Encyclopedia of Clinical Neuropsychology

2011 Edition
| Editors: Jeffrey S. Kreutzer, John DeLuca, Bruce Caplan

Amoxapine

  • John C. Courtney
Reference work entry
DOI: https://doi.org/10.1007/978-0-387-79948-3_1626

Generic Name

Amoxapine

Brand Name

Ascendin

Class

Tetracyclic antidepressant

Proposed Mechanism(s) of Action

Amoxapine inhibits reuptake of norepinephrine and noradrenaline. It is also known to antagonize Serotonin 2A receptors, thus increasing presynaptic release of amines. Mild Dopamine 2 blockade.

Indication

Reactive depressive disorder, psychotic depression, and depression accompanied by anxiety or agitation.

Off Label Use

Depressive phase of a bipolar disorder, anxiety, insomnia, neuropathic pain, and treatment resistant depression.

Side Effects

Serious

Paralytic ileus, hyperthermia, lowered seizure threshold, sudden death, cardiac arrhythmias, tachycardia, QTc prolongation, hepatic failure, intraocular pressure, mania, and potential for activation of suicidal ideation.

Common

Blurred vision, constipation, urinary retention, increased appetite, dry mouth, diarrhea, heartburn, weight gain, fatigue, weakness, dizziness, anxiety, sexual dysfunction, sweating, rash, and itching. Can...

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References and Readings

  1. Physicians’ Desk Reference (62nd ed.). (2007). Montvale, NJ: Thomson PDR.Google Scholar
  2. Stahl, S. M. (2007). Essential psychopharmacology: The prescriber’s guide (2nd ed.). New York, NY: Cambridge University Press.Google Scholar

Additional Information

  1. Free Drug Online and PDA Software: www.epocrates.com

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • John C. Courtney
    • 1
  1. 1.Department of PsychologyChildren's Hospital of New OrleansNew OrleansUSA