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Chance of side effects with certain antidepressant medicines, continued

Chance of side effects with certain antidepressant medicines, continued
Generic name US brand name Dry mouth,
blurred vision,
trouble urinating,
constipation,
dizziness
Drowsiness Trouble sleeping,
jitteriness
Nausea,
vomiting,
diarrhea
Weight gain Sexual problems
Tricyclic and tetracyclic antidepressants ("TCAs")
Amitriptyline Elavil High High None Very low High Moderate to high
Amoxapine Asendin (only sold as generic in US) Low Low Low None Low Unknown
Clomipramine Anafranil High High Very low Very low High High
Desipramine Norpramin Very low High Very low None Very low Unknown
Doxepin Silenor, Sinequan Moderate Moderate None None High Moderate
Imipramine Tofranil Moderate Moderate Very low Very low High Moderate
Maprotiline Ludiomil (only sold as generic in US) Low Moderate None None Low Unknown
Nortriptyline Pamelor Low Low None None Very low Unknown
Protriptyline Vivactil (only sold as generic in US) Low Very low Very low Very low Very low Moderate to high
Trimipramine Surmontil High High Very low None High Unknown
Monoamine oxidase inhibitors
Isocarboxazid Marplan Very low Very low Low Very low Very low High
Phenelzine Nardil Very low Low Very low Very low Low High
Selegiline Eldepryl, Emsam, others Very low None Very low None None None
Tranylcypromine Parnate Very low Very low Low Very low Very low High
Many of these medicines can affect your blood pressure and make you feel lightheaded when you stand up. This could increase your risk of falling.
Created with data from:
  1. Nelson JC. Tricyclic and tetracyclic drugs. In: The American Psychiatric Publishing Textbook of Psychopharmacology, 4th ed, Schatzberg AF, Nemeroff CB (Ed), American Psychiatric Publishing, Washington, DC 2009. p.263.
  2. Lexicomp Online. Copyright © 1978-2024 Lexicomp, Inc. All Rights Reserved.
  3. Serretti A, Chiesa A. Sexual side effects of pharmacological treatment of psychiatric disease. Clin Pharm Ther 2011; 89:142-7.
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