| Protriptyline, Vivactil
Protriptyline is a tricyclic antidepressant
abdominal pain, adynamic ileus, agranulocytosis, anorexia, anxiety, blurred vision, breast enlargement, confusion, constipation, cycloplegia, diarrhea, dizziness, drowsiness, EEG changes, ejaculation dysfunction, eosinophilia, erythema, fever, galactorrhea, gynecomastia, heart failure, hypertension, impotence, increased intraocular pressure, jaundice, leukopenia, libido decrease, mydriasis, myocardial infarction, nausea/vomiting, orthostatic hypotension, palpitations, parkinsonism, photosensitivity, PR prolongation, pruritus, purpura, QT prolongation, seizures, SIADH, stroke, testicular swelling, thrombocytopenia, tremor, urinary retention, urticaria, vasculitis, ventricular tachycardia, withdrawal, xerostomia,
Sedative herbs: Kava, Passionflower, Hops, Ashwagandha, Calendula, Catnip, LadyÕs Slipper, Lemon Balm, Sassafras, Skullcap, and Yerba mansa.
Sedative herbs may cause excess sedation when used with tricyclic antidepressants.
St JohnÕs Wort and Dong quai
St JohnÕs Wort and Dong quai may cause sensitivity to sunlight, adding to side effect of tricyclic antidepressants.
5-HTP increases levels of serotonin, which increases the risk of serotonin syndrome.
SAMe increases levels of serotonin, which increases the risk of serotonin syndrome.
St JohnÕs Wort
St JohnÕs Wort may increase levels of serotonin, which increases the risk of serotonin syndrome.
Grapefruit Juice slows breakdown of several drugs, including tricyclic clomipramine.
Tricyclic antidepressants may interfere with enzymes containing CoQ10.
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