Surmontil (Trimipramine)

Name: Surmontil
Brand: Generic
SKU: 5638
Availability: InStock

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Product

Manufacturer

Country

Dosage

Qty-Price (USD)

There is no brand product of Surmontil.

Generic Equivalent of Surmontil

Type

Product

Manufacturer

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Qty-Price (USD)

Type:

Product: Trimipramine Tablet

Manufacturer: Generic

Country: Canada

Dosage: 12.5 mg

Qty-Price (USD):

Type:

Product: Trimipramine Tablet

Manufacturer: Generic

Country: Canada

Dosage: 25 mg

Qty-Price (USD):

Type:

Product: Trimipramine Tablet

Manufacturer: Generic

Country: Canada

Dosage: 50 mg

Qty-Price (USD):

Type:

Product: Trimipramine Capsule

Manufacturer: Generic

Country: Canada

Dosage: 75 mg

Qty-Price (USD):

Type:

Product: Trimipramine Tablet

Manufacturer: Generic

Country: Canada

Dosage: 100 mg

Qty-Price (USD):

Surmontil Information

Trimipramine at CanadaPharmacyOnline.com

The manufacturer of Surmontil (trimipramine maleate) is Sanofi-Aventis. In Canada, Surmontil remains a trusted brand-name option for mental health professionals. Generic trimipramine is also produced by several reputable manufacturers, such as AA Pharma Inc., which meet Health Canada's rigorous safety, quality, and efficacy standards. The brand Surmontil is currently unavailable (at this pharmacy).

Generic trimipramine is sourced from manufacturers that meet applicable regulatory standards. The specific manufacturer of your dispensed medication may vary based on current pharmacy stock.

Important Information about Generic Trimipramine

Generic trimipramine contains the same active ingredient as brand-name Surmontil. It must meet the same effectiveness and quality standards, meaning it is designed to work in the same way. Studies have shown that generic trimipramine is bioequivalent to brand-name Surmontil, with similar absorption rates and blood concentrations. However, individual responses to medication can vary based on factors such as metabolism, genetics, and overall health.

For more information about generic drug approval and bioequivalence, please visit Access to Generic Drugs in Canada | Canada.ca.

Dosage:

Trimipramine is available in the following oral strengths and forms:
• Tablets: 12.5 mg, 25 mg, 50 mg, and 100 mg.
• Capsules: 75 mg (frequently used for once-daily dosing).

The dosage is determined by a physician based on the severity of the condition and the patient's response. It is often started at a lower dose and gradually increased. While it can be taken in divided doses throughout the day, it is frequently prescribed as a single dose at bedtime due to its sedative effects.

Usage:

Surmontil is primarily used to treat symptoms of depression, particularly where anxiety and sleep disturbances (insomnia) are also present. Unlike some newer antidepressants, Surmontil is known for its strong sedative properties, making it helpful for patients who struggle with staying asleep. Because it is a mental health medication, it may take several weeks of consistent use before the full therapeutic effects are felt. It is vital to continue taking the medication even if you feel better; stopping abruptly can lead to withdrawal symptoms or a relapse of depression.

Mechanism of Action
Trimipramine, the active ingredient in Surmontil, is a tricyclic antidepressant. It works by adjusting the balance of certain natural chemicals in the brain. Increasing the availability of these chemicals in the spaces between nerve cells helps improve mood, relieve anxiety, and increase energy levels. Additionally, it has antihistamine properties, which contribute to its effectiveness as a sleep aid.

Surmontil should be taken exactly as prescribed by your doctor. It can be taken with or without food. If you miss a dose, take it as soon as you remember, unless it is almost time for your next dose. In this case, skip the missed dose. Do not double up to make up for a missed one.

The information below summarizes some, but not all, potential side effects, risks, and interactions. Before starting Surmontil, it is essential to discuss all possible side effects, risks, and interactions with your doctor or pharmacist.

Side Effects:

The information below outlines potential side effects of Surmontil (trimipramine). It is not an exhaustive list, and individual reactions can vary.

Common side effects: These are common side effects of Surmontil; other side effects are possible. Contact your doctor promptly if any side effects are persistent, worsening, or concerning, or if you experience any other concerning symptoms.
• Blurred vision
• Constipation
• Drowsiness or dizziness
• Dry mouth
• Increased appetite
• Weight gain

Serious Side Effects: Seek immediate medical attention or call emergency services if you experience any of the following symptoms:
• Cardiac Issues: Pounding heartbeats, chest pain, or fainting.
• Seizures: Especially in those with a history of epilepsy.
• Serotonin Syndrome: Agitation, hallucinations, rapid heartbeat, fever, or severe muscle stiffness (especially when combined with other serotonergic drugs).
• Suicidal Thoughts: Increased risk of suicidal thinking and behavior, especially in children, adolescents, and young adults.
• Urinary Retention: Difficulty passing urine.

Contraindications:

The following is not an exhaustive list of contraindications. Before starting Surmontil, it is crucial to discuss all your medical conditions, past and present, and all medications you are taking with your doctor or pharmacist.

Do not take Surmontil/trimipramine if:
• Allergies: You are allergic to trimipramine or other tricyclic antidepressants (like amitriptyline).
• Heart Attack: You are in the acute recovery period following a recent myocardial infarction or any degree of heart block or arrhythmia
• MAOIs: You have used a Monoamine Oxidase Inhibitor (MAOI) in the last 14 days (e.g., phenelzine, tranylcypromine).

Tell your doctor about all of your medical conditions, past and present, before starting Surmontil. This is crucial as certain conditions affect the drug's safety.
• Bipolar Disorder: Antidepressants can trigger a manic episode in predisposed individuals.
• Liver or Kidney Disease: Dose adjustments may be necessary.
• Narrow-angle glaucoma.
• Prostate Issues: Difficulty urinating or an enlarged prostate.

Drug Interactions:

Before taking Surmontil, discuss all potential risks and interactions with your doctor or pharmacist. For complete and up-to-date information, please visit the product monograph at https://pdf.hres.ca/dpd_pm/00002396.PDF.

Provide your doctor with a complete list of all your medications, including prescriptions, over-the-counter (OTC) drugs, vitamins, herbal supplements, recreational drugs, and any significant dietary changes, as these may interact with Surmontil. Surmontil may interact with other medicines, including but not limited to:
• Anticholinergic Drugs: Can worsen side effects like dry mouth, constipation, and blurred vision.
• Central Nervous System (CNS) Depressants: Alcohol, sedatives, and sleep medications can dangerously increase drowsiness.
• Epinephrine/Norepinephrine: May increase the risk of high blood pressure and heart arrhythmias.
• Other Antidepressants: Using it with SSRIs or SNRIs increases the risk of Serotonin Syndrome.

Pregnancy and Breastfeeding:

The safety of Surmontil during pregnancy has not been fully established; it should only be used if the potential benefit outweighs the risk to the fetus. It is excreted in breast milk in small amounts; consult your doctor to determine if you should continue nursing while on this medication.

Use in Children:

Surmontil is generally not recommended for use in children under 12 years of age. For adolescents (12–18), it should be used with extreme caution and under close specialist supervision due to the increased risk of suicidal ideation.

Frequently Asked Questions about Surmontil at Canada Pharmacy Online

Why is Surmontil more affordable in Canada than in the United States?

Prescription drug prices, including Surmontil, are generally lower in Canada than in the US due to a combination of factors, primarily government price regulations, differing market dynamics, and other economic considerations. In Canada, provincial and federal governments negotiate drug prices with pharmaceutical companies, which often results in lower prices than in the US, where market forces play a more significant role. For more information, see the FAQs on Prescription Drug Importation from the Kaiser Family Foundation (KFF): https://www.kff.org/health-costs/issue-brief/faqs-on-prescription-drug-importation/

How much is the shipping?

Our shipping fee is a flat rate of $10.00 per order. Our pharmacy is dedicated to offering you the lowest prices on high-quality products.

How do I place an order with your pharmacy?

Ordering from us is very simple. You can purchase online or call Customer Service at 1866.920.3784; for more information or to learn about the ordering process, visit our How to Order page.

Is there a limit on how many Surmontil I can order at once?

CanadaPharmacyOnline.com can dispense up to a three-month supply of Surmontil per prescription from your doctor.

Can I buy Surmontil from you over the counter?

No, Surmontil requires a valid prescription from your doctor. We do not sell this product without a valid prescription.

Do you ship to the United States?

Yes, we do. It usually takes between 7 and 18 business days to receive your order from our pharmacy.

Is there a generic for Surmontil?

Yes, there is a generic alternative to Surmontil: trimipramine.

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The information on this page is sourced from independent third parties contracted by CanadaPharmacyOnline. While we cannot guarantee its medical accuracy, we strongly recommend consulting a healthcare professional for personalized advice regarding medications or medical conditions.

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