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Protriptyline Hcl Generic Name & Formulations
Legal Class
Rx
General Description
Protriptyline HCl 5mg, 10mg; tabs.
Pharmacological Class
Tricyclic.
How Supplied
Contact supplier.
Manufacturer
Protriptyline Hcl Indications
Indications
Depression.
Protriptyline Hcl Dosage and Administration
Adult
15–40mg daily in 3–4 divided doses. Increase AM dose if needed; max 60mg daily. Elderly, adolescents: initially 5mg 3 times daily.
Children
Not established.
Protriptyline Hcl Contraindications
Contraindications
During or within 14 days of MAOIs. Concomitant cisapride. Acute post-MI.
Protriptyline Hcl Boxed Warnings
Not Applicable
Protriptyline Hcl Warnings/Precautions
Warnings/Precautions
Increased risk of suicidal thinking and behavior in children, adolescents, and young adults; monitor for clinical worsening or unusual changes. History of seizures. Urinary retention. Increased intraocular tension. Angle-closure glaucoma. Cardiovascular disorders. Bipolar disorder. Mania. Psychosis. ECT. Diabetes. Hyperthyroidism. Liver disorders. Discontinue prior to surgery. Poor metabolizers (CYP2D6). Avoid abrupt cessation. Avoid sun, UV light. Elderly (monitor cardiovascular effects over 20mg/day). Pregnancy. Nursing mothers.
Protriptyline Hcl Pharmacokinetics
See Literature
Protriptyline Hcl Interactions
Interactions
See Contraindications. Hyperpyretic crisis, convulsions, death with MAOIs. Avoid during or within 5 weeks of fluoxetine. Potentiates alcohol, CNS depressants. Blocks guanethidine. Paralytic ileus, hyperpyrexia with anticholinergics, neuroleptics. Potentiated by CYP2D6 inhibitors (eg, quinidine, phenothiazines, SSRIs, propafenone, flecainide); monitor with cimetidine. Adjust sympathomimetic, anticholinergic doses. Increased seizure risk with tramadol.
Protriptyline Hcl Adverse Reactions
Adverse Reactions
CNS, anticholinergic, or cardiovascular effects (eg, drowsiness, confusion, anxiety, tachycardia, hypotension), extrapyramidal symptoms, nausea, fatigue, rash, headache, changes in blood sugar, photosensitivity, edema, blood dyscrasias, sexual dysfunction, gynecomastia, liver dysfunction.
Protriptyline Hcl Clinical Trials
See Literature
Protriptyline Hcl Note
Notes
Formerly known under the brand name Vivactil.
Protriptyline Hcl Patient Counseling
See Literature
