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Atypical antidepressant information


An atypical antidepressant is any antidepressant medication that acts in a manner that is different from that of most other antidepressants. Atypical antidepressants include agomelatine, bupropion, iprindole, mianserin, mirtazapine, nefazodone, opipramol, tianeptine, and trazodone.[1][2][3] The agents vilazodone and vortioxetine are partly atypical. Typical antidepressants include the SSRIs, SNRIs, TCAs, and MAOIs, which act mainly by increasing the levels of the monoamine neurotransmitters serotonin and/or norepinephrine.[1][2][3] Among TCAs, trimipramine is an atypical agent in that it appears not to do this.[3] In August 2020, esketamine (JNJ-54135419) was approved by the U.S. Food and Drug Administration (FDA) for the treatment of treatment-resistant depression with the added indication for the short-term treatment of suicidal thoughts.[4]

Buprenorphine/samidorphan (ALKS-5461) is an antidepressant with a novel mechanism of action which was formerly under development and considered an atypical antidepressant.[5] They act faster than available antidepressants.[5]

  1. ^ a b Feighner JP (1999). "Mechanism of action of antidepressant medications". J Clin Psychiatry. 60 (Suppl 4): 4–11, discussion 12–3. PMID 10086478.
  2. ^ a b Stahl SM (1998). "Basic psychopharmacology of antidepressants, part 1: Antidepressants have seven distinct mechanisms of action". J Clin Psychiatry. 59 (Suppl 4): 5–14. PMID 9554316.
  3. ^ a b c Frazer A (1997). "Pharmacology of antidepressants". J Clin Psychopharmacol. 17 (Suppl 1): 2S–18S. doi:10.1097/00004714-199704001-00002. PMID 9090573.
  4. ^ "FDA Approves A Nasal Spray To Treat Patients Who Are Suicidal". NPR.org. 4 August 2020. Retrieved 27 September 2020.
  5. ^ a b Garay RP, Zarate CA, Charpeaud T, Citrome L, Correll CU, Hameg A, Llorca PM (2017). "Investigational drugs in recent clinical trials for treatment-resistant depression". Expert Rev Neurother. 17 (6): 593–609. doi:10.1080/14737175.2017.1283217. PMC 5418088. PMID 28092469.

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Atypical antidepressant

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List of antidepressants

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approved prescription antidepressants throughout the world, as well as clinically approved prescription drugs used to augment antidepressants or mood stabilizers...

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Atypical depression

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shown to be of superior efficacy compared to other antidepressants for the treatment of atypical depression, and were used as first-line treatment for...

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Bupropion

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and sold under the brand name Wellbutrin among others, is an atypical antidepressant primarily used to treat major depressive disorder and to support...

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Agomelatine

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under the brand names Valdoxan and Thymanax, among others, is an atypical antidepressant most commonly used to treat major depressive disorder and generalized...

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Tetracyclic antidepressant

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secondary amines Quetiapine (Seroquel) - an atypical antipsychotic sometimes used as an adjunct antidepressant Benzoctamine (Tacitin) – a tetracyclic compound...

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Nefazodone

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brand names Serzone, Dutonin, and Nefadar among others, is an atypical antidepressant medication which is used in the treatment of depression and for...

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Noradrenergic and specific serotonergic antidepressant

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disinhibitor (NDDI) Tetracyclic antidepressant Norepinephrine–dopamine reuptake inhibitor Atypical antidepressant Robert M. Julien (17 September 2004)...

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Selective serotonin reuptake inhibitor

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particularly associated with serotonergic antidepressants like SSRIs and SNRIs, but may be less with atypical antidepressants like bupropion, agomelatine, and...

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Mianserin

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Mianserin, sold under the brand name Tolvon among others, is an atypical antidepressant that is used primarily in the treatment of depression in Europe...

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Mirtazapine

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Mirtazapine, sold under the brand name Remeron among others, is an atypical tetracyclic antidepressant, and as such is used primarily to treat depression. Its effects...

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Asenapine

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derived via altering the chemical structure of the tetracyclic (atypical) antidepressant, mianserin. It was initially approved in the United States in 2009...

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Major depressive disorder

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option is to augment the atypical antidepressant bupropion to the SSRI as an adjunctive treatment. Venlafaxine, an antidepressant with a different mechanism...

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Tianeptine

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brand names Stablon, Tatinol, and Coaxil among others, is an atypical tricyclic antidepressant which is used mainly in the treatment of major depressive...

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Tricyclic antidepressant

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Tricyclic antidepressants (TCAs) are a class of medications that are used primarily as antidepressants. TCAs were discovered in the early 1950s and were...

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Serotonin modulator and stimulator

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Association (2013). "Vortioxetine: Atypical antidepressant". Los Angeles Times (2013). "FDA approves a new antidepressant: Brintellix". Los Angeles Times...

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Venlafaxine

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other antidepressants, although the quality of many comparisons was assessed as low or very low. Venlafaxine was similar in efficacy to the atypical antidepressant...

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Atypical antipsychotic

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The atypical antipsychotics (AAP), also known as second generation antipsychotics (SGAs) and serotonin–dopamine antagonists (SDAs), are a group of antipsychotic...

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Etoperidone

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Etoperidone, associated with several brand names, is an atypical antidepressant which was developed in the 1970s and either is no longer marketed or was...

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Amineptine

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under the brand name Survector among others, is an atypical antidepressant of the tricyclic antidepressant (TCA) family. It acts as a selective and mixed...

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Management of depression

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of atypical antipsychotics when the patient has not responded to an antidepressant is also known to increase the effectiveness of antidepressant drugs...

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Atypical trigeminal neuralgia

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Atypical trigeminal neuralgia (ATN), or type 2 trigeminal neuralgia, is a form of trigeminal neuralgia, a disorder of the fifth cranial nerve. This form...

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Generalized anxiety disorder

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Hydroxyzine (H1 receptor antagonist) Vilazodone (atypical antidepressant) Agomelatine (antidepressant, MT1/2 receptor agonist, 5-HT2C antagonist) Clonidine...

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Pipofezine

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55–56. PMID 16281382. Avdulov NA, Maĭsov NI (November 1981). "[Atypical antidepressants: effect on synaptosomal uptake of serotonin and GABA]". Biulleten'...

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Temazepam

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have largely been replaced by z-drugs (zopiclone, zolpidem) and atypical antidepressants (trazodone, mirtazapine) as first line treatment for insomnia....

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