallopregnanolonebrexanolone
spellingShingle Reda Stankevičiūtė
Robertas Strumila
Treatment of Postpartum Depression with Neurosteroids
Neurologijos seminarai
neurosteroids
neuroactive steroids
postpartum depression
allopregnanolone
brexanolone
title Treatment of Postpartum Depression with Neurosteroids
title_full Treatment of Postpartum Depression with Neurosteroids
title_fullStr Treatment of Postpartum Depression with Neurosteroids
title_full_unstemmed Treatment of Postpartum Depression with Neurosteroids
title_short Treatment of Postpartum Depression with Neurosteroids
title_sort treatment of postpartum depression with neurosteroids
topic neurosteroids
neuroactive steroids
postpartum depression
allopregnanolone
brexanolone
url https://www.journals.vu.lt/neurologijos_seminarai/article/view/34914
work_keys_str_mv AT redastankeviciute treatmentofpostpartumdepressionwithneurosteroids
AT robertasstrumila treatmentofpostpartumdepressionwithneurosteroids