Tricyclic antidepressants work by blocking the reuptake of two monoamine transmitters, norepinephrine and serotonin, by neurons. The effects of these transmitters are intensified because of the blockage of the reuptake by the tricyclics. This mechanism is consistent with the monoamine hypothesis of depression, which asserts that depression stems from a deficiency in monoamine-mediated transmission and hence …show more content…
This occurs for two reasons. The clinical responses to the tricyclic antidepressants which is the relief of the depressive symptoms and the biochemical effects which block the transmitter reuptake do not happen at the same time.
The tricyclic antidepressants begin blocking transmitter uptake within hours of taking them but the relief of the depressive symptoms can take several weeks to fully develop. The reasons for this delay in relief of symptoms are not fully understood but it is thought that in the interval between the onset of the uptake blockade and the therapeutic response that intermediary neurochemical events are taking place.
Tricyclic antidepressants are the preferred drug of choice for people with major depression. These medicines can elevate mood, increase activity and alertness, decrease morbid preoccupation, improve appetite, and normalize sleep patterns. They have also been shown to be effective during the depressive episodes of bipolar disorder.
There are a series of side affects that those who take tricyclic antidepressants need to be aware of as some of them can have life threatening affects. These side affects