Psychotropics

Psychotropics

BH (lvl 3)
Antidepressants

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What are the common TCA’s, and associated dosages and side effects?

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Last updated

2 years ago

Date created

Nov 15, 2021

Cards (2)

Antidepressants

(2 cards)

What are the common TCA’s, and associated dosages and side effects?

Front

Amitriptyline (Elavil: 25-300 mg/d; Oral) – Tx of depression

SE: lightheadedness, chest pain, fluttering heart, confusion, hallucinations, seizure,  

difficult urination, easy bruising, fever and chills, constipation, diarrhea, nausea, GI  

upset, appetite/ weight changes, vomiting

 

Doxepin (Adapin/ Sinequan/ Silenor: 25-300 mg/d; Oral) – Tx of depression; Silenor is FDA  

approved for insomnia.  

Note: This is the most sedating of the TCAs

SE: (see above)

 

Imipramine (Tofranil: 25-300 mg/d; Oral) – Tx of depression and enuresis in children.  

SE: See above

 

Trimipramine (Surmontil: 25-300 mg/d; Oral) – Tx of depression

SE: See above

 

Nortriptyline (Pamelor/ Aventyl: 25-200 mg/d; Oral)  

SE: See above

 

Desipramine (Norpramin: 25-300 mg/d; Oral)

SE: See above

 

Protriptyline (Vivactil: 10-60 mg/d; Oral)

SE: See above

 

Clomipramine (Anafranil: 25-250 mg/d; Oral) – Depression but FDA approved for only OCD

SE: See above

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What are the common MAOI’s, associated dosages, and side effect profile?

Front

Phenelzine (Nardil) 45-90 mg/d (Oral) – Tx of Atypical depression

SE: Orthostatic hypotension, hypertensive crisis

 

Tranylcypromine (Parnate) 20-40mg/d (Oral) – Tx of MDD

SE: Orthostatic hypotension, edema, tachycardia, HA, and insomnia

 

Selegiline (Eldepryl: 5-10 mg/d; Oral for PD) and EMSAM (6-12 mg/d [transdermal for MDD])

Tx of MDD and Parkinson’s disease

SE: HA, insomnia, dizziness, nausea 

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