Trimipramine Maleate
Brand Names: Surmontil
Methodology & AI Transparency ⓘ
Trimipramine Maleate Key Takeaways
Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level
- 1 What it does: Indications and usage: Trimipramine Maleate Capsules are indicated for the relief of symptoms of depression.
- 2 Real-world patient consensus: Tracked across 5 patient dosage logs with a 87% satisfaction benchmark (RxCUI 313499).
- 3 Typical cash cost range: Uninsured 30-day outlay compares $81.11 wholesale mail-order against $198.72 retail pharmacy pricing.
- 4 Top reported side effects / signs: Most commonly reported Trimipramine Maleate tolerability events: insomnia (6.7%), orthostatic hypotension (4.5%), palpitations (3.3%).
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Trimipramine Maleate Mechanism, CYP450 Pathways & DailyMed Monograph
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).
Allow at least two weeks between MAOI discontinuation and Trimipramine Maleate dosing to prevent neurotransmitter toxicity.
Patients taking Trimipramine Maleate should avoid unmonitored CNS depressants due to compounded vigilance impairment.
Standard Adult Titration & Dosages
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)
Trimipramine Maleate Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs
Peer-Reviewed Human Clinical Trials & Meta-Analyses (Trimipramine Maleate)
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 .
Trimipramine Maleate Public Price Transparency Ledger
| 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 |
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.
Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.
Filter Trimipramine Maleate community threads and patient logs by age, biological sex, dosage, and treatment duration.