Tricyclic
Antidepressant Medications
Why should I know
about Tricyclic Antidepressant medications (TCA's) ?
You
might be prescribed a Tricyclic Antidepressant by your doctor if you
are suffering from a depression or anxiety disorder.
TCA's have side effects and can interact with other
medications.
Their toxic dosage levels are
relatively close to therapeutic dosage levels.
How do
they work?It is generally understood
that TCA's act to balance our brain chemicals
Norepinephrine, Dopamine and Serotonin by inhibiting the re-uptake
of these neurotransmitters by the nerve cells.
Are
they safe for me to use?Have a good
look
here
to learn more about them, (please read the whole article) and discuss
the side effects with your doctor.
Here's
a list of TCA's and their brand names:- imipramine
(Tofranil®)
- lofepramine (Gamanil®, Lomont®)
-
nortriptyline (Pamelor®)
- protriptyline
(Vivactil®)
- trimipramine (Surmontil®)
-
amitriptyline (Elavil®, Endep®, Tryptanol®, Trepiline®)
-
clomipramine (Anafranil®)
- desipramine
(Norpramin®, Pertofrane®)
- dothiepin
hydrochloride (Prothiaden®, Thaden®)
- doxepin
(Adapin®, Sinequan®)
Here
are some common disorders they are prescribed for:
Antiobsessive-compulsive agent
--Clomipramine
Antipanic agent
--Clomipramine; Desipramine; Doxepin ; Imipramine; Nortriptyline
Antipruritic
--Doxepin
Antiulcer agent
--Amitriptyline; Doxepin; Trimipramine
Antibulimic -- Amitriptyline ;
Clomipramine; Desipramine; Imipramine
Anticataplectic
-- Clomipramine; Desipramine; Imipramine; Protriptyline
Antidepressant
--Amitriptyline; Amoxapine ; Clomipramine; Desipramine; Doxepin;
Imipramine; Nortriptyline ; Protriptyline; Trimipramine
Antienuretic
--Amitriptyline; Imipramine Hydrochloride
Antinarcolepsy adjunct
--Imipramine; Protriptyline
Antineuralgic
--Amitriptyline; Clomipramine ; Desipramine; Doxepin; Imipramine;
Nortriptyline; Trimipramine
Although nowadays the newer antidepressant drugs like SSRI's
are more commonly used in the treatment of depression,
the TCAs are still used
as the first-line treatment for patients with severe
(melancholic/endogenous) depression.