Indications
Surmontil (active ingredient: trimipramine) is a prescription medication indicated for:
- Depression: Surmontil is used for the treatment of depression in adults.
Surmontil belongs to a class of drugs known as tricyclic antidepressants (TCAs), which work by increasing the levels of certain neurotransmitters in the brain, such as serotonin and norepinephrine, to improve mood and alleviate symptoms of depression.
Use and Dosage
Trimipramine comes as a tablet to be taken by mouth with or without food as instructed by your doctor, typically 1 to 3 times a day. Take the tablet at bedtime to reduce the possibility of drowsiness. To get the most effectiveness, use it regularly at the same time(s) each day. Even if you feel better, keep using Trimipramine tablet.
The recommended dosage of Trimipramine varies depending on the medical condition and response to treatment of the patient. The initial dose is typically around 75mg per day taken in two or three divided doses for adults. The dosage may be increased gradually based on the patient's condition and response, with maintenance therapy being in the range of 50 to 150mg per day. However, dosages higher than 200mg per day are not recommended. Follow your doctor's instructions carefully and do not abruptly stop taking the medication without consulting your doctor.
Note that it may take about 2 to 4 weeks before you experience the full benefits of Trimipramine tablet. Consult your doctor before abruptly quitting Trimipramine as some conditions may deteriorate when the medication is abruptly stopped. Additionally, you may have nausea, headache, or feel unwell. Your dose may need to be gradually reduced.
Notify your physician if your condition does not improve or deteriorates.
Side Effects
Common Side Effects of Surmontil (Trimipramine):
- Abnormal liver function tests
- Breast swelling (in men or women)
- Dry mouth
- Increased blood pressure
- Itching
- Nausea
- Numbness or tingling in your hands or feet
- Rash
- Vomiting
Serious Side Effects of Surmontil (Trimipramine):
- Aggression
- Agitation
- Anxiety
- Chills
- Confusion
- Diarrhea
- Difficulty breathing
- Easy bruising
- Eye pain or swelling
- Fast heart rate
- Fever
- Fluttering in your chest
- Hallucinations
- Hives
- Hostility
- Hyperactivity (mentally or physically)
- Impulsiveness
- Increased depression
- Irritableness
- Lightheadedness
- Loss of coordination
- Mood or behavior changes
- Mouth sores
- Muscle stiffness
- Nausea
- New or worsening chest pain
- Painful or difficult urination
- Panic attacks
- Pounding heartbeats
- Restless muscle movements in your eyes, tongue, jaw, or neck
- Restlessness
- Seeing halos around lights
- Seizure
- Shivering
- Sore throat
- Sweating
- Swelling of your face lips tongue or throat
- Thoughts of self-harm
- Trouble sleeping
- Tunnel vision
- Twitching
- Unusual bleeding
- Unusual thoughts or behavior
Forms and Strength
Surmontil (Trimipramine) is available in the following forms and strength:
Trimipramine: Tablet
- 12.5mg
- 25mg
- 50mg
- 75mg
- 100mg
Cautions
- Surmontil may increase the risk of seizures, particularly in patients with a history of epilepsy.
- Trimipramine may impair mental and/or physical ability, which can affect a patient's ability to perform tasks such as operating machinery or driving a car.
- Trimipraminemay interact with other medications, including other antidepressants, causing potentially dangerous or life-threatening side effects.
- Patients with glaucoma or urinary retention should use Surmontil with caution due to the medication's anticholinergic effects.
- Trimipramine may cause liver function abnormalities, which may indicate the need for dose adjustments or discontinuation of the medication.
- Extreme caution should be used when administering Trimipramine to patients with any evidence of cardiovascular disease because of the possibility of conduction defects.
- Children, teenagers, and young adults who take antidepressants like Trimipramine to treat depression or other mental illnesses may be more likely to become suicidal. Therefore, close monitoring and follow-up are recommended for patients prescribed Surmontil, particularly in the first few months of treatment or following dosage changes.
- As with any medication, patients should be aware of potential allergic reactions and other side effects and should speak with their healthcare provider if they have any concerns.
Frequently Asked Questions (FAQ)
How long does it take for Surmontil to start working?
It can take several weeks for Surmontil to start working, and the full benefits of the medication may not be seen for several months.
Is Surmontil addictive?
Surmontil has the potential to be habit-forming, especially if taken in high doses or over an extended period. People who have a history of substance abuse or addiction should use Surmontil with caution.
Can Surmontil cause withdrawal symptoms?
Yes, discontinuing Surmontil abruptly can cause withdrawal symptoms, including nausea, headache, irritability, and insomnia. Gradually taper off the medication under the guidance of a healthcare professional.
What should I do if I miss a dose of Surmontil?
If you miss a dose of Surmontil, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.
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