Tricyclic antidepressants

Intervention

3 papers2 findings

  • 2 independent labs in 2 countries
  • Funders: Agència de Gestió d'Ajuts Universitaris i de Recerca and others
  • Humans2

Outcomes

1

Hippocampal volume

downin humans1

1 study
  1. Tricyclic antidepressants decrease hippocampal volume in humans (d = -0.27 to -1.31).

    “Hippocampal volumes were smaller in patients aged 20 and older taking TCs and/or BZs (d = -0.27 to -1.31).”

    HumansOCD patients taking TCs vs unmedicated patients

    Associations of medication with subcortical morphology across the lifespan in OCD: Results from the international ENIGMA Consortium

    Journal of affective disordersAug 27, 2022

Associations

1

Dementia

upin humans1HR 1.82

1 study
  1. Tricyclic antidepressants raise the risk of dementia in humans (HR=1.82, 95% CI 1.52-2.18).

    “especially MAOIs (HR=2.15,95% confidence interval [CI] 1.39−3.34) and TCAs (HR=1.82, 95% CI 1.52−2.18).”

    Humansmajor depressive disordern = 56,423

    Treatments for Depression and the Risk of Dementia: A 23‐Year Cohort Study Using Akrivia Health Secondary Mental Healthcare Data

    AAIC 2025 abstractDec 23, 2025

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