Maprotiline, trade named Ludiomil®, and Mirtazapine, trade named Remeron® in the USA, Zispin® in Europe and Avanza® in Australia, are the only two drugs from this group widely used for the treatment of clinical depression. The tetracyclic antidepressant Mianserin was previously available internationally, however in most markets it has been phased out in favor of Mirtazapine.
Research on other tetracyclic antidepressant compounds (for example setiptiline) have been reported in the scientific literature. These other tetracyclic antidepressants are not publicly available.
List of tetracyclic antidepressants
According to MeSH the tetracyclic antidepressants have the following effects:
|Adrenergic uptake inhibitor||Adrenergic alpha-antagonist||Dopamine antagonist||Serotonin uptake inhibitor||Serotonin antagonist||Histamine H1 antagonist|