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Since tofranil may impair the mental and or physical abilities required for the performance of potentially hazardous tasks, such as operating an automobile or machinery, the patient should be cautioned accordingly.

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Most traditional ADHD medications are stimulantsThey can be very effective in treating symptomsbut they can be habit-formingWhen stimulants are not effectivetricyclic antidepressantsTCAslike Tofranil are sometimes prescribedTofranil can be effective for adults with ADHD and also in treating symptoms of depression and anxiety that often accompany ADHDHoweverbecause it an antidepressantit takes 2 to 4 weeks for TCAs like Tofranil to reach maximum efficacy.

Before using this medicationtell your doctor or pharmacist your medical historyespecially ofbreathing problemse.gasthmachronic bronchitispersonal or family history of glaucomaangle-closure typediabeteseating disorderse.gbulimiaheart problemse.garrhythmiascoronary artery diseaseliver problemskidney problemspersonal or family history of other mental/mood conditionse.gbipolar disorderschizophreniaseizuresoveractive thyroidhyperthyroidismtrouble urinatinge.gdue to enlarged prostateany condition that may increase your risk of seizurese.galcohol/sedative dependencyuse of electroconvulsive therapybrain injury/disease such as strokecertain types of tumorse.gpheochromocytomaneuroblastoma

Antidepressants increased the risk of suicidal thinking and behavior in short-term studies in children and adolescents with depression and other psychiatric disordersAnyone considering the use of imipramine or any other antidepressant in a child or adolescent must balance this risk with the clinical needPatients who are started on therapy should be closely observed for clinical worseningsuicidal thinking or behaviorand unusual changes in behavior.

Antidepressant medications are used to treat a variety of conditionsincluding depression and other mental/mood disordersThese medications can help prevent suicidal thoughts/attempts and provide other important benefitsHoweverstudies have shown that a small number of peopleespecially people younger than 25who take antidepressants for any condition may experience worsening depressionother mental/mood symptomsor suicidal thoughts/attemptsThereforeit is very important to talk with the doctor about the risks and benefits of antidepressant medicationespecially for people younger than 25even if treatment is not for a mental/mood condition.

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