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Research article:

Clinical management following self-harm in a UK-wide primary care cohort

Reference:

Matthew J Carr, Darren M Ashcroft, Evan Kontopantelis, David While, Yvonne Awenat, Jayne Cooper, Carolyn Chew-Graham, Nav Kapur, Roger T Webb(2016) Clinical management following self-harm in a UK-wide primary care cohort. Journal of Affective Disorders, doi:

Link to article
Abstract
Background: Little is known about the clinical management of patients in primary care following self-harm. Methods: A descriptive cohort study using data from 684 UK general practices that contributed to the Clinical Practice Research Datalink (CPRD) during 2001-2013. We identified 49,970 patients with a self-harm episode, 41,500 of whom had one complete year of follow-up. Results: Among those with complete follow-up, 26,065 (62.8%, 62.3-63.3) were prescribed psychotropic medication and 6,318 (15.2%, 14.9-15.6) were referred to mental health services; 4,105 (9.9%, CI 9.6-10.2) were medicated without an antecedent psychiatric diagnosis or referral, and 4,506 (10.9%, CI 10.6-11.2) had a diagnosis but were not subsequently medicated or referred. Patients registered at practices in the most deprived localities were 27.1% (CI 21.5-32.2) less likely to be referred than those in the least deprived. Despite a specifically flagged NICE ‘Do not do’ recommendation in 2011 against prescribing tricyclic antidepressants following self-harm because of their potentially lethal toxicity in overdose, 8.8% (CI 7.8-9.8) of individuals were issued a prescription in the subsequent year. The percentage prescribed Citalopram, an SSRI antidepressant with higher toxicity in overdose, fell sharply during 2012/2013 in the aftermath of a Medicines and Healthcare products Regulatory Agency (MHRA) safety alert issued in 2011. Conclusions: A relatively small percentage of these vulnerable patients are referred to mental health services, and reduced likelihood of referral in more deprived localities reflects a marked health inequality. National clinical guidelines have not yet been effective in reducing rates of tricyclic antidepressant prescribing for this high-risk group.
Author for correspondence
Matthew J Carr
Email for correspondence
matthew.carr@manchester.ac.uk

Code list: res36: Tricyclic ADDs

191 codes in list

Code Coding system Description Entity type List name
00503021 Multilex Amitriptyline 10mg/5ml oral solution drug res36: Tricyclic ADDs
00505021 Multilex Amitriptyline 10mg/5ml oral suspension drug res36: Tricyclic ADDs
03674020 Multilex Amitriptyline 10mg tablets (Accord Healthcare Ltd) drug res36: Tricyclic ADDs
03701020 Multilex Clomipramine 50mg capsules (Kent Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
03717020 Multilex Prothiaden 25mg capsules (Stephar (U.K.) Ltd) drug res36: Tricyclic ADDs
03784020 Multilex Trimipramine 10mg tablets (Phoenix Healthcare Distribution Ltd) drug res36: Tricyclic ADDs
19451020 Multilex Clomipramine 50mg/5ml oral solution drug res36: Tricyclic ADDs
19725020 Multilex Dosulepin 25mg/5ml oral solution drug res36: Tricyclic ADDs
48430020 Multilex Bolvidon 10mg Tablet (Organon Laboratories Ltd) drug res36: Tricyclic ADDs
48431020 Multilex Bolvidon 20mg Tablet (Organon Laboratories Ltd) drug res36: Tricyclic ADDs
48432020 Multilex Bolvidon 30mg Tablet (Organon Laboratories Ltd) drug res36: Tricyclic ADDs
48479020 Multilex Amitriptyline 10mg tablets (Teva UK Ltd) drug res36: Tricyclic ADDs
48480020 Multilex Amitriptyline 25mg tablets (Teva UK Ltd) drug res36: Tricyclic ADDs
48481020 Multilex Amitriptyline 50mg tablets (Teva UK Ltd) drug res36: Tricyclic ADDs
48484020 Multilex Amitriptyline 10mg tablets (Wockhardt UK Ltd) drug res36: Tricyclic ADDs
48485020 Multilex Amitriptyline 25mg tablets (Wockhardt UK Ltd) drug res36: Tricyclic ADDs
48486020 Multilex Amitriptyline 50mg tablets (Wockhardt UK Ltd) drug res36: Tricyclic ADDs
48490020 Multilex Amitriptyline 10mg Tablet (Berk Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
48491020 Multilex Amitriptyline 50mg Tablet (Berk Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
48492020 Multilex Amitriptyline 25mg Tablet (Berk Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
48496020 Multilex Amitriptyline 10mg tablets (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
48497020 Multilex Amitriptyline 25mg tablets (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
48498020 Multilex Amitriptyline 50mg tablets (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
48502020 Multilex Amitriptyline 25mg Tablet (Celltech Pharma Europe Ltd) drug res36: Tricyclic ADDs
48507020 Multilex Amitriptyline 10mg tablets (Actavis UK Ltd) drug res36: Tricyclic ADDs
48508020 Multilex Amitriptyline 25mg tablets (Actavis UK Ltd) drug res36: Tricyclic ADDs
48509020 Multilex Amitriptyline 50mg tablets (Actavis UK Ltd) drug res36: Tricyclic ADDs
48513020 Multilex Amitriptyline 25mg Tablet (Crosspharma Ltd) drug res36: Tricyclic ADDs
48516020 Multilex Amitriptyline 10mg tablets (Kent Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
48517020 Multilex Amitriptyline 25mg tablets (Kent Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
48518020 Multilex Amitriptyline 50mg tablets (Kent Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
48522020 Multilex Amitriptyline 10mg tablets (IVAX Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
48523020 Multilex Amitriptyline 25mg tablets (IVAX Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
48524020 Multilex Amitriptyline 50mg tablets (IVAX Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
48528020 Multilex Amitriptyline 25mg Tablet (Regent Laboratories Ltd) drug res36: Tricyclic ADDs
48533020 Multilex Amitriptyline 10mg Tablet (Sussex Pharmaceutical Ltd) drug res36: Tricyclic ADDs
48534020 Multilex Amitriptyline 25mg Tablet (Sussex Pharmaceutical Ltd) drug res36: Tricyclic ADDs
49588020 Multilex Dosulepin 25mg capsules (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
49589020 Multilex Dosulepin 75mg tablets (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
49838020 Multilex Imipramine 25mg Tablet (C P Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
49841020 Multilex Imipramine 10mg tablets (Actavis UK Ltd) drug res36: Tricyclic ADDs
49842020 Multilex Imipramine 25mg tablets (Actavis UK Ltd) drug res36: Tricyclic ADDs
49845020 Multilex Imipramine 10mg tablets (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
49846020 Multilex Imipramine 25mg tablets (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
50103020 Multilex Mianserin 20mg Tablet (Berk Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
50198020 Multilex Limbitrol 5 Capsule (Roche Products Ltd) drug res36: Tricyclic ADDs
50774020 Multilex Norval 10mg Tablet (Bencard) drug res36: Tricyclic ADDs
50775020 Multilex Norval 20mg Tablet (Bencard) drug res36: Tricyclic ADDs
50776020 Multilex Norval 30mg Tablet (Bencard) drug res36: Tricyclic ADDs
50946020 Multilex Clomipramine 10mg capsules (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
50947020 Multilex Clomipramine 25mg capsules (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
50948020 Multilex Clomipramine 50mg capsules (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
52046020 Multilex Triptafen tablets (AMCo) drug res36: Tricyclic ADDs
52047020 Multilex Triptafen m 2mg+10mg Tablet (Goldshield Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
53817020 Multilex Dosulepin 75mg tablets (IVAX Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
53818020 Multilex Dosulepin 25mg capsules (IVAX Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
54108020 Multilex Molipaxin 50mg capsules (Zentiva) drug res36: Tricyclic ADDs
54109020 Multilex Molipaxin 100mg capsules (Zentiva) drug res36: Tricyclic ADDs
54110020 Multilex Molipaxin 150mg tablets (Zentiva) drug res36: Tricyclic ADDs
54620020 Multilex Dosulepin 75mg tablets (Teva UK Ltd) drug res36: Tricyclic ADDs
54621020 Multilex Dosulepin 25mg capsules (Teva UK Ltd) drug res36: Tricyclic ADDs
54655020 Multilex Limbitrol 10 Capsule (Roche Products Ltd) drug res36: Tricyclic ADDs
54669020 Multilex Clomipramine 10mg capsules (Teva UK Ltd) drug res36: Tricyclic ADDs
54670020 Multilex Clomipramine 25mg capsules (Teva UK Ltd) drug res36: Tricyclic ADDs
54727020 Multilex Dosulepin 75mg/5ml oral solution sugar free drug res36: Tricyclic ADDs
54728020 Multilex Dosulepin 25mg/5ml mixture drug res36: Tricyclic ADDs
54779020 Multilex Molipaxin 50mg/5ml oral liquid (Sanofi) drug res36: Tricyclic ADDs
55355020 Multilex Allegron 10mg tablets (King Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
55356020 Multilex Allegron 25mg tablets (King Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
55362020 Multilex Domical 10mg Tablet (Berk Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
55363020 Multilex Domical 25mg Tablet (Berk Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
55364020 Multilex Domical 50mg Tablet (Berk Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
55369020 Multilex Imipramine 25mg tablets (Teva UK Ltd) drug res36: Tricyclic ADDs
55386020 Multilex Anafranil 10mg capsules (Novartis Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
55387020 Multilex Anafranil 25mg capsules (Novartis Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
55388020 Multilex Anafranil 50mg capsules (Novartis Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
55392020 Multilex Anafranil 25mg/5ml syrup (Novartis Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
55396020 Multilex Anafranil SR 75mg tablets (Novartis Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
55402020 Multilex Tofranil 10mg Tablet (Novartis Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
55403020 Multilex Tofranil 25mg tablets (Novartis Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
55416020 Multilex Surmontil 10mg tablets (Sanofi) drug res36: Tricyclic ADDs
55417020 Multilex Surmontil 25mg tablets (Sanofi) drug res36: Tricyclic ADDs
55418020 Multilex Surmontil 50mg capsules (Sanofi) drug res36: Tricyclic ADDs
55432020 Multilex Gamanil 70mg tablets (Merck Serono Ltd) drug res36: Tricyclic ADDs
55440020 Multilex Tryptizol 10mg Tablet (Merck Sharp & Dohme Ltd) drug res36: Tricyclic ADDs
55441020 Multilex Tryptizol 25mg Tablet (Merck Sharp & Dohme Ltd) drug res36: Tricyclic ADDs
55442020 Multilex Tryptizol 50mg Tablet (Merck Sharp & Dohme Ltd) drug res36: Tricyclic ADDs
55445020 Multilex Tryptizol 10mg/ml Injection (Merck Sharp & Dohme Ltd) drug res36: Tricyclic ADDs
55446020 Multilex Tryptizol mr 75mg Modified-release capsule (Merck Sharp & Dohme Ltd) drug res36: Tricyclic ADDs
55450020 Multilex Tryptizol 10mg/5ml sugar free Oral solution (Merck Sharp and Dohme Ltd) drug res36: Tricyclic ADDs
55456020 Multilex Prothiaden 25mg capsules (Teofarma) drug res36: Tricyclic ADDs
55457020 Multilex Prothiaden 75mg tablets (Teofarma) drug res36: Tricyclic ADDs
55464020 Multilex Sinequan 10mg capsules (Pfizer Ltd) drug res36: Tricyclic ADDs
55465020 Multilex Sinequan 25mg capsules (Pfizer Ltd) drug res36: Tricyclic ADDs
55466020 Multilex Sinequan 50mg capsules (Pfizer Ltd) drug res36: Tricyclic ADDs
55469020 Multilex Sinequan 75mg capsules (Pfizer Ltd) drug res36: Tricyclic ADDs
55642020 Multilex Dosulepin 25mg/5ml Oral solution (Rosemont Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
55646020 Multilex Lofepramine 70mg/5ml Oral suspension (Rosemont Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
55686020 Multilex Amitriptyline 25mg/5ml oral solution sugar free (Rosemont Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
55687020 Multilex Amitriptyline 50mg/5ml oral solution sugar free (Rosemont Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
55688020 Multilex Amitriptyline 10mg/5ml Oral solution (Rosemont Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
56517020 Multilex Lofepramine 70mg tablets (IVAX Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
56698020 Multilex Dothapax 25 capsules (Ashbourne Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
56699020 Multilex Dothapax 75 tablets (Ashbourne Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
56942020 Multilex Dosulepin 25mg capsules (Actavis UK Ltd) drug res36: Tricyclic ADDs
56943020 Multilex Dosulepin 75mg tablets (Actavis UK Ltd) drug res36: Tricyclic ADDs
57022020 Multilex Lofepramine 70mg tablets (Actavis UK Ltd) drug res36: Tricyclic ADDs
57110020 Multilex Prepadine 25mg capsules (Teva UK Ltd) drug res36: Tricyclic ADDs
57111020 Multilex Prepadine 75mg tablets (Teva UK Ltd) drug res36: Tricyclic ADDs
57824020 Multilex Clomipramine 10mg capsules (IVAX Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
57825020 Multilex Clomipramine 25mg capsules (IVAX Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
57826020 Multilex Clomipramine 50mg capsules (IVAX Pharmaceuticals UK Ltd) drug res36: Tricyclic ADDs
58949020 Multilex Amitriptyline 10mg tablets drug res36: Tricyclic ADDs
58950020 Multilex Amitriptyline 25mg tablets drug res36: Tricyclic ADDs
58951020 Multilex Amitriptyline 50mg tablets drug res36: Tricyclic ADDs
59084020 Multilex Lofepramine 70mg tablets (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
59132020 Multilex Elavil 10mg Tablet (DDSA Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
59282020 Multilex Lofepramine 70mg Tablet (Teva UK Ltd) drug res36: Tricyclic ADDs
59429020 Multilex Imipramine 10mg tablets drug res36: Tricyclic ADDs
59430020 Multilex Imipramine 25mg tablets drug res36: Tricyclic ADDs
59528020 Multilex Praminil 10mg Tablet (DDSA Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
60055020 Multilex Lofepramine 70mg tablets (Sterwin Medicines) drug res36: Tricyclic ADDs
60224020 Multilex Amitriptyline 75mg modified-release capsules drug res36: Tricyclic ADDs
60229020 Multilex Amitriptyline 10mg/ml injection drug res36: Tricyclic ADDs
60464020 Multilex Dosulepin 25mg capsules (Generics (UK) Ltd) drug res36: Tricyclic ADDs
60465020 Multilex Dosulepin 75mg tablets (Generics (UK) Ltd) drug res36: Tricyclic ADDs
61096020 Multilex Trazodone 50mg capsules (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
61097020 Multilex Trazodone 100mg capsules (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
61463020 Multilex Clomipramine 10mg capsules drug res36: Tricyclic ADDs
61464020 Multilex Clomipramine 25mg capsules drug res36: Tricyclic ADDs
61465020 Multilex Clomipramine 50mg capsules drug res36: Tricyclic ADDs
61469020 Multilex Clomipramine 25mg/5ml oral solution drug res36: Tricyclic ADDs
61473020 Multilex Clomipramine 75mg modified-release tablets drug res36: Tricyclic ADDs
62045020 Multilex Fluphenazine with nortriptyline 500microgramswith10mg Tablet drug res36: Tricyclic ADDs
62179020 Multilex Dosulepin 25mg capsules (Sovereign Medical Ltd) drug res36: Tricyclic ADDs
62274020 Multilex Trazodone 50mg capsules (Zentiva) drug res36: Tricyclic ADDs
62275020 Multilex Trazodone 100mg capsules (Zentiva) drug res36: Tricyclic ADDs
62276020 Multilex Trazodone 150mg tablets (Zentiva) drug res36: Tricyclic ADDs
62361020 Multilex Trazodone 50mg capsules (Teva UK Ltd) drug res36: Tricyclic ADDs
62362020 Multilex Trazodone 100mg capsules (Teva UK Ltd) drug res36: Tricyclic ADDs
62363020 Multilex Trazodone 150mg tablets (Teva UK Ltd) drug res36: Tricyclic ADDs
62833020 Multilex Dosulepin 25mg capsules drug res36: Tricyclic ADDs
62834020 Multilex Dosulepin 75mg tablets drug res36: Tricyclic ADDs
62835020 Multilex Dosulepin 25mg/5ml oral solution sugar free drug res36: Tricyclic ADDs
62850020 Multilex Doxepin 10mg capsules drug res36: Tricyclic ADDs
62851020 Multilex Doxepin 25mg capsules drug res36: Tricyclic ADDs
62852020 Multilex Doxepin 50mg capsules drug res36: Tricyclic ADDs
62857020 Multilex Doxepin 75mg capsules drug res36: Tricyclic ADDs
62911020 Multilex Trazodone 50mg capsules (Generics (UK) Ltd) drug res36: Tricyclic ADDs
62912020 Multilex Trazodone 100mg capsules (Generics (UK) Ltd) drug res36: Tricyclic ADDs
62913020 Multilex Trazodone 150mg tablets (Generics (UK) Ltd) drug res36: Tricyclic ADDs
63443020 Multilex Dosulepin 25mg capsules (Kent Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
64034020 Multilex Lofepramine 70mg tablets drug res36: Tricyclic ADDs
64035020 Multilex Lofepramine 70mg/5ml oral suspension sugar free drug res36: Tricyclic ADDs
64729020 Multilex Mianserin 10mg tablets drug res36: Tricyclic ADDs
64731020 Multilex Mianserin 30mg tablets drug res36: Tricyclic ADDs
65153020 Multilex Nortriptyline 10mg tablets drug res36: Tricyclic ADDs
65154020 Multilex Nortriptyline 25mg tablets drug res36: Tricyclic ADDs
65592020 Multilex Perphenazine 2mg with Amitriptyline 10mg tablet drug res36: Tricyclic ADDs
65593020 Multilex Perphenazine 2mg with Amitriptyline 25mg tablet drug res36: Tricyclic ADDs
66765020 Multilex Dosulepin 25mg capsules (Sandoz Ltd) drug res36: Tricyclic ADDs
67151020 Multilex Trazodone 50mg capsules drug res36: Tricyclic ADDs
67152020 Multilex Trazodone 100mg capsules drug res36: Tricyclic ADDs
67153020 Multilex Trazodone 150mg tablets drug res36: Tricyclic ADDs
67156020 Multilex Trazodone 50mg/5ml oral solution sugar free drug res36: Tricyclic ADDs
67280020 Multilex Trimipramine 10mg tablets drug res36: Tricyclic ADDs
67281020 Multilex Trimipramine 25mg tablets drug res36: Tricyclic ADDs
67282020 Multilex Trimipramine 50mg capsules drug res36: Tricyclic ADDs
68380020 Multilex Dosulepin 25mg capsules (Almus Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
68383020 Multilex Dosulepin 75mg tablets (Almus Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
68724020 Multilex Amitriptyline 12.5mg / Chlordiazepoxide 5mg capsules drug res36: Tricyclic ADDs
68725020 Multilex Amitriptyline 25mg / Chlordiazepoxide 10mg capsules drug res36: Tricyclic ADDs
68729020 Multilex Amitriptyline 25mg / Perphenazine 2mg tablets drug res36: Tricyclic ADDs
68803020 Multilex Imipramine 10mg tablets (Teva UK Ltd) drug res36: Tricyclic ADDs
70948020 Multilex Amitriptyline 25mg tablets (Almus Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
71733020 Multilex Trimipramine 10mg tablets (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
71736020 Multilex Trimipramine 25mg tablets (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
75329020 Multilex Amitriptyline 50mg/5ml oral solution sugar free drug res36: Tricyclic ADDs
75330020 Multilex Amitriptyline 25mg/5ml oral solution sugar free drug res36: Tricyclic ADDs
75331020 Multilex Amitriptyline 10mg/5ml sugar free oral solution drug res36: Tricyclic ADDs
77778020 Multilex Nortriptyline 25mg tablets (A A H Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
84171020 Multilex Lomont 70mg/5ml oral suspension (Rosemont Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
84816020 Multilex Thaden 25mg capsules (Opus Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
84817020 Multilex Thaden 75mg tablets (Opus Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
92457020 Multilex Sinepin 25mg capsules (Marlborough Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
92459020 Multilex Sinepin 50mg capsules (Marlborough Pharmaceuticals Ltd) drug res36: Tricyclic ADDs
92481020 Multilex Amitriptyline oral solution drug res36: Tricyclic ADDs
95021020 Multilex Clomipramine 50mg/5ml oral suspension drug res36: Tricyclic ADDs
96353020 Multilex Doxepin 25mg/5ml oral suspension drug res36: Tricyclic ADDs
97461020 Multilex Dosulepin 100mg/5ml oral solution drug res36: Tricyclic ADDs
97872020 Multilex Imipramine 25mg/5ml oral solution sugar free drug res36: Tricyclic ADDs

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