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'''Desipramine''' is a [[tricyclic antidepressant]] (TCA) that inhibits the reuptake of [[norepinephrine]]. It is sold under the brand names '''Norpramin'''® and '''Pertofrane'''®. It is used to treat [[clinical depression|depression]], but not considered a first line treatment since the introduction of [[SSRI]] [[antidepressants]]. Desipramine is an active [[metabolite]] of [[imipramine]].
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'''Desipramine''' is a [[tricyclic antidepressant]] (TCA) that inhibits the reuptake of [[norepinephrine]]. It is sold under the brand names '''Norpramin''' and '''Pertofrane'''. It is used to treat [[clinical depression|depression]], but not considered a first line treatment since the introduction of [[SSRI]] [[antidepressants]]. Desipramine is an active [[metabolite]] of [[imipramine]].
   
 
Along with other tricyclics, desipramine has found use in treating [[neuropathic pain]]. The mechanism of
 
Along with other tricyclics, desipramine has found use in treating [[neuropathic pain]]. The mechanism of
action seems to involve the activation, through norepinephrine reuptake inhibition, of descending pathways in the spinal
+
action seems to involve the activation, through norepinephrine reuptake inhibition, of descending pathways in the [[spinal cord]] that block pain signals from ascending to the [[brain]]. Desipramine is one of the most potent and selective
  +
medications in this respect. It may also be used to treat symptoms of [[Attention Deficit Disorder]], as the underproduction of norepinephrine has been increasingly linked to symptoms associated with Attention Deficit Disorder.
cord that block pain signals from ascending to the brain. Desipramine is one of the most potent and selective
 
  +
medications in this respect.
 
  +
== Genotoxity ==
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  +
Desipramin has been shown to be [[genotoxic]] in fruit flies and associated with an increased risk of breast cancer in women.<ref>British Journal of Cancer 2002: volume 86, pages 92-97</ref>
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  +
   
 
==See also==
 
==See also==
* [[antidepressant]]
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* [[Antidepressant]]
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* [[tricyclic antidepressant]]
 
   
 
==External links==
 
==External links==
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{{Antidepressants}}
 
{{Antidepressants}}
   
[[Category:Tricyclic antidepressants]]
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[[Category:Tricyclic antidepressant drugs]]
 
   
   
   
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Latest revision as of 04:10, 14 November 2010

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Desipramine chemical structure
Desipramine

10, 11-dihydro-5-[3-(methylamino) propyl]-5H-dibenz[b,f]azepine monohydrochloride
IUPAC name
CAS number
50-47-5
ATC code

N06AA01

PubChem
2995
DrugBank
APRD00022
Chemical formula {{{chemical_formula}}}
Molecular weight 266.381
Bioavailability 73-92%
Metabolism Hepatic
Elimination half-life 21-23 hours
Excretion Renal
Pregnancy category
Legal status Rx only
Routes of administration oral

Desipramine is a tricyclic antidepressant (TCA) that inhibits the reuptake of norepinephrine. It is sold under the brand names Norpramin and Pertofrane. It is used to treat depression, but not considered a first line treatment since the introduction of SSRI antidepressants. Desipramine is an active metabolite of imipramine.

Along with other tricyclics, desipramine has found use in treating neuropathic pain. The mechanism of action seems to involve the activation, through norepinephrine reuptake inhibition, of descending pathways in the spinal cord that block pain signals from ascending to the brain. Desipramine is one of the most potent and selective medications in this respect. It may also be used to treat symptoms of Attention Deficit Disorder, as the underproduction of norepinephrine has been increasingly linked to symptoms associated with Attention Deficit Disorder.

Genotoxity

Desipramin has been shown to be genotoxic in fruit flies and associated with an increased risk of breast cancer in women.[1]


See also


External links


Antidepressants (ATC N06A) edit
Monoamine oxidase inhibitors (MAOI) Harmaline, Iproclozide, Iproniazid, Isocarboxazid, Nialamide, Phenelzine, Selegiline, Toloxatone, Tranylcypromine
Reversible inhibitor of monoamine oxidase A (RIMA) Brofaromine, Moclobemide
Dopamine reuptake inhibitor (DARI) Amineptine, Phenmetrazine, Vanoxerine, Modafinil
Norepinephrine-dopamine reuptake inhibitors Bupropion
Norepinephrine reuptake inhibitor (NRI) or (NARI) Atomoxetine, Maprotiline, Reboxetine, Viloxazine
Serotonin-norepinephrine reuptake inhibitor (SNRI) Duloxetine, Milnacipran, Venlafaxine
Selective serotonin reuptake inhibitor (SSRI) Alaproclate, Etoperidone, Citalopram, Escitalopram, Fluoxetine, Fluvoxamine, Paroxetine, Sertraline, Zimelidine
Selective serotonin reuptake enhancer (SSRE) Tianeptine
Tricyclic antidepressants (TCA) Amitriptyline, Amoxapine, Butriptyline, Clomipramine, Desipramine, Dibenzepin, Dothiepin, Doxepin, Imipramine, Iprindole, Lofepramine, Melitracen, Nortriptyline, Opipramol, Protriptyline, Trimipramine
Tetracyclic antidepressants Maprotiline, Mianserin, Nefazodone, Trazodone
Noradrenergic and specific serotonergic antidepressant (NaSSA) Mirtazapine


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  1. British Journal of Cancer 2002: volume 86, pages 92-97