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Box 21-3

Dosage
Older Agents
Tricyclic Antidepressants (TCAs) and their derivatives
Imipramine (Tofranil)50–300 mg/day
Amitriptyline (Elavil)50–300 mg/day
Clomipramine (Anafranil)50–250 mg/day
Doxepin (Sinequan)25–300 mg/day
Amoxapine (Ascendin)50–300 mg/day
Desipramine (Norpramin)50–300 mg/day
Nortriptyline (Pamelor/Aventyl)25–150 mg/day
Monoamine Oxidase Inhibitors (MAOIs)
Phenelzine (Nardil)15–90 mg/day
Tranylcypromine (Parnate)10–60 mg/day
Selegiline transdermal patch (EMSAM)6–12 mg/day
Newer Agents
Selective Serotonin Reuptake Inhibitors (SSRIs)
Fluoxetine (Prozac)20–80 mg/day
Fluvoxamine (Luvox)50–300 mg/day
Paroxetine (Paxil)10–60 mg/day
Sertraline (Zoloft)50–200 mg/day
Citalopram (Celexa)20–60 mg/day
Escitalopram (Lexapro)10–20 mg/day
Non-SSRIs
Serotonin and Norepinephrine Reuptake Inhibitor (SNRI)
Venlafaxine (Effexor)75–375 mg/day
Duloxetine (Cymbalta)40–60 mg/day
Serotonin 2A Blocker
Nefazodone (Serazone)50–600 mg/day
Trazodone (Desyrel)200–600 mg/day
Serotonin 2A/C and Norepinephrine (alpha-2) Blocker
Mirtazapine (Remeron)15–45 mg/day
Dopamine and Norepinephrine Reuptake Inhibitor
Bupropion (Wellbutrin, Zyban)75–450 mg/day