Tricyclic Antidepressants:
TCAs include the following drugs:
1) Tertiary amines:
Ø Imipramine
Ø Amitriptyline
Ø Clomipramine
Ø Doxepin
Ø Trimipramine
2) Secondary amines:
Ø Desipramine
Ø Nortriptyline
3) Tetra cyclic antidepressants:
Ø Maprotiline
Ø Amoxapine
Indications:
ü Moderate to Severe Depression
ü Panic disorder
ü Imipramine is used to control bed-wetting in children of more than 6 years of age
ü Amitriptyline has been used to treat migraine headache and chronic pain syndromes (e.g. naturopathic pains) and when the cause of pain is not clear.
Adverse Effects:
Following are the common adverse effects of TCAs:
Dry mouth
Urinary retention
Blurred vision
Tachycardia
Arrhythmias
Nausea
Drowsiness.
Weight gain
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