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Re: Help: WHICH IS THE LEAST SEDATING SAFETEST TCA? » aazospiro

Posted by King Vultan on March 25, 2004, at 20:29:58

In reply to Help: WHICH IS THE LEAST SEDATING SAFETEST TCA?, posted by aazospiro on March 25, 2004, at 18:17:45

> Benadryl knocks me out cold so does chlorpheniramine. Amitriptyline 10 mg makes me buzz, space out and heavy all over. Which is the best TCA for AADHD. Would imipramine, nortriptyline, desipramine or protiptyline be better or offer more advantages or stimulants?


Desipramine probably has the fewest side effects of any of the tricyclics, is the least anticholinergic, and does have some utility for adult ADD. Protriptyline is the most stimulating of the TCAs but is rather anticholinergic, unfortunately. Nortriptyline and imipramine are more sedating than either of these drugs; nortriptyline is the 2nd least anticholinergic tricyclic, while imipramine has significant anticholinergic properties, being notorious for dry mouth, for instance.

Todd


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