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
Depression, 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...
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References and Readings
Physicians’ Desk Reference (71st ed.). (2017). Montvale: Thomson PDR.
Stahl, S. M. (2007). Essential psychopharmacology: The prescriber’s guide (2nd ed.). New York: Cambridge University Press.
Additional Information
Drug Interaction Effects. http://www.drugs.com/drug_interactions.html.
Drug Molecule Images. http://www.worldofmolecules.com/drugs/.
Free Drug Online and PDA Software. www.epocrates.com.
Free Drug Online and PDA Software. www.medscape.com.
Gene-Based Estimate of Drug interactions. http://mhc.daytondcs.com: 8080/cgi bin/ddiD4?ver=4&task=getDrugList.
Pill Identification. http://www.drugs.com/pill_identification.html.
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Gonzalez, E.A. (2018). Amoxapine. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, Cham. https://doi.org/10.1007/978-3-319-57111-9_1626
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DOI: https://doi.org/10.1007/978-3-319-57111-9_1626
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Online ISBN: 978-3-319-57111-9
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