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**Perphenazine + amitriptyline** is a fixed-dose oral combination of a *typical antipsychotic* (perphenazine) and a *tricyclic antidepressant* (amitriptyline). It is indicated for the treatment of moderate to severe depression with anxiety or agitation, depression and anxiety associated with chronic physical disease, and schizophrenia with prominent depressive symptoms. **Amitriptyline** works predominantly by inhibiting the reuptake of serotonin and norepinephrine in the central nervous system, increasing their availability. **Perphenazine** acts primarily as a dopamine D2 receptor antagonist, reducing dopaminergic neurotransmission related to psychotic symptoms. The combination addresses co-occurring mood and psychotic or anxiety symptoms. The product has been marketed under several brand names and is manufactured in the US by Mylan Pharmaceuticals and Remedy Repack[1][3][5][7].
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