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trimipramine

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trimipramine

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Also known as trimeprimine, 5-[3-(dimethylamino)-2-methylpropyl]-10,11-dihydro-5H-dibenz[b,f]azepine, beta-methylimipramine, 5-(gamma-dimethylamino-beta-methylpropyl)-10,11-dihydro-5H-dibenzo[b,f]azepine, trimeproprimine, 10,11-dihydro-N,N,beta-trimethyl-5H-dibenz[b,f]azepine-5-propanamine

Trimipramine, sold under the brand name Surmontil among others, is a tricyclic antidepressant (TCA) which is used to treat depression. It has also been used for its sedative, anxiolytic, and weak antipsychotic effects in the treatment of insomnia, anxiety disorders, and psychosis, respectively. The drug is described as an atypical or "second-generation" TCA because, unlike other TCAs, it seems to be a fairly weak monoamine reuptake inhibitor. Similarly to other TCAs, however, trimipramine does have antihistamine, antiserotonergic, antiadrenergic, antidopaminergic, and anticholinergic activitie

Key facts

Drug.verifiedrevid
470616008
Drug.IUPAC_name
(±)-3-(10,11-dihydro-5H-dibenzo[b,f]azepin-5-yl)-N,N,2-trimethylpropan-1-amine
Drug.image
Trimipramine2DACS.svg
Drug.image_class
skin-invert-image
Drug.width
200px
Drug.image2
Trimipramine-ball-and-stick-model.png
Drug.image_class2
bg-transparent
Drug.width2
200px
Drug.tradename
Surmontil, others
Drug.MedlinePlus
a602010
Drug.licence_US
Trimipramine
Drug.pregnancy_AU
C
Drug.pregnancy_US
C
Drug.legal_AU
S4
Drug.legal_BR
C1
Drug.legal_CA
Rx-only
Drug.legal_UK
POM
Drug.legal_US
Rx-only

via Wikipedia infobox

Chemical data

Formula
C20H26N2
Molecular weight
294.4 g/mol
IUPAC name
3-(5,6-dihydrobenzo[b][1]benzazepin-11-yl)-N,N,2-trimethylpropan-1-amine
SMILES
CC(CN1C2=CC=CC=C2CCC3=CC=CC=C31)CN(C)C
InChIKey
ZSCDBOWYZJWBIY-UHFFFAOYSA-N
XLogP
5.8
Polar surface area
6.5 Ų
H-bond donors
0
H-bond acceptors
2
Formal charge
0

via PubChem

Drug data · ChEMBL

Max clinical phase
Approved
Molecule type
Small molecule
First approval
1979
Admin. routes
oral
Indications
anxiety, Dementia, depressive disorder, schizophrenia

via ChEMBL · EBI

Research

558 papers

via PubMed

Wikidata facts

Mass
294.209599
Has use
medication
Show 7 more facts
chemical formula
C₂₀H₂₆N₂
significant drug interaction
loxapine
Commons category
Trimipramine
World Health Organisation international non-proprietary name
trimipramine
canonical SMILES
CC(CN1C2=CC=CC=C2CCC3=CC=CC=C31)CN(C)C
subject has role
tricyclic antidepressant
physically interacts with
solute carrier family 6 member 4
Sources (1)

via Wikidata · CC0

~22 min read

Encyclopedic overview

21 sections
Contents
  • Medical uses
  • Contraindications
  • Side effects
  • List of side effects
  • Overdose
  • Interactions
  • Pharmacology
  • Pharmacodynamics
  • Monoamine reuptake inhibition
  • Antihistamine activity
  • As a hypnotic
  • Antidopaminergic activity
  • Pharmacokinetics
  • Chemistry
  • History
  • Society and culture
  • Generic names
  • Brand names
  • Availability
  • In film
  • References

Trimipramine, sold under the brand name Surmontil among others, is a tricyclic antidepressant (TCA) which is used to treat depression. It has also been used for its sedative, anxiolytic, and weak antipsychotic effects in the treatment of insomnia, anxiety disorders, and psychosis, respectively. The drug is described as an atypical or "second-generation" TCA because, unlike other TCAs, it seems to be a fairly weak monoamine reuptake inhibitor. Similarly to other TCAs, however, trimipramine does have antihistamine, antiserotonergic, antiadrenergic, antidopaminergic, and anticholinergic activities.

==Medical uses== Trimipramine's primary use in medicine is in the treatment of major depressive disorder, especially where sedation is helpful due to its prominent sedative effects. The drug is also an effective anxiolytic, and can be used in the treatment of anxiety. In addition to depression and anxiety, trimipramine is effective in the treatment of insomnia, and unlike most other hypnotics, does not alter the normal sleep architecture. In particular, it does not suppress REM sleep, and dreams are said to "brighten" during treatment.

Excerpted from Wikipedia’s “trimipramine” article, available under the CC BY-SA 4.0 licence.