Tricyclic Antidepressants for Postpartum Depression
TCAs are started at low doses, and the dose is increased gradually to reduce the severity of side effects. You may need regular blood tests to check the amount of the medicine in your blood. Too much of this type of medicine in the bloodstream can be dangerous.
People who have seizures (epilepsy), difficulty urinating (urinary retention), glaucoma (an eye disease), or heart conditions may notice that tricyclic antidepressants make these symptoms worse.
Be sure to tell your doctor about all the medicines you are currently taking. TCAs can interact poorly with certain heart medicines, such as digoxin (for example, Lanoxin). TCAs can also interact poorly with other medicines, such as those used to treat seizures. Phenytoin (Dilantin) is one example.
All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine.
Here are some important things to think about:
- Usually the benefits of the medicine are more important than any minor side effects.
- Side effects may go away after you take the medicine for a while.
- If side effects still bother you and you wonder if you should keep taking the medicine, call your doctor. He or she may be able to lower your dose or change your medicine. Do not suddenly quit taking your medicine unless your doctor tells you to.
Call 911 or other emergency services right away if you have:
- Trouble breathing.
- Swelling of your face, lips, tongue, or throat.
Call your doctor right away if you have:
- Thoughts of suicide.
- Agitation and restlessness.
- Fast heartbeat.
- Nausea and vomiting.
Common side effects of this medicine include:
- Dry mouth.
- Weight gain.
The U.S. Food and Drug Administration (FDA) has issued an Reference advisory on antidepressant medicines and the risk of suicide. Talk to your doctor about these possible side effects and the Reference warning signs of suicide.
See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)
|By:||Reference Healthwise Staff||Last Revised: May 14, 2012|
|Medical Review:||Reference Patrice Burgess, MD - Family Medicine
Reference Lisa S. Weinstock, MD - Psychiatry