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Guide to Psychiatric Medications for Children and Adolescents - Medications for Children and Adolescents

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CLASS: Tricyclic Antidepressants

Benefits: This group has been used to treat depression, ADHD, enuresis and chronic pain. Unlike the other tricyclics, Anafranil is used to treat OCD.

Side Effects: Sedation, weight gain, nausea, dry mouth, constipation. May cause changes in heart rhythm.

MEDICATION NAMENOTES
Brand NameGeneric Name
TofranilimipramineThis group of medications is now rarely used for the treatment of depression or ADHD. The SRI's have generally replaced them for the treatment of depression and Strattera has replaced them for the treatment of ADHD.

As a group they have effects mainly on the neurotransmitter norepinephrine and less so on serotonin.

Norpramindesipramine
Elavilamitryptyline
Pamelornortriptyline
Sinequandoxepin
AnafranilclomipramineThis was the first medication approved in the U.S. for the treatment of OCD. Sometimes used to augment the SRIs.

CLASS: Other Antidepressants

Benefits: For depression. Used for the treatment of smoking cessation (under the name Zyban) Has been used to treat symptoms of ADHD. Generally not useful for anxiety disorders.

Side Effects: dry mouth, decreased appetite. At high dose may increase susceptibility to a seizure.

MEDICATION NAMENOTES
Brand NameGeneric Name
Wellbutrin
Wellbutrin SR
Wellbutrin XL
bupropionBupropion looks chemically similar to the amphetamines.

CLASS: Other Antidepressants

Benefits: Treats depression. May be helpful in anxiety. Some studies suggest that they can be helpful for depression where physical complaints (e.g. headaches, general pain) are a dominant feature.

Side Effects: Generally similar to the SSRI group. Remeron and Cymbalta tend to be sedating.

MEDICATION NAMENOTES
Brand NameGeneric Name
EffexorvenlafaxineHas occasionally been used to treat ADHD especially in adults.
Effexor XRvenlafaxineLong acting version of Effexor.
Remeronmirtazapine
CymbaltaduloxetineThis medication has both elements of both the SRI and the tricyclic antidepressants.

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