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my AD/immune system anecdote: I have an autoimmune disease. Some ADs make the disease flare up. Some (particularly tricyclics) improve the disease's symptoms.



Tricyclics (and tetracyclics) tend to be incredibly potent antihistamines, which may explain this.


I just looked and desipramine has a Ki of 60 for H1, which makes it sort of a weak antihistamine.

Tricyclics are TNF-alpha inhibitors. I believe that's the MOA in my case.




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