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Desipramine

Desipramine is a tricyclic antidepressant (TCA) that inhibits the reuptake of norepinephrine. It is sold under the brand names Norpramin® and Pertofrane®. It is used to treat depression, but not considered a first line treatment since the introduction of SSRI antidepressants. Desipramine is an active metabolite of imipramine. more...

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Along with other tricyclics, desipramine has found use in treating neuropathic pain. The mechanism of action seems to involve the activation, through norepinephrine reuptake inhibition, of descending pathways in the spinal cord that block pain signals from ascending to the brain. Desipramine is one of the most potent and selective medications in this respect.

Some evidence suggests that desipramine may help with ADD, and along with Wellbutrin, the only serotonergic drug that is documented for this condition.

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Two lots of desipramine recalled
From FDA Consumer, 6/1/90

Pharmaceutical Basics Inc. of Denver recalled two lots of its antidepressant desipramine in late March because of a label mix-up. People taking the finn's desipramine were advised to examine their tablets for any marked with the name warfarin, a blood-thinner. The lots under recall are G873-01 and G685-08.

PBI made the desipramine for distribution by H.L. Moore of New Britain, Conn. Moore notified PBI on March 27 that it had discovered one bottle labeled 25 mg desipramine" that actually contained 5-mg warfarin tablets.

The warfarin, which can cause serious bleeding, is an uncoated pink tablet imprinted on one side with " -5-" and on the other side with 832" and the word "warfarin." Desipramine is a coated lavender tablet imprinted with the numbers "832" over "G254." Because the tablets look so different, a pharmacist filling a prescription would probably notice mislabeled tablets. Nevertheless, patients were advised to return their desipramine to the pharmacy if the prescription had been filled or refilled during the previous six months from Moore's 25-mg tablets, which they can find out from the pharmacist.

PBI telephoned Moore's 350 customers-pharmacies and physicians-to inform them of the mix-up. The only desipramine products under recall are those made by PBI for Moore's distribution. About six other manufacturers make the drug.

COPYRIGHT 1990 U.S. Government Printing Office
COPYRIGHT 2004 Gale Group

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