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. 2009 Jul;2(4):221–238. doi: 10.1177/1756283X09104794

Table 1.

Tricydic antidepressant neurotransmitter activity.

Drug name Trade name ACh Hist 5-HT NE Dop Sedation Comments
Amitriptyline Elavil +++ ++ +++ ++ - +++ Commonly used for sleep disorder
CLomipramine Anafranil ++ ++ +++ +++ - +++ Commonly used for OCD
Imipramine TofraniL ++ ++ +++ ++ - ++ Used for nocturesis
Doxepin Sinequan +++ +++ ++ + - +++
Desipramine Norpramin + + - +++ - +
Nortriptyline Aventyl ++ + ++ ++ - ++ Less hypotension than other TCAs

+, some effect; ++, moderate effect; +++, greatest effect; ACh, muscarinic antagonism; Hist, histamine antagonism; 5-HT, serotonin (5-hydroxytryptamine] antagonism; NE, norepinephrine antagonism; Dop, dopamine antagonism; OCD, obsessive-compulsive disorder.