- The name
of the antidepressant medication is shown below. The bold italicized
names are the chemical names for the brand names listed under them:
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Imipramine
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Desipramine
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Amitriptyline
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Trazodone
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Protripyline
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Fluoxetine
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Sertraline
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Tofranil
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Norpramine
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Elavil
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Desyrel
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Vivactil
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Prozac
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Zoloft
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Tofranil-PM
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Pertofrane
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Endep
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Imavate
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Janimine
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Trimipramine
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Nortipyline
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Doxepin
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Maprotiline
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Amozapine
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Paroxetine
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Pramine
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Surmontil
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Aventyl
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Adapin
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Ludiomil
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Asendin
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Paxil
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Presamine
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Pamelor
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Sinequan
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- Antidepressants
must be taken regularly, not just when you feel like you need them.
In other words, never stop taking the medications because you feel
better and think you no longer need them. Stop them only when I tell
you. Your treatment with antidepressants will last a minimum of three
months.
- Take your
medication all in one dose, and take them about four hours before you
intend to go to bed. That will put some of your side effects
such as drowsiness while you sleep. There are two exceptions'
Trazodone (Desyrel) should be taken right at bedtime with a snack.
Fluoxetine (Prozac) should be taken after arising.
- Most of
the good effects of this medication will not show themselves for about
two weeks. Some of the medications will help you sleep right
away, but all of the other beneficial effects will be delayed for two
weeks or sometimes longer. When the medication does begin to work your
headaches or other pain will go away. Your tendencies to cry and feel
irritable will go away; in other words, you will feel like you are
back to normal.
- When you
do begin to feel back to normal, do not stop taking the medication. If
you do, within three or four days you will feel worse again.
- It is
extremely important that I see you again after the first two weeks of
treatment in order to evaluate whether the diagnosis and treatment is
correct. Whatever you do, do not stop taking the medication
until you see me.
- If
anything troublesome happens which you think may be due to the
medication, call and let me know what is happening. Many times
the problems will have nothing to do with the medication at all.
However, it is true that with a few people there may be such reactions
as constipation, blurring of vision, delay of urination. or a lot of
perspiration. Such side effects are usually temporary and
can be controlled other ways.
- You
should be able to work, drive, and carry out your usual activities
while taking the medicine. When first beginning the
antidepressant, you should use some caution about driving or engaging
in other hazardous activity until you see how the medicine will affect
you. Usually you can do anything you wish, especially after the
first two or three days. If you are too sleepy after that, or
cannot sleep, it usually means that we need to change the type of
antidepressant to one that gives more or less drowsiness, and I can
easily do that by phone. Call if there is any problem.
You
should be aware that the safety of these medications lies in the fact that
you cannot hide from troublesome life situations with them. If, for
example, you do not have the true medical disease of depression, but
instead are only working too hard, you will receive no "energy"
from these pills. If you do not have a depression, but instead are
simply unhappy with a life situation that would make anyone unhappy, then
the pills will give no happiness. If your headache or stomach ache
are due to some other disease, the pills won't help. They only work when
the disease depression is present, and in that situation they usually give
dramatic and gratifying relief to all of the symptoms. Thus you can
see the basic difference between these medications and such drugs as
alcohol, "uppers", "nerve pills", sleeping pills and
the like. These medications cannot be used as an escape from life's
problems. and are not habit forming. The antidepressants cannot be
used in that way, and that is their greatest safety feature.
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