And food precaution?
Known side effects for tricyclic antidepressants (using amitriptyline as an example here) are:
Amitriptyline side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.
Call your doctor at once if you have any of these serious side effects:
fast, pounding, or uneven heart rate, chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling; sudden numbness or weakness, especially on one side of the body; sudden headache, confusion, problems with vision, speech, or balance; hallucinations, or seizures (convulsions), feeling light-headed, fainting;restless muscle movements in your eyes, tongue, jaw, or neck, uncontrollable shaking or tremor; skin rash, severe tingling, numbness, pain, muscle weakness; easy bruising or bleeding; extreme thirst with headache, nausea, vomiting, and weakness; or urinating less than usual or not at all.
Less serious side effects may include:
nausea, vomiting, constipation, diarrhea, loss of appetite; dry mouth, unpleasant taste; feeling dizzy, drowsy, or tired; trouble concentrating; nightmares; blurred vision, headache, ringing in your ears; breast swelling (in men or women); or decreased sex drive, impotence, or difficulty having an orgasm.
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.
Other tricyclic antidepressants have the same side effect profile.
Side effect for Monoamine oxidase inhibitors are (using phenelzine as an example):
Possible side effects of Phenelzine :
Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Changes in sexual function; constipation; dizziness; drowsiness; headache; sleeping problems; tiredness; tremors; twitching; unusual muscle movements; upset stomach; weakness; weight gain.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); agitation; changes in heartbeat; chest pain; difficulty sleeping; feelings of irritability or hostility; impulsive behavior or other unusual changes in behavior; mental or mood changes; nausea; neck stiffness; panic attacks; severe anxiety or nervousness; severe headache; severe restlessness; suicidal thoughts or behaviors; urination problems; vomiting; worsening feelings of depression.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your doctor.
There is no food restriction on tricyclic antidepressants - just avoid alcohol.
But Monoamine oxidase inhibitors have a major interactions with certain foods and users must not take the following things as part of their diet.
While you are taking any of these medicines, phenelzine, procarbazine and tranylcypromine, and for two weeks after stopping the medicines you must be careful not to eat certain foods.
These foods contain substances which may cause a very serious reaction while you
are on the medicine.
Do not eat: cheese (except cottage cheese and cream cheese)
meat or yeast extracts (these include Marmite, Vegemite, Oxo or Bovril)
pickled herrings or other pickled fish
banana skins/broad bean pods/sauerkraut
smoked sausage and salami
protein products which have been stored incorrectly and may be starting to go
off (eg. any of the following which may be old; meat (including game hung to
mature), fish, dairy or soy bean products).
Eat small amounts only of non fresh meat or fish products such as liver pate
smoked fish (50g or less), avocado, raspberries, unpasteurised milk products
instant soups, instant stocks, gravy mixes and meals with a flavour sachet
(these include instant rissottos and pasta meals), chocolate.
Do not drink: home brewed beer, aged non alcohol beer (check expiry), protein drinks
Drink in small amounts only: red wine, especially chianti wine (one glass only),
beer, including low alcohol beer and no alcohol beer, other alcoholic drinks in moderation.
Try to eat only fresh food. Do not eat anything that is starting to go “off” or “bad”. Store allprotein food (such as meat, fish, dairy products) in a fridge. Do not eat any of these foods past the expiry or “use by” date on the packet. Eat a mixed diet with lots of different food. It is best not to “binge” that is try not to eat a big amount of one food at one time.
If any food or drink causes a headache or other unpleasant feelings, try to avoid it or to
have only very small quantities.
Other medicines: Medicines you buy or get on prescription could cause a very serious reaction while you are taking this medicine and for two weeks after stopping. These medicines include cough mixtures, cold or allergy medicines and diet medicines.
Do not buy medicines over the counter, that contain ephedrine, phenylephedrine,
phenylpropanolamine or pseudoephedrine. Always check with the pharmacist before buying a medicine.
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