Antidepressant discontinuation syndrome may occur within days or weeks of stopping an antidepressant. His physician prescribed the drug doxepin, a tricyclic antidepressant, for the insomnia. Sodium bicarbonate has also been used in the treatment of tricyclic antidepressant overdose. Tianeptine is no longer labelled a Selective Serotonin Reuptake Enhancer (SSRE) antidepressant. Prozac is a trade name for the antidepressant fluoxetine. The first tricyclic antidepressant (TCA), imipramine was discovered. This results in effects including reduced anxiety, muscle relaxant, antidepressant and anticonvulsant activity. It does not possess any antidepressant or antipsychotic qualities. A discontinuation syndrome can occur after stopping any antidepressant which resembles recurrent depression. Counselling as well as antidepressant or anxiolytic medication may help some people manage. Doxepin is a tricyclic antidepressant (TCA). The new name led to confusion between omeprazole (Prilosec) and fluoxetine (Prozac), an antidepressant. Another option is to switch to the atypical antidepressant bupropion. There are potential antidepressant and anxiolytic effects of ayahuasca. It is similar in efficacy to the antidepressant drug moclobemide.