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Re: Difference between doxepin and amitryptaline?

Posted by psychobot5000 on February 20, 2007, at 15:09:47

In reply to Difference between doxepin and amitryptaline?, posted by linkadge on February 16, 2007, at 20:45:33

> Anyone taken both and can compare? My doctor may try a low dose of either one, but I'd be inclined to the latter as it is not genotoxic.
>
> Linkadge


I have taken both, but not for long enough to give a good comparison. What I will say is that amitryptaline is far more anticholinergic (more than atropine at theraputic doses), and so causes more tachycardia--my resting heartrate hovered around 100bpm, which is 20 or 30 higher than normal.

Doxepin is more sedating in my experience, with a stronger H1 blocking effect and at least comparable 5-HT2a antagonism. Some researchers seemed to think 5-20mg was an appropriate hypnotic dose. It did helped me sleep, but there was some hangover. Amitryptaline did, too, though--longer half-life.

I know someone who takes doxepin and clearly gets an antidepressant effect from it.


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