Non sedating tricyclic antidepressants Free sex chat website no pay
Some of these side effects will disappear with the passage of time or with a decrease in the dosage. The anticholinergic effects of dry mouth, blurred vision, constipation, and difficulty in urination; postural hypotension; tachycardia, loss of sex drive; erectile failure; increased sensitivity to the sun; weight gain; sedation (sleepiness); increased sweating.
Side effects: Sedation, fatigue, dry mouth, constipation, increased appetite, weight gain.
Your doctor may suggest that you begin to taper your TCA six months to a year after you have controlled your panic attacks. Because it is slowly metabolized by the body, you can take it once daily, usually at bedtime. If they are bothersome to you, it may be possible to switch to a different TCA with less anticholinergic effects. Other common side effects are blurred vision, urinary retention, fatigue, weight gain, postural hypotension, nervousness, muscle twitching, decreased ability to have orgasm (42% of men), increased sweating, and sedation (sleepiness). Elderly patients may experience confusion and memory impairment. Taking the dose at night can sometimes reduce the side effects.
You can taper it gradually over a two- to three-week period as a way to avoid the flu-like symptoms that commonly occur if you abruptly stop the medication, however even more gradual tapering can help monitor for a relapse in panic attacks. Dizziness from a lowering of blood pressure is moderate. It takes four to six weeks to notice significant therapeutic benefits from clomipramine .
If the dose is not effective, then the physician can increase it 25 mg every third day up to 100 mg.
After one week, if panic continues, then the dose can increase by 50 mg every third day. Postural hypotension, memory impairment, jitteriness, tremor, insomnia (especially on initiation) and the anticholinergic effects of dry mouth, blurred vision, constipation, urinary retention.