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Tofranil PM Warnings and Precautions

Some Tofranil PM Warnings and Precautions

Some Tofranil PM precautions and warnings to be aware of include:
 
  • Antidepressants (including Tofranil PM) may increase the risk of suicidal thinking or behavior in children, teenagers, and adults (see Antidepressants and Suicide for more information). Therefore, if you notice any changes in symptoms or new symptoms while taking Tofranil PM, talk with your healthcare provider immediately. Some of these symptoms may include anxiety, hostility, agitation, panic, restlessness, hallucinations, extreme hyperactivity, and suicidal thinking or behavior (see Imipramine and Suicide for more information).
     
  • Before prescribing Tofranil PM for depression, your healthcare provider should make sure that you do not have bipolar disorder (instead of depression). Sometimes, the symptoms of bipolar disorder and depression are very similar, and Tofranil PM can cause problems in people with bipolar disorder.
     
  • Tofranil PM may cause a worsening of schizophrenia. Discuss this with your healthcare provider before taking Tofranil PM.
     
  • For people taking Tofranil PM, caution should be used when driving, operating heavy machinery, or performing other tasks that require concentration -- especially when first starting Tofranil PM or when switching dosages. This is because Tofranil PM may affect a person's mental or physical ability to perform these tasks. Make sure to understand how Tofranil PM affects you before performing any tasks that require mental or physical concentration.
     
  • Tofranil PM can interact with certain other medications (see Tofranil PM Drug Interactions).
     
  • Tofranil PM may enhance the effects of alcohol, barbiturates, and other medicines that affect the brain. This can lead to an increased risk of drowsiness, dizziness, suicidal thoughts, and other Tofranil PM overdose symptoms. Make sure to talk with your healthcare provider about drinking alcohol while taking Tofranil PM.
     
  • Tofranil PM may not be safe for use during pregnancy. Talk with your healthcare provider about the benefits and risks of using the medication during pregnancy (see Imipramine and Pregnancy for more information).
     
  • Tofranil PM passes through breast milk and may cause harm to your baby. Therefore, if you are breastfeeding or plan to start breastfeeding, be sure to talk with your healthcare provider about what makes the most sense for your particular situation (see Imipramine and Breastfeeding).
     
  • If you have a history of seizures, bladder problems, or glaucoma, you should take special care when taking Tofranil PM. Tofranil PM can make these conditions worse.
     
  • Talk with your healthcare provider before taking Tofranil PM if you have any heart problems, as the drug can affect the heart and its electrical system. Your healthcare provider should check your heart rhythm using an electrocardiogram (EKG or ECG) if you are taking high doses of Tofranil PM.
     
  • Talk with your healthcare provider before taking Tofranil PM if you have hyperthyroidism (overactive thyroid) or take thyroid medication.
     
  • Tofranil PM can decrease your level of white blood cells, which can increase your risk of infections. Let your healthcare provider know if you have signs of an infection, such as a fever or sore throat, while taking Tofranil PM.
     
  • Taking Tofranil PM while receiving electroshock or electroconvulsive therapy (ECT) can increase your risk of side effects. Talk with your healthcare provider about these risks.
     
  • Tofranil PM may cause a dry mouth. Sucking on hard candy, chewing gum, or melting bits of ice in your mouth can provide relief from a dry mouth.
     
  • Elderly people appear to be more sensitive to Tofranil PM, which can increase their risk of side effects (such as delirium and confusion). In these particular situations, the healthcare provider will start people on lower doses and monitor them more closely.
     
  • If you have diabetes, when starting Tofranil PM or changing dosages, make sure to check your blood sugar levels more often. There have been reports of increased or decreased blood sugar levels in people who take Tofranil PM.
     
  • During treatment with Tofranil PM, do not treat yourself for the common cold, a cough, or allergies without first talking with your healthcare provider. Some of these medicines can increase the risk of developing Tofranil PM side effects.
     
  • Do not stop taking Tofranil PM without first discussing it with your healthcare provider. Stopping the medicine abruptly may increase the risk of withdrawal symptoms (see Imipramine Withdrawal).
     
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