Top
20
Doctor insights on: Surmontil Tertiary Amine Tricyclic

Share
1

1
Is wellbutrin (bupropion) a dopamine agonist drug?

Is wellbutrin (bupropion) a dopamine agonist drug?

Mostly: Wellbutrin (bupropion) interferes with reuptake of dopamine&norepinephrine(noradrenaline)in the central nervous system, thereby leaving these neurotransmitters to sit longer&stronger in the synapse between communicating brain cells, which enhances dopamine&adrenaline activity at the cellular level. That can treat depression, feed pleasure to help sex&bypass tobacco, improve adhd&cognition, lower weight, etc. ...Read more

See 2 more doctor answers
Dr. James Lin
7 doctors shared insights

Trimipramine (Definition)

Trimipramine is a tertiary amine tricyclic which is a kind of tricyclic type drug (serotonin-norepinephrine reuptake inhibiting ...Read more


2

2
Which causes asthenia after not taking; 1-Haloperidol 2-Carbamazepine 3-Lamotrigine 4-Biperiden 5-Methocarbamol 6-Quetiapine 7-Clomipramine?

Which causes asthenia after not taking; 1-Haloperidol  
2-Carbamazepine
3-Lamotrigine
4-Biperiden
5-Methocarbamol
6-Quetiapine
7-Clomipramine?

Asthenia : Weakness can be caused by induction of an adrenal deficiency in the setting of chronic steroid use ( withdrawal ) Any of the medications listed can produce perceived weakness in the setting of anxiety. ...Read more

3

3
Only noradrenergic antidepressant works for me, does inderal (propranolol) acts negative on noradrenergic effects of antidepressant ?At vasomotor centers.Regards.

Only noradrenergic antidepressant works for me, does inderal (propranolol) acts negative on noradrenergic effects of antidepressant ?At vasomotor centers.Regards.

Venlafaxine: It's not the vasomotor centers that are important in antidepressant response; it's the neuron synapses in the brain. Effexor (venlafaxine) inhibits reuptake of both serotonin and ne. Inderal can suppress some of the physical symptoms of anxiety (rapid heart rate, sweaty palms, tremulousness, etc). Some on chronic (not intermittent or "prn") Inderal have had more depression. Not everyone. You should be okay. ...Read more

4

4
Can periactin (cyproheptadine hydrochloride) (cyproheptadine) be useful in relieving serotonin induced migraine caused by an ssri? Periactin (cyproheptadine hydrochloride) has antiserotonin affinity. Head hurts..

Can periactin (cyproheptadine hydrochloride) (cyproheptadine) be useful in relieving serotonin induced migraine caused by an ssri? Periactin (cyproheptadine hydrochloride) has antiserotonin affinity. Head hurts..

Might be useful: Although Cyproheptadine is nominally an anti-histamine, it does have seratonin antagonistic effects, and, has been best used as a migraine preventative in years past. Since it is cheap, could try it, but likely should start low dose and aim for about 4mg every 6 hrs. May take about two weeks to decide success at the higher dose. ...Read more

5

5
Is the antidepressant tofranil (imipramine) effective?

Is the antidepressant tofranil (imipramine) effective?

Yes: It is effective and sometimes works better than the new ones on the minus side it has anticholinergic side effects: dry mouth blurred vision constipation hot flashes etc. ...Read more

6

6
I'm considering taking elavil or tofranil (imipramine) for depression. Which is best?

I'm considering taking elavil or tofranil (imipramine) for depression. Which is best?

They're very similar: Elavil (amitriptyline) (amitripyline) and tofranil (imipramine) are both tricyclic antidepressants, an older category. While they are effective against depression, both can cause antihistamine-like effects e.g., sedation, dry mouth, dry eyes, constipation, and temporary trouble focusing vision. Elavil (amitriptyline) does this a little more, so tofranil may be better unless elavil's extra sedation helps. ...Read more

See 3 more doctor answers
7

7
Which is best? Paxil, (paroxetine) olanzapine, bupropion, or oxcarbazepine?

Which is best? Paxil, (paroxetine) olanzapine, bupropion, or oxcarbazepine?

Agree w Dr. Ali: Which is best for treating which condition?. Paxil is an SSRI antidepressant which is good for treatment of typical depressive sx 's & anxiety. Bupropion is a unique antidepressant which is good for seasonal affective disorder, atypical depression & smoking cessation. Oxcarbazepine is a mood stabilizer and olanzapine is an antipsychotic. You are asking us to compare apples & organges. ...Read more

See 1 more doctor answer
8

8
Is buproprion a monoamine oxidase inhibitor (maoi) type of drug?

Is buproprion a monoamine oxidase inhibitor (maoi) type of drug?

No: Bupropion (wellbutrin) inhibits re-uptake of norepinephrine and Dopamine into neurons (nerve and brain cells). It does not inhibit mao, so there are no dietary restrictions or common medication interactions, unlike the the maois. ...Read more

See 1 more doctor answer
9

9
Is pamelor (nortriptyline) the safest trycyclic for cardiac patients?

Is pamelor (nortriptyline) the safest trycyclic for cardiac patients?

Others preferred: In gereneral tricyclic antidepressants including Pamelor (nortriptyline) are relatively less safe than other classes of antidepressants. This is especially true if "cardiac disease" means recent (within approximately 6 months) heart attack. Zoloft (sertraline, an ssri) may be relatively safer. Untreated depression contributes to worsened prognosis for certain types of heart disease. ...Read more

Dr. Alan Ali Dr. Ali
1 doctor agreed:
11

11
Are antidepressants (flupentiksol dihydrochloride) dangerous to health?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
Are antidepressants (flupentiksol dihydrochloride) dangerous to health?

Flupenthixol: This is a Psychotropic medication in group of Neuroleptics similar to Navane (thiothixene). It is used less nowadays in the USA due to its side-effects resulting from locking Dopamine in your body. Consult your doctor to review medication & alternatives to treat depression. ...Read more

See 1 more doctor answer
13

13
(Allegra, ortho tri-cyclen, Cymbalta)-GP prescribed. (Baclofen, Carb/Levo, & Adderall)-added by Neurologist. Interact. b/w meds to cause hypnic jerks?

(Allegra, ortho tri-cyclen, Cymbalta)-GP prescribed.
(Baclofen, Carb/Levo, & Adderall)-added by Neurologist. Interact. b/w meds to cause hypnic jerks?

Reconciliation: If different doctors all use electronic medical records, and they perform "medication reconciliation" at each visit so that they all know what doctor prescribed which medication, likelihood is high that the systems alerts of any potential problems with the medications. The Affordable Care Act (=Obamacare) mandates medication reconciliation. ...Read more

14

14
Is Depakote a dopamine antagonist?

Is Depakote a dopamine antagonist?

No: According to our current understanding, Depakote work by altering calcium current, sodium channel, and the synthesis and breakdown of gaba, the main inhibitory neurotransmitter in the brain. ...Read more

See 2 more doctor answers
15

15
150 mg. Elavil (amitriptyline) for 25 years switch to ssri with greatest sedative affect as elavil (amitriptyline) - which ssri would be best suited for me?

150 mg. Elavil (amitriptyline) for 25 years switch to ssri with greatest sedative affect as elavil (amitriptyline) - which ssri would be best suited for me?

Individual consult: To find something best suited to you, you need an individual re-assessment with your own doctor. There's no ssri as truly sedating as elavil (amitriptyline). In fact, this is partially why many ssri's are chosen over older antidepressants like Elavil (amitriptyline) anyway. People don't like to be drowsy in daytime. If you and your doctor are looking for sedation, an alternative (not an ssri) might be mirtazepine. ...Read more

See 1 more doctor answer
17

17
Which is more effective? Tricyclics or SSRIs (selective serotonin reuptake inhibitors)?

Which is more effective? Tricyclics or SSRIs (selective serotonin reuptake inhibitors)?

TCA/SSRI: Both are, depending on what they are prescribed for. The difference is in tolerability & side-effects. ...Read more

18

18
Which tcas is more potent for sciatica pain relief, amitriptyline(or nortriptyline), imipramine(or desipramine)?

Which tcas is more potent for sciatica pain relief, amitriptyline(or  nortriptyline), imipramine(or desipramine)?

TCA: Tca are classic for neuropathic pain - sciatica for example. Any of the ones u mentioned may be quite eefective - and cheap. They are not without side effects - dry mouth, constipation, sedation. Any of the ones u mentioned can be effective. I personally like amytryptilline - 10mg at night - as mentioned all will work. Additionally other meds such as lyrica, (pregabalin) neurontin, Cymbalta are options. ...Read more

See 1 more doctor answer
19

19
Is amitriptyline an maoi?

Is amitriptyline an maoi?

No: It is an antidepressant of the tricyclic group - very different. ...Read more

20

20
Is tryptisol a tricyclic antidepressant used for anxiety. Thanks?

Is tryptisol a tricyclic antidepressant used for anxiety. Thanks?

Amitriptyline: Tryptizol is an international brand name for amitriptyline marketed in Egypt and Lebanon. Amitriptyline is a tricyclic antidepressant that may be helpful for anxiety disorders. However, there are safer meds, more widely used for anxiety, eg., SSRI serotonin - boosting, today. See: http://www.drugs.com/international/tryptizol.html ...Read more

Surmontil (Definition)

Surmontil is a tertiary amine tricyclic which is a kind of tricyclic type drug (serotonin-norepinephrine reuptake inhibiting ...Read more