Patient/caregiver was educated on precautions to be exercised while taking Tofranil as follows: Tofranil intake can induce some dizziness and make one drowsy. Starting the medication at a low dose, watching for the response, and gradually changing the dose, to help optimum control of your symptoms, can contribute to controlling/reducing the risk for drowsiness and dizziness due to the medication. If the dizziness becomes bothersome, report it to your physician and other health care personnel, [...]

Patient/caregiver was educated on precautions to be exercised while taking Tofranil as follows: Tofranil use can result in common general constitutional symptoms such as, nausea and vomiting. Taking dose of Tofranil with a glass of water, after having some food or a snack can help avoid having unpleasant gastrointestinal symptoms with the medication. Tofranil intake can induce extreme dry mouth and constipation. Sucking on a sugar free hard candy can help with symptomatic relief of [...]

Patient/caregiver was educated on contraindications for using Tofranil as follows: Tofranil can interact with many antibacterial and antifungal antibiotics, antiarrhythmic medications, antidepressants, and antipsychotic medications, resulting in development or aggravation of underlying cardiac arrhythmias, leading to debility and sudden cardiac death. Avoid taking Tofranil along with medications belonging to the above-mentioned groups, to prevent any dangerous arrhythmias from developing. Tofranil is mainly metabolized in the liver. If liver function is deficient, the metabolism of Tofranil [...]

Patient/caregiver was educated on contraindications for using Tofranil as follows: Tofranil use, especially along with a few other antidepressants, such as, citalopram, fluoxetine, and sertraline, can significantly increase the serotonin levels in the body and lead to development of serotonin syndrome. Caution must be exercised even when discontinuing on any of the above mentioned antidepressant medications with potential to increase serotonin levels and starting on Tofranil, by observing a window period of atleast 2 weeks, [...]

Patient/caregiver was educated on contraindications for using Tofranil as follows: Tofranil can interact with a number of other medications and can precipitate serious reactions. If you are being newly started on Tofranil, discuss with your physician regarding all other medications you are currently taking and their safety with Tofranil. Also, if you have been taking Tofranil for long, discuss with your physician regarding your history of Tofranil intake, when you are being started on any [...]