SURMONTIL Film-coated tablet Ref.[49836] Active ingredients:

Source: Health Products Regulatory Authority (IE)  Revision Year: 2019  Publisher: Sanofi-Aventis Ireland Limited T/A SANOFI, Citywest Business Campus, Dublin 24, Ireland

5.1. Pharmacodynamic properties

Pharmacotherapeutic group: Antidepressants/Non-selective monoamine reuptake inhibitors
ATC code: N06AA06

Trimipramine has a potent antidepressant action similar to that of tricyclic antidepressant. It also possesses a pronounced sedative action. Trimipramine is a tricyclic antidepressant.

5.2. Pharmacokinetic properties

Trimipramine is readily absorbed after oral administration. It is strongly protein bound. It is metabolised in the liver to its metabolite dimethyltrimipramine. Trimipramine is excreted in the urine mainly in the form of its metabolites. It has a T½ of 10-25 hours.

Elderly patients

Hepatic metabolism decreases thus lowering total clearance. Steady state concentrations, the free fraction and the half lives are increased. It is important to reduce the dose, at least in the early stages of treatment.

Patients with hepatic or renal insufficiency

Reduce the dose of trimipramine.

5.3. Preclinical safety data

Not relevant.

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