Successful use of rasagiline in combination with two antidepressants: a case report.

Parkinson's disease is the second most common neurodegenerative disorder, affecting 1 to 2 percent of people older than 60 years. Recent reviews show that depression is a common and potentially debilitating aspect of Parkinson's disease, affecting 40 to 50 percent of patients. Depression in Parkinson's disease is demonstrably different from ordinary major depression in terms of gender ratio, age, symptom profile, comorbidity, and chronicity. Pharmacotherapy for depression in Parkinson's disease entails special concerns related to side effects and drug-drug interactions. Rasagiline is a novel, potent, and irreversible monoamine oxidase type B (MAO-B) inhibitor that has recently been approved by the Food and Drug Administration for treatment of Parkinson's disease. Current rasagiline labeling advises the avoidance of coadministration of rasagiline and antidepressants, which is a challenge in itself for patients with co-morbid depression. We present a case of a 58-year-old woman who failed most of the pharmacologic treatments for Parkinson's disease, including deep brain stimulation, and was recently prescribed rasagiline with good response. She also met the Diagnostic and Statistical Manual, Fourth Edition, Text Revision criteria of major depressive disorder, which was treated with venlafaxine and bupropion. To our knowledge, this is first clinical case report of successful use of a combination of antidepressants and rasagiline in a patient with Parkinson's disease.

Nucleation process in the cavity of a 48-tungstophosphate wheel resulting in a 16-metal-centre iron oxide nanocluster.

The 16-Fe(III)-containing 48-tungsto-8-phosphate [P(8)W(48)O(184)Fe(16)(OH)(28)(H(2)O)(4)](20-) (1) has been synthesised and characterised by IR and ESR spectroscopy, TGA, elemental analyses, electrochemistry and susceptibility measurements. Single-crystal X-ray analyses were carried out on Li(4)K(16)[P(8)W(48)O(184)Fe(16)(OH)(28)(H(2)O)(4)]66 H(2)O2 KCl (LiK-1, orthorhombic space group Pnnm, a=36.3777(9) A, b=13.9708(3) A, c=26.9140(7) A, and Z=2) and on the corresponding mixed sodium-potassium salt Na(9)K(11)[P(8)W(48)O(184)Fe(16)(OH)(28)(H(2)O)(4)].100 H(2)O (NaK-1, monoclinic space group C2/c, a=46.552(4) A, b=20.8239(18) A, c=27.826(2) A, beta=97.141(2) degrees and Z=4). Polyanion 1 contains--in the form of a cyclic arrangement--the unprecedented {Fe(16)(OH)(28)(H(2)O)(4)}(20+) nanocluster, with 16 edge- and corner-sharing FeO(6) octahedra, grafted on the inner surface of the crown-shaped [H(7)P(8)W(48)O(184)](33-) (P(8)W(48)) precursor. The synthesis of 1 was accomplished by reaction of different iron species containing Fe(II) (in presence of O(2)) or Fe(III) ions with the P(8)W(48) anion in aqueous, acidic medium (pH approximately 4), which can be regarded as an assembly process under confined geometries. One fascinating aspect is the possibility to model the uptake and release of iron in ferritin. The electrochemical study of 1, which is stable from pH 1 through 7, offers an interesting example of a highly iron-rich cluster. The reduction wave associated with the Fe(III) centres could not be split in distinct steps independent of the potential scan rate from 2 to 1000 mV s(-1); this is in full agreement with the structure showing that all 16 iron centres are equivalent. Polyanion 1 proved to be efficient for the electrocatalytic reduction of NO(x), including nitrate. Magnetic and variable frequency EPR measurements on 1 suggest that the Fe(III) ions are strongly antiferromagnetically coupled and that the ground state is tentatively spin S=2.

Synthesis, structure, and magnetic properties of [(CH3CN)5V-O-V(CH3CN)5][BF4]4.

The reaction of vanadium(III) acetylacetonate with HBF4 in acetonitrile yields [(CH3CN)5V-O-V(CH3CN)5][BF4]4, a material that serves as a convenient precursor to other [V-O-V]4+ species such as [(bipy)2(CH3CN)V-O-V(CH3CN)(bipy)2][BF4]4 (bipy=2,2'-bipyridine). Single-crystal X-ray diffraction shows that the V-O-V linkage of [(CH3CN)5V-O-V(CH3CN)5]4+ is linear. An Evans method measurement of the solution-phase magnetic susceptibility indicates strong ferromagnetic coupling between the vanadium centers. Magnetic susceptibility (chi) and magnetization (M(H)) data for a powdered sample and for a single crystal oriented with its V-O-V axis parallel to the applied field were measured over 1.8-300 K. The results suggest that the V(III) centers are ferromagnetically coupled with J approximately 72 K (approximately 50 cm(-1)) yielding a ground state with a total spin Stotal=2. Theoretical fit to the M(H) plot for the single crystal yielded g||=2.01+/-0.01 and the zero-field splitting parameter D=0.60+/-0.04 K (0.42+/-0.03 cm(-1)). EPR measurements at 34 and 101.6 GHz are consistent with the Stotal=2 ground state and yield g||=1.9825, g perpendicular=1.9725 and D=0.57+/-0.03 K.

A fractional bond order of 1/2 in Pd(2)(5+)--formamidinate species; the value of very high-field EPR spectra.

Reaction of Pd(2)(DAniF)(4), 1, (DAniF = di-p-anisylformamidinate) with 1 equiv of AgPF(6) in CH(2)Cl(2) at or below -10 degrees C produces the paramagnetic species [Pd(2)(DAniF)4]PF(6), 1-PF(6), that has been studied by X-ray crystallography, UV-vis spectroscopy, electrochemistry, and multifrequency (9.5, 34.5, 110, and 220 GHz) EPR spectroscopy. Upon oxidation of the precursor, the Pd-Pd distance decreases by 0.052 Angstrom from 2.6486(8) to 2.597(1) Angstrom. The EPR spectra show broad signals with line widths of about 1000 G. The spectra collected at high field show a large spread of g tensor components ( approximately 0.03), but these are masked at lower frequencies (9.5 and 34.5 GHz). A reinvestigation using high-field EPR of the p-tolyl analogue, which is the only other structurally characterized Pd(2)(5+) species (Cotton, F. A.; Matusz, M.; Poli, R.; Feng, X. J. Am. Chem. Soc. 1988, 110, 1144), shows that this species, which had been reported to give an isotropic 9.5 GHz EPR spectrum, also gives anisotropic 110 and 220 GHz EPR spectra with a similarly large spread of g tensor components consistent with the unpaired electron residing in a metal-based MO. The results of these studies and calculations using density functional theory are consistent with the oxidation being metal-based, resulting in an uncommon Pd(2)(5+) species with a Pd-Pd bond order of 1/2.