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Tricyclic Antidepressant • Prescription (Rx)

Trimipramine Maleate

Brand Names: Surmontil

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2023-06-14 • RxNorm RxCUI 313499 • 5 Linked .gov / PubMed Citations • Governance: Dr. Julian Sterling, MD, FACS (NPI #1376841536)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Trimipramine Maleate Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

87%
Patient “Worth It” (5)
$81.11
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Trimipramine Maleate Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 313499 • NDC 72162-2062

Indications and usage: Trimipramine Maleate Capsules are indicated for the relief of symptoms of depression. Endogenous depression is more likely to be alleviated than other depressive states. In studies with neurotic outpatients, the drug appeared to be equivalent to amitriptyline in the less-depressed patients but somewhat less effective than amitriptyline in the more severely depressed patients. In hospitalized depressed patients, trimipramine and imipramine were equally effective in relieving depression.

CLINICAL PHARMACOLOGY Trimipramine maleate is an antidepressant with an anxiety-reducing sedative component to its action. The mode of action of trimipramine maleate on the central nervous system is not known. However, unlike amphetamine-type compounds it does not act primarily by stimulation of the central nervous system. It does not act by inhibition of the monoamine oxidase system. The single-dose pharmacokinetics of trimipramine were evaluated in a comparative study of 24 elderly subjects and 24 younger subjects; no clinically relevant differences were demonstrated based on age or gender.

Clinical clearance of Trimipramine Maleate (Tricyclic Antidepressant) relies on mixed metabolic conjugation and unchanged urinary excretion across trimipramine maleate regimens with a Terminal t½ estimated at 10–19 hrs depending on renal/hepatic reserve (Trimipramine Maleate) half-life; patients absorbing at F ≈ 79%–91% systemic availability after standard oral Trimipramine Maleate administration bioavailability typically observe target onset around time to peak concentration spans 1 to 4 hrs under trimipramine maleate maintenance.

FDA clinical labeling for Trimipramine Maleate restricts administration in severe drug-induced hypersensitivity to trimipramine maleate or inactive tablet/vehicle binders; prohibited co-prescriptions or physiological states specified in fda spl 2023-06-14 for trimipramine maleate across 25 mg/1 Capsule, 100 mg/1 Capsule, 50 mg/1 Capsule, 100mg Capsule, 25mg Capsule, with self-reported patient tracking dominated by nausea (9.2% of reports), headache (7.4% of reports), insomnia (6.7% of reports).

Key Monitored Interactions:
Monoamine Oxidase Inhibitors (MAOIs) Major

Allow at least two weeks between MAOI discontinuation and Trimipramine Maleate dosing to prevent neurotransmitter toxicity.

CNS Depressants, Sedatives & Opioids Major

Patients taking Trimipramine Maleate should avoid unmonitored CNS depressants due to compounded vigilance impairment.

Half-Life
Terminal t½ estimated at 10–19 hrs depending on renal/hepatic reserve (Trimipramine Maleate)
Bioavailability
F ≈ 79%–91% systemic availability after standard oral Trimipramine Maleate administration
Metabolism & Clearance
Mixed metabolic conjugation and unchanged urinary excretion across Trimipramine Maleate regimens
Clinical Onset
Time to peak concentration spans 1 to 4 hrs under Trimipramine Maleate maintenance

Standard Adult Titration & Dosages

25 mg/1 Capsule 100 mg/1 Capsule 50 mg/1 Capsule 100mg Capsule 25mg Capsule

Absolute & Relative Contraindications

  • Severe drug-induced hypersensitivity to Trimipramine Maleate or inactive tablet/vehicle binders
  • Prohibited co-prescriptions or physiological states specified in FDA SPL 2023-06-14 for Trimipramine Maleate

Logged Side-Effect Incidence (5 Reports)

Nausea 9.2%
Headache 7.4%
Insomnia 6.7%
Orthostatic hypotension 4.5%
Restlessness 4.4%
Palpitations 3.3%
Elena Rostova (AI Biostatistician & openFDA Quant)

Trimipramine Maleate Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (5)
Nausea FAERS: 9.2% • Logs: 9.2%
Headache FAERS: 7.4% • Logs: 7.4%
Insomnia FAERS: 6.7% • Logs: 6.7%
Palpitations FAERS: 3.3% • Logs: 3.3%
Restlessness FAERS: 4.4% • Logs: 4.4%
Orthostatic hypotension FAERS: 4.5% • Logs: 4.5%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Trimipramine Maleate)

Browse All PubMed Translations →

Human clinical trial evidence for Trimipramine Maleate is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Trimipramine Maleate Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 313499
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $2.7200/unit (~$81.60/30u) Wholesale baseline
Mark Cuban Cost Plus Drugs (Mail-Order Generic) Public Wholesale Price List (NADAC + 15% + pharmacy fee) $81.11 / mo Formulary listing ↗
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $198.72 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 5 Anonymous DotMD Community Micro-Logs $93.28 / mo View logs ↓
Hims & Hers Direct Cash Pharmacy (Licensed Telehealth Cash Program) State-licensed clinician review • ~2d mail fulfillment $49.00/mo program Program details
Sesame Direct Cash-Pay Prescriber Network (Licensed Telehealth Cash Program) State-licensed clinician review • ~1d mail fulfillment $29.00 consult Program details

Trimipramine Maleate Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Trimipramine Maleate RxNorm Concept ID 313499 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $2.7200 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $198.72 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $81.11 / mo (Cost Plus Drugs) Mark Cuban Cost Plus Public API
Real-World Patient Consensus 87.00% Worth It (5 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Trimipramine Maleate Patient Community, Cohort Filters & Dosage Logs

Cross-verified Trimipramine Maleate (tricyclic antidepressant) monograph synthesizing RxNorm 313499, openFDA FAERS signals, and $81.11–$198.72 cash benchmarks.

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