Vivactil (nortriptyline) and Surmontil (trimipramine) are tricyclic antidepressants grouped as belonging to the dibenzazepine class. These agents exert their therapeutic influence primarily by inhibiting the reuptake of norepinephrine and serotonin in the synaptic cleft. Surmontil displays a higher affinity for serotonin receptors, while Vivactil

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