MedicationRating for use in pregnancy*Adverse effects on breast-fed infantsDosage range (mg per day)Cost (generic)
Tricyclics (tertiary)§
Amitriptyline (Elavil)DNone75 to 300$ 29 (3 to 5)
Clomipramine (Anafranil)CNone75 to 30045 (37 to 40)
Doxepin (Sinequan)CApnea, drowsiness75 to 30032 (9 to 13)
Imipramine (Tofranil)DNone75 to 30042 (3 to 10)
Trimipramine (Surmontil)CNA75 to 30065 for 25-mg tablets
Tricyclics (secondary)§
Amoxapine (Asendin)CNA100 to 60065 (41 to 50)
Desipramine (Norpramin)CNone75 to 30047 (18 to 22)
Nortriptyline (Pamelor)DNone50 to 20057 (37 to 45)
Protriptyline (Vivactil)CNA20 to 6042 (34 to 37)
Miscellaneous
Bupropion (Wellbutrin)BNone225 to 45062 for 75-mg tablets; 83 for 100-mg tablets
Maprotiline (Ludiomil)BNA100 to 22543 (32 to 33)
Mirtazapine (Remeron)CNA15 to 4559
Nefazodone (Serzone)CNA300 to 60058
Trazodone (Desyrel)CNA150 to 600115 (21 to 32)
Venlafaxine (Effexor)CNA75 to 22534
Selective serotonin reuptake inhibitors§
Fluoxetine (Prozac)CGastrointestinal effects, irritability, insomnia10 to 4071
Fluvoxamine (Luvox)CNA100 to 30064
Paroxetine (Paxil)CNA20 to 5062
Sertraline (Zoloft)CNone50 to 15065
Monoamine oxidase inhibitors
Phenelzine (Nardil)CNA45 to 9038
Tranylcypromine (Parnate)CNA20 to 6030
Mood stabilizers
LithiumDLithium toxicity900 to 1,2008 (2 to 7)