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Doctor insights on: Surmontil Tertiary Amine Tricyclic

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Whats a dangerous dose or overdose of surmontil (trimipramine)?

Whats a dangerous dose or overdose of surmontil (trimipramine)?

Overdose: If considering an overdose of any medication -- not just surmontil (trimipramine) -- please see a psychiatrist or other mental health professional. This inclination may signify a serious condition that needs treatment. ...Read more

Dr. Barbara Lavi
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


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Can surmontil (trimipramine) be taken for hot flushes?

Can surmontil (trimipramine) be taken for hot flushes?

Not usually: Surmontil (trimipramine) is not a usual medication for hot flushes. Ssri's such as prozac, paxil, and Lexapro are, though. Effexor (venlafaxine) has also been shown to have effectiveness. ...Read more

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What is the treatment for surmontil (trimipramine) overdose?

What is the treatment for surmontil (trimipramine) overdose?

Supportive Treatment: Whenever someone intentionally or unintentionally overdoses with any medication, it is an emergency. The individual should be brought to the emergency room immediately. Life support measures are given as necessary. Side effects are treated and managed until they resolve. Then a psychiatric eval once medical stability achieved. If suicidal involuntary hospitalization. If accidental determine cause. ...Read more

Dr. Alan Ali Dr. Ali
1 doctor agreed:
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Whats a usual dose of surmontil (trimipramine)?

Dr. Alan Ali Dr. Ali
1 doctor agreed:

Surmontil (trimipramine): In adults, 75-150mg. per day.

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What is the definition or description of: Surmontil (trimipramine) overdose?

What is the definition or description of: Surmontil (trimipramine) overdose?

Surmontil OD: Per Drugs.Com Surmontil (trimipramine) overdose symptoms may include "extreme drowsiness, vomiting, dilated pupils, stiff muscles, fever, feeling cold, or fainting." See: https://www.drugs.com/mtm/surmontil.html ...Read more

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Can pregnant women take Surmontil (trimipramine)?

Can pregnant women take Surmontil (trimipramine)?

Unknown: We can neither endorse nor prohibit it during pregnancy. Some similar medicines have been studied, but the results are inconclusive. There may be an increase in risk; on the other hand, if it is helpful to the mother, there may be an increase in risk without it. Consider dosage, trimester, risks and benefits, and involvement of the father and obstetrician, in deciding. ...Read more

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Is it contraindicated to take surmontil (trimipramine) and tramadol together ?

Is it contraindicated to take surmontil (trimipramine) and tramadol together ?

Caution advised: The combination together has an increased risk of low blood pressure episodes, seizures, central nervous system depression, psychomotor impairment, and risk of serotonin syndrome. You should discuss this with your physician and as long as you agree to accept the risk, there is no absolute contraindication to taking them together. ...Read more

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I don't feel the same after taking generic surmontil (trimipramine). I feel more depressed and anxious. Is this normal? Been on generic about a week.

I don't feel the same after taking generic surmontil (trimipramine). I feel more depressed and anxious. Is this normal? Been on generic about a week.

Brand before?: Answer depends on whether you have been taking brand surmontil (trimipramine) previously. But not a pharm answer! the placebo effect is powerful, both positive and negative, it's possible that your worry about generic being less effective is causing you serious anxiety. It's too soon for a pharm effect, if there were one (unlikely). Give it some time--and do some reading on placebo, it will really be helpful. ...Read more

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Been on surmontil (trimipramine) 50 mg. For 12 yrs. Now generic doesn't seem as effective. Is generic the same formulation?

Been on  surmontil (trimipramine) 50 mg. For 12 yrs. Now generic doesn't seem as effective.  Is generic the same formulation?

Yes and no: Generics must contain the same active ingredient as the branded product, but other ingredients (fillers) or delivery system (capsule vs pill vs gelcap vs specialized release system) may be different. Generics from other countries may not be tested as thoroughly to make certain dose of active ingredient is consistent. Discuss concerns with fp/doc &/or pharmacist. ...Read more

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Why are tricyclic antidepressants considered unsafe?

Why are tricyclic antidepressants considered unsafe?

They are not unsafe.: Tricyclic antidepressants are still used. However, they typically have a lot of uncomfortable side effects and because of this other antidepressants are preferred. ...Read more

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What are the differences between tricyclic antidepressants and snris?

Neurotransmitters: Tricyclic antidepressants are probably the most effective antidepressants we have. They affect a number of neurotransmitters and multiple circuits in the brain, alleviating depression, anxiety, migraines, and various pain syndromes. The down side to them is side effects and potential for stopping the heart in overdose. The serotonin-norepinephrine antidepressants are much safer. ...Read more

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What's the difference between tricyclic antidepressants and monocyclic antidepressants?

Rings: The designation refers to the chemical structure. Monocyclic antidepressants, such as bupropion or fluvoxamine, have a molecular structure with only one ring of atoms whereas tricyclic antidepressants, such as Imipramine and desipramine, have three rings of atoms in their structure. ...Read more

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Which mao inhibitors and tricyclic anti depressants are also good for anxiety disorders?

Which mao inhibitors and tricyclic anti depressants are also good for anxiety disorders?

Certain ones: In my practice and with my patients with various anxiety disorders, i often find the tricyclic antidepressant nortriptyline to be quite beneficial. Some doctors who did not receive their training until the 90s, may not feel comfortable prescribing some of the older medications. ...Read more

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I took Dur amine 40mg can't sleep having trouble breathing is this normal does it pass please advise, what to do?

I took Dur amine 40mg can't sleep having trouble breathing is this normal does it pass please advise, what to do?

Checkup: You need an echocardiogram to see if Duromine (Phentermine) has damaged your heart valves. You also need a chest x-ray, CBC, BNP, TSH d-dimer and possibly other tests like spirometry. No one can tell you if it's temporary until the cause has been determined. ...Read more

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Can i experience antidepressant withdrawal when transitioning from a tricyclic to an ssri? If so, what are some of the symptoms?

Yes: Symptoms of gastrointestinal and somatic distress, sleep disturbance, and movement disorders and mania have been temporally linked to withdrawal of tcas. Cholinergic and adrenergic overdrive after tca discontinuation have been suggested as the proposed mechanism for this syndrome. Reported symptoms may be psychosomatic or related to underlying mental illness. www.ncbi.nlm.nih.gov/pubmed/8219442. ...Read more

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What's the difference between ssri antidepressants and tricyclic antidepressants?

What's the difference between ssri antidepressants and tricyclic antidepressants?

SSRI's vs Tricyclics: The ssri's focus on blocking serotonin reuptake, and the tricyclics are non-selective in their receptor activity. Histamine blockade and others in tca's causes more sedation; there can also be postural hypotension with tca's. Ssri's may be safer in overdose, less likely to cause arrhythmia -- could be important in patients w/heart disease. Ssri's have their own side effect profile though. ...Read more

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Why do tricyclic antidepressants prevent migraines?

Why do tricyclic antidepressants prevent migraines?

Serotonin modulation: An excellent question. Amitriptyline affects multiple neurotransmitters, and it is believed that its modulation of serotonin calms the nerves that stimulate migraines. ...Read more

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Will tricyclic antidepressants cause man boobs?

Will  tricyclic antidepressants cause man boobs?

Rarely: There have been rare reports of gynecomastia with tcas; i can not think of a clear cut case in the patients I have treated however. ...Read more

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Tricyclic vs MAOI which give quick responce?

Neither: There are safer drugs available. Unless there is a good reason, as determined by an experienced psychiatrist, to use either, it would be prudent to avoid both. ...Read more

Dr. Mark Ingerman
7 doctors shared insights

Surmontil (Definition)

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