Chemical Name:            Amoxapine

Brand Name:              Asendin

Manufacturer:           Watson (of generic)

Description:            A tricyclic antidepressant

Indications and Use:  For the relief of symptoms of depression. 

Contraindications, Warnings and Precautions:  Do not give concomitantly or within 14 days of use with monoamine oxidase inhibitors.  Use cautiously in patients with a history of urinary retention, angle-closure glaucoma, increased intraocular pressure or cardiovascular disease.  Tricyclic drugs, when given in high doses, have been reported to produce arrhythmias, sinus tachycardia and prolongation of the conduction time.  Discontinue the drug gradually several days prior to any scheduled surgery.  Do not use with alcohol.  Amoxapine has been associated with neuroleptic malignant syndrome  (NMS), a rare but life-threatening syndrome usually seen with phenothiazine treatment.  Avoid concomitant use with central nervous system depressants.  Use cautiously with clonidine, epinephrine or norepinephrine because of an increased hypertensive effect.  Amoxapine may elevate liver function tests, decrease white blood cell counts and change serum glucose levels.

Adverse Reactions:  Possible common side effects may include dizziness, drowsiness orthostatic hypotension, tachycardia and dry mouth.  Less common side effects may include constipation, urinary retention, photosensitivity, nervousness, confusion, hypertension, headache, insomnia, EEG changes, blurred vision, nausea, sweating and edema.

Dosing Range:  In adults, the initial dose may be 50 mg to 150mg per day.  Doses above 300mg per day are made only if 300mg per day has been ineffective for at least two weeks.  Maximum recommended dosage for outpatients is 400mg per day.

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© 2000 Red Oak Psychiatry Associates, P.A.    Updated 11/26/2007