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Antidepressants and Suicidality

  • Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders. Anyone considering the use of NORPRAMIN or any other antidepressant in a child, adolescent, or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older.
  • Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. NORPRAMIN is not approved for use in pediatric patients. (SeeĀ WARNINGS: CLINICAL WORSENING AND SUICIDE RISK,PRECAUTIONS: INFORMATION FOR PATIENTS, andĀ PRECAUTIONS: PEDIATRIC USE.)


  • Close observation for suicidal thinking or unusual changes in behavior

Patient Counseling Information

Desipramine Hydrochloride


Medication Guides

Patient Medication Guide

Package Inserts


Additional Information

Updated January 2018