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Amoxapine

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  • First Online:
Encyclopedia of Clinical Neuropsychology
  • 2 Accesses

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.

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  • Stahl, S. M. (2007). Essential psychopharmacology: The prescriber’s guide (2nd ed.). New York: Cambridge University Press.

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Correspondence to Efrain Antonio Gonzalez .

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© 2018 Springer International Publishing AG, part of Springer Nature

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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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