Investigation of the orthostatic reaction after intravenous administration of imipramine, chlorimipramine, and inimpramine-N-oxide

Acta Psychiatr Scand. 1976 Jul;54(1):74-8. doi: 10.1111/j.1600-0447.1976.tb00095.x.

Abstract

Three age- and sex-matched groups of 10 patients were treated intravenously with imipramine, chlorimipramine, and imipramine-N-oxide respectively, in increasing doses from 25 mg to 150-175 mg given as single daily infusions during 1 hour. No systemic changes of heart frequency and blood pressure were found during the infusions in spite of the high dosage of tricyclic antidepressants given such a short period as 1 hour. The patients were examined regarding orthostatic reactions as well as ECG changes before, after 4-5 infusions and after 8-10 infusions. There were more orthostatic abnormalities and ECG changes in the patients treated with imipramine than in those treated with imipramine-N-oxide and there were practically no changes in the chlorimipramine group. However, no statistically significant orthostatic changes were found.

MeSH terms

  • Adult
  • Aged
  • Blood Pressure / drug effects*
  • Clomipramine / administration & dosage
  • Clomipramine / adverse effects*
  • Clomipramine / therapeutic use
  • Depression / drug therapy*
  • Dibenzazepines / adverse effects*
  • Dose-Response Relationship, Drug
  • Female
  • Heart Rate / drug effects*
  • Humans
  • Imipramine / administration & dosage
  • Imipramine / adverse effects*
  • Imipramine / therapeutic use
  • Injections, Intravenous
  • Male
  • Middle Aged

Substances

  • Dibenzazepines
  • Clomipramine
  • Imipramine