Table 35.4—Tricyclic Antidepressants for Older Adults
|
Generic (Trade) Name |
Initial Dosage |
Final Dosage |
Sedative Potential |
Precautions |
Advantages |
|
Desipramine (Norpramin) |
10–25 mg hs |
25–150 mg hs |
Low |
May be fatal in overdose May exacerbate glaucoma, anticholinergic effects |
Therapeutic plasma level 115–200 ng/mL May have stimulant properties |
|
Nortriptyline (Pamelor, Aventyl) |
10–25 mg hs |
25–100 mg hs |
Moderate |
Lower final dose May be fatal in overdose May exacerbate glaucoma, anticholinergic effects |
Therapeutic window for plasma levels of 50–150 ng/mL |
NOTE: hs = hora somni or at bedtime.