Tricyclic Antidepressants: Side Effects & How to Use Tricyclic Antidepressants

What Are Tricyclic Antidepressants?

Tricyclic antidepressants (TCAs) are a type of medication that helps treat the symptoms of clinical depression and are often prescribed by healthcare professionals for other health problems as well.

This drug is one of several types of antidepressants and is included in the category of antidepressants that were first discovered, referred to as “first generation” antidepressants.

However, today, this drug is more often prescribed for conditions other than depression because there are other antidepressant options that are generally safer and have fewer side effects for treating depression.

The name “tricyclic” in this antidepressant refers to its chemical structure which contains three rings with one side chain.

Benefits of Tricyclic Antidepressants

This medication is useful for the treatment of symptoms of clinical depression, also known as major depressive disorder.

This drug has the ability to increase levels of certain neurotransmitters in the brain, such as serotonin and norepinephrine, which play an important role in mood regulation and stress response.

By increasing levels of these neurotransmitters, these drugs help correct the chemical imbalance that underlies depressive symptoms.

In addition to its use in treating depression, this drug also has benefits in treating various other health conditions such as anxiety disorders, helping to reduce anxiety symptoms that interfere with daily functioning.

In addition, this drug can also be used to treat sleep disorders, helping to improve sleep patterns that are disturbed due to depression or anxiety.

Tricyclic Antidepressant Dosage

In setting the dosage of this drug, a psychiatrist or other health professional will tend to prescribe a low initial dose to minimize the risk of side effects.

The dose given can be increased gradually according to the patient’s response and individual tolerance.

How to Use Tricyclic Antidepressants

This medication comes in various forms, including oral tablets, capsules, and solutions to take by mouth.

Each form has a different dosage, adjusted to the individual’s needs and medical conditions.

However, it is important to remember that the use of this drug must be closely monitored because it has a risk of side effects.

Caution in Using Tricyclic Antidepressants

Some medical conditions may be reasons to avoid using this medication, as it may make the condition worse.

Individuals who have the following conditions should avoid using this medication:

· Closed-angle glaucoma.

· Prostate enlargement.

· Urinary retention.

· Heart problems.

· Thyroid problems.

This medication can also affect blood sugar levels, so for people with diabetes who use this medication, more frequent blood sugar monitoring is often required.

For pregnant or lactating women, consultation with a doctor before using this medication is highly recommended.

The doctor will help in considering the potential risks to the health of the mother and the baby, compared to the possible benefits obtained from using the drug.

Tricyclic Antidepressants Side Effects

This medication tends to cause side effects such as constipation, weight gain, and drowsiness more often than other antidepressants.

It is important to remember that each drug has different effects. If you experience any disturbing side effects when using one of these drugs, you should immediately inform your doctor.

Your doctor may suggest switching to another type of medication that may be safer.

Some possible side effects of Tricyclic Antidepressants include:

· Dry mouth and eyes

· Blurred vision

· Dizzy

· Fatigue

· Headache

· Disorientation

· Seizures (especially with maprotiline)

· Feeling sleepy

· Constipation and urinary retention

· Sexual dysfunction

· Low blood pressure

· Weight gain (especially with amitriptyline, imipramine, and doxepin)

· Nausea

Tricyclic Antidepressant Interactions

Using this medication with certain medications such as epinephrine (Epi-Pen) and cimetidine (Tagamet) may cause dangerous side effects.

This medication can increase the effects of epinephrine on the heart, which may lead to high blood pressure and heart rhythm problems.

Cimetidine may also increase the levels of this drug in your body, increasing the risk of side effects.

In addition, various other drugs and substances can also interact with this drug, therefore, it is important to tell your doctor about all the drugs and substances you are currently taking to avoid unwanted interactions.

Doctors can provide assistance in managing possible drug interactions.

Contraindications of Tricyclic Antidepressants

People who regularly consume alcohol should avoid using Tricyclic Antidepressants because alcohol can reduce the effectiveness of the drug and increase its sedative effects.  

That was the information about Tricyclic Antidepressants, for further information, do not hesitate to use the Ask a doctor service.