Brand Name: Tofranil, Tofranil-PM
Generic Name: imipramine
What is Tofranil used for? Tofranil is in a class of drugs called
tricyclic antidepressants that is used to relieve symptoms of depression.
Imipramine is also sometimes used to treat certain types of pain.
General Tofranil Precautions:
_ Imipramine may cause drowsiness, dizziness, or blurred vision. If you
experience drowsiness, dizziness, or blurred vision, avoid driving, operating
machinery, or performing other hazardous activities.
_ You are more likely to experience side effects from imipramine if you are over
the age of 60.
_ Rise slowly when rising from a sitting or lying position to prevent dizziness
or possible falls.
_ Do not take imipramine if you have taken a monoamine oxidase inhibitor (MAOI)
within the last 14 days.
_ It is not known whether a imipramine will harm an unborn baby or a nursing
baby.
_ If you skip the missed dose and take only the next one as directed. Do not
take a double dose of this medication. Overdose is possible.
_ Tofranil may impair judgment, thinking, or motor skills. Patients using
Tofranil should exercise caution until they have adapted to therapy.
_ Tofranil has been linked to Parkinson's Disease and can cause drug-induced
stuttering.
Tofranil can cause serious side effects. Only you can decide if Tofranil is the
best means of treating depression symptoms. It is important to discuss the side
effects of Tofranil with your physician.
Tofranil Side Effects:
_ Seizures.
_ Fast or irregular heartbeat.
_ Heart attack.
_ High blood pressure.
_ Difficulty urinating.
_ Fever with increased sweating, muscle stiffness, or severe muscle weakness.
_ Weakness.
_ Ringing in the ears.
_ Nausea.
_ Agitation.
_ Sweating.
_ Headache.
_ Dizziness or drowsiness.
_ Tremors (shaking) or muscle twitches.
_ Decreased appetite.
_ Abdominal pain.
_ Constipation.
_ Dry mouth and eyes.
_ Blurred vision.
Contact your doctor immediately if you experience: An allergic reaction
(difficulty breathing; closing of the throat; swelling of the lips, face, or
tongue; or hives). Stop taking imipramine and contact your doctor immediately or
seek emergency medical treatment if you also experience seizures, a fast or
irregular heartbeat, high blood pressure (blurred vision, headache), a heart
attack, fever with increased sweating, muscle stiffness, or severe muscle
weakness or difficulty urinating. Contact your doctor immediately if you
experience yellowing of the skin or eyes.
Symptoms of Tofranil overdose may include: Symptoms of an imipramine
overdose include seizures, hallucinations, confusion, drowsiness, dizziness,
fatigue, agitation, low blood pressure and fainting.
Before taking Tofranil, tell your doctor if you have or have had:
_ Asthma.
_ Thyroid disease.
_ High blood pressure.
_ Heart disease.
_ Had a heart attack in the last 6 weeks.
_ Stomach or intestinal problems.
_ An enlarged prostate or difficulty urinating.
_ Liver disease.
_ Kidney disease.
_ Diabetes.
_ Glaucoma.
_ Seizures.
What should I avoid while taking Tofranil? Use alcohol cautiously while
taking imipramine. Alcohol may increase drowsiness and dizziness.
What other drugs will affect Tofranil? Imipramine can increase the
effects of many other drugs, leading to serious side effects. If taking Tofranil,
talk to your doctor and pharmacist before taking drugs that cause drowsiness
including other antidepressants, alcohol, antihistamines, sedatives, pain
relievers, anxiety medicines, and muscle relaxants.
People seeking depression relief should carefully evaluate Tofranil information
and side effects before deciding to take Tofranil. Consult your healthcare
professional before using Tofranil.
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*This antidepressant drug information does not endorse Tofranil, diagnose
patients or recommend therapy. The information contained herein is not intended
to cover all possible warnings, uses, precautions, drug interactions, allergic
reactions, or adverse side effects of Tofranil. If you have questions about the
drugs you are taking, check with your health care provider or pharmacist. The
information provided should not be construed to indicate that Tofranil is safe,
effective or appropriate.
Do not stop taking Tofranil without first talking to your doctor. Your doctor
may need to gradually reduce the dose before stopping Tofranil completely.
Suddenly stopping Tofranil can cause unpleasant and potentially serious side
effects.
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