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Tricyclic antidepressants (TCA) are commonly used for treatment of depressive disorders. TCA overdoses can result in profound central nervous system depresson, cardiotoxicity, and anticholinergic effects. TCA overdose is the most common cause of death from prescription drugs. TCAs are taken orally or sometimes by injection. TCAs are metabolized in the liver. Both TCAs and their metabolites are excreted in urine mostly in the form of metabolites for up to 10 days.

The following table lists the concentration of compounds (ng/mL) that are detected tricyclic antidepressant (TCA) positive in urine by the iCassette, iCup, and iScreen products.

Nortriptyline 1,000 ng/mL
Nordoxepine 1,000 ng/mL
Trimipramine 3,000 ng/mL
Amitriptyline 1,500 ng/mL
Promazine 1,500 ng/mL
Desipramine 200 ng/mL
Imipramine 400 ng/mL
Clomipramine 12,500 ng/mL
Doxepin 2,000 ng/mL
Maprotiline 2,000 ng/mL
Promethazine 25,000 ng/mL

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