Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Maprotiline and desipramine are both medications used to treat depression, but they belong to different classes. Maprotiline was a tetracyclic antidepressant, but is no longer available in the U.S. Desipramine, sold under the brand name Norpramin, is a tricyclic antidepressant (TCA). Maprotiline was also used for anxiety associated with depression, but it has been discontinued. Desipramine is still available and is typically taken once a day, with doses adjusted based on your response and side effects. Desipramine is available as a lower-cost generic. Common side effects of desipramine include sleepiness, confusion, and weight gain, and it can interact with alcohol and other medications.
Maprotiline
Desipramine (Norpramin)
Maprotiline
Desipramine (Norpramin)
Summary of Maprotiline vs. Desipramine
Summary for Tetracyclic antidepressant
Prescription only
Maprotiline is an antidepressant used to treat depression and anxiety associated with depression. It's no longer available in the United States because it was discontinued.
Summary for Tricyclic antidepressant (TCA)
Prescription only
Desipramine (Norpramin) is an tricyclic antidepressant (TCA). It's FDA-approved to treat depression in adults, but it's not a first-choice medication for this condition. Desipramine (Norpramin) is taken by mouth, typically once per day. Side effects of this medication include sleepiness, confusion, and weight gain. It's best to avoid drinking alcohol while taking desipramine (Norpramin) because doing so can worsen side effects.