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He also mentioned that amitriptyline is what he calls a "dirty" drug, meaning that in addition to affecting the serotonin and norepinephrine synapses in the brain, it also affects the histamine response (hence the drowsiness) and has anticholinergic properties, which he attributes to causing the weight gain.
The tricyclic antidepressant, amitriptyline, increases the sympathomimetic effect of phenylephrine.
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