Group Main Use	Medication Brand/Generic	Form	Dose Schedule	Dose Range	Most Common Side Effects for Group	Pros for Group	Cautions for Group
TCA Tricylic Antidepressants (depression, anxiety panic, migraines, sleep)	Elavil (Amitriptyline) Pamelor (Nortipyline) Sinequan (Doxepin) (Silenor) Tofranil (Imipramine)	Tablets (not scored) 10, 25, 50, 75, 100, 150mg Capsules Doxepin Pamelor Liquid Pamelor Doxepin	Usually once a day in the evening Split dose may be useful (a.m. and p.m.) Silenor is a brand of Doxepin for sleep that comes in only 3 and 6mg sizes.	Child: 25-100 mg Adoles: 50-150 mg Adult: 100-300mg Blood levels may help guide dose. Nortiptyline and Anafranil doses lower.	Sedation, dry mouth, constipation. Dizziness, high heart rate, fatigue, blurry vision. May worsen abnormal heart rate or glaucoma or slow urination if enlarged prostrate. Occasional sexual side effects. Side-effects usually lessen with time.	Broad range of effects in depression, panic attacks, sleep, pain, headaches, bed-wetting, ADHD, post traumatic stress. Does not cut appetite. Helps sleep. Used to prevent migraines. Helps chronic pain. 50 years of well studied experience. Vivactil is more likely to energize than other TCA's.	Affects many transmitters so relatively more side effects. May be dangerous in overdose. Labs and EKG usually advised to monitor heart, liver, and level in blood. May increase appetite. Probably less effective than SRI for anxiety except panic.
	Surmontil (trimipramine)	capsules 25, 50, 100mg	Start 25 mg 2 to 3 times daily	50-150mg max 200mg
	Vivactil (protriptyline)	tablets 5, 10mg	Start 5mg 2 or 3 times daily	15-40mg max: 60mg
	Anafranil Clomipramine	capsule 25mg 50mg 75mg	Evening	25-300 mg	Same as other TCA	May be the most effective medication for obsessive-compulsive disorder (The only TCA that often helps due to also having SRI action) Children often tolerate better than adults.	Same as other TCA although probably the most side effects, especially for adults.