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Elavil

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Common known side effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Stop taking this medicine and get emergency help immediately if any of the following effects occur:

Reported for amoxapine only

Rare

- Convulsions (seizures)- difficult or fast breathing- fever with increased sweating- high or low (irregular) blood pressure- loss of bladder control- muscle stiffness (severe)- pale skin- unusual tiredness or weakness

Check with your doctor as soon as possible if any of the following side effects occur:

Less common

- Blurred vision- confusion or delirium- constipation (especially in the elderly)- decreased sexual ability (more common with amoxapine and clomipramine)- difficulty in speaking or swallowing- eye pain- fainting- fast or irregular heartbeat (pounding, racing, skipping)- hallucinations- loss of balance control- mask-like face- nervousness or restlessness- problems in urinating- shakiness or trembling- shuffling walk- slowed movements- stiffness of arms and legs

Less common

Reported for amoxapine only (in addition to the above)

- Lip smacking or puckering- puffing of cheeks- rapid or worm-like movements of tongue- uncontrolled chewing movements- uncontrolled movements of hands, arms, or legs

Rare

- Anxiety- breast enlargement in both males and females- hair loss- inappropriate secretion of milk—in females- increased sensitivity to sunlight- irritability- muscle twitching- red or brownish spots on skin- ringing, buzzing, or other unexplained sounds in the ears- seizures (more common with clomipramine)- skin rash and itching- sore throat and fever- swelling of face and tongue- swelling of testicles (more common with amoxapine)- trouble with teeth or gums (more common with clomipramine)- weakness- yellow eyes or skin

Symptoms of acute overdose

- Confusion- convulsions (seizures)- disturbed concentration- drowsiness (severe)- enlarged pupils- fast, slow, or irregular heartbeat- fever- hallucinations (seeing, hearing, or feeling things that are not there)- restlessness and agitation- shortness of breath or troubled breathing- unusual tiredness or weakness (severe)- vomiting

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

- Dizziness- drowsiness- dryness of mouth- headache- increased appetite (may include craving for sweets)- nausea- tiredness or weakness (mild)- unpleasant taste- weight gain

Less common

- Diarrhea- heartburn- increased sweating- trouble in sleeping (more common with protriptyline, especially when taken late in the day)- vomiting

After you stop using this medicine, it may still produce some side effects that need attention. During this period of time, check with your doctor immediately if you notice the following side effects:

- Headache- irritability- nausea, vomiting, or diarrhea- restlessness- trouble in sleeping, with vivid dreams- unusual excitement

Reported for amoxapine only

in addition to the above

- Lip smacking or puckering- puffing of cheeks- rapid or worm-like movements of the tongue- uncontrolled chewing movements- uncontrolled movements of arms or legs

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.