Amitriptyline Flashcards
Drugs in the class tricyclic antidepressants
Amitriptyline
lofepramine
Indications of tricyclic antidepressants
2nd line for moderate-severe depression if SSRI (1st line) contraindicated but less often used now
use more frequently for neuropathic pain
MOD of tricyclic antidepressants
Inhibit neuronal reuptake of serotonin (5-HT) and noradrenaline
Block a wide array of receptors - causing many SE
SE of tricyclic antidepressants
dry mouth
constipation
urinary retention
hypotension
Drowsiness
ECG changes
Sudden withdrawal is bad
Warnings of tricyclic antidepressants
elderly
CVS
Constipation
prostatic hypertrophy
raised intraocular pressure
Interactions of tricyclic antidepressants
Dont with monoamine oxidase inhibitor - both work the same