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[Music] hi welcome to em rapid 2022 myself dr naveen mohan associate professor of emergency medicine at amrita institute of medical sciences koji so today let us discuss regarding tricyclic antidepressant toxicity the tca toxicity before moving into the topic proper i would i would just give a brief idea regarding the classification of antidepressants here this diagram so the antidepressants are basically classified into five one is the reversible inhibitors of monoamine oxidase a the remas then comes tricyclic antidepressants tcas then the selective serotonin reuptake inhibitors ssris then the serotonin and noradrenaline reuptake inhibitors snris and also the atypical antidepressants so five classes so right now im going to talk about the tricyclic antidepressant toxicity the ssri toxicity is already all together a different topic so so what is a tricyclic antidepressant tcas are basically first generation of drugs used to be used to treat depression nowadays tcas are being replaced