Amoxapine (
Asendin®) is a prescription medication that is used to treat
depression (also known as major depression or clinical depression). It is especially useful for treating people with depression who also have
anxiety or agitation and people with psychotic depression (depression with hallucinations, delusions, or other psychotic features).
Amoxapine was originally made by Lederle Laboratories, but it is no longer being manufactured. Generic amoxapine is still available and is made by Watson Pharmaceuticals.
Amoxapine belongs to a class of medications called
tricyclic antidepressants, although it is sometimes classified as a "tetracyclic" antidepressant, due to its chemical structure. It is not entirely clear how amoxapine works. It does affect several chemicals in the brain, including serotonin and norepinephrine. It is thought that maybe amoxapine allows these chemical to stay in the brain longer, which can help with depression symptoms. Amoxapine also blocks dopamine receptors, which is why it is especially useful for psychotic depression.