Skip to main content
. 2002 Dec 7;325(7376):1332–1333. doi: 10.1136/bmj.325.7376.1332

Table.

Fatal toxicity index (deaths per million prescriptions) for antidepressants ranked within British National Formulary classes

Drug
No of prescriptions (thousands)
Total deaths
Deaths/million prescriptions (95% CI)
Tricyclic antidepressants and related drugs: 74 598 2598 34.8 (33.5 to 36.2)
 Desipramine     45 9 200.9 (92.0 to 381.6)
 Amoxapine    107 10  93.5 (44.8 to 171.8)
 Dothiepin 26 210 1398 53.3 (50.5 to 56.1)
 Amitriptyline 23 844 906 38.0 (35.5 to 40.5)
 Imipramine  3 354 110 32.8 (27.0 to 39.5)
 Doxepin  1 587 40 25.2 (18.0 to 34.3)
 Trimipramine  2 370 39 16.5 (11.7 to 22.5)
 Clomipramine  4 315 54 12.5 (9.4 to 16.3)
 Nortriptyline  1 269 7 5.5 (2.2 to 11.4)
 Maprotiline    201 1 5.0 (0.1 to 27.7)
 Trazodone  2 753 11 4.0 (2.0 to 7.1)
 Mianserin    922 3 3.3 (0.7 to 9.5)
 Mirtazapine    324 1 3.1 (0.1 to 17.2)
 Lofepramine  7 189 9 1.3 (0.6 to 2.4)
 Butriptyline      1 0 0 (0 to 3372)
 Iprindole      3 0 0 (0 to 1218)
 Viloxazine     10 0 0 (0 to 357.2)
 Protriptyline     94 0 0 (0 to 39.2)
Serotoninergic drugs: 47 329 77 1.6 (1.3 to 2.0)
 Venlafaxine  2 570 34 13.2 (9.2 to 18.5)
 Fluvoxamine    660 2 3.0 (0.3 to 10.9)
 Citalopram  2 603 5 1.9 (0.6 to 4.5)
 Sertraline  5 964 7 1.2 (0.5 to 2.4)
 Fluoxetine 19 926 18 0.9 (0.5 to 1.4)
 Paroxetine 15 031 11 0.7 (0.4 to 1.3)
 Nefazodone    576 0 0 (0 to 6.4)
Monoamine oxidase inhibitors:  1 203 24 20.0 (12.8 to 29.7)
 Tranylcypromine    367 16 43.6 (25.0 to 70.9)
 Phenelzine    404 6 14.9 (5.5 to 32.4)
 Moclobemide    365 2 5.5 (0.6 to 19.8)
 Iproniazid        0.2 0    0 (0 to 18 444)
 Isocarboxazid     68 0 0 (0 to 54.6)
Other antidepressants:  2 523 1 0.4 (0 to 2.2)
 Flupentixol  2 320 1 0.4 (0 to 2.4)
 Tryptophan     28 0   0 (0 to 133.3)
 Reboxetine    175 0  0 (0 to 21.1)
Lithium  5 106 37 7.2 (5.1 to 10.0)

Numbers may not add up to the total because of rounding.