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What happens if I miss a dose (Surmontil)?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose (Surmontil)?
Seek emergency medical attention if you think you have used too much of this medicine. An overdose of trimipramine can be fatal.
Symptoms of a trimipramine overdose may include uneven heartbeats, extreme drowsiness, agitation, vomiting, blurred vision, confusion, hallucinations, muscle stiffness, feeling light-headed, fainting, seizure (convulsions), or coma.
What should I avoid while taking trimipramine (Surmontil)?
Avoid drinking alcohol. It can cause dangerous side effects when taken together with trimipramine.
Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, medicine for seizures, or other antidepressants). They can add to sleepiness caused by trimipramine.
Grapefruit and grapefruit juice may interact with trimipramine. Discuss the use of grapefruit products with your doctor before increasing or decreasing the amount of grapefruit products in your diet.
Trimipramine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Trimipramine can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.
What other drugs will affect trimipramine (Surmontil)?
Before taking trimipramine, tell your doctor if you have used an "SSRI" antidepressant in the past 5 weeks, such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft).
Before taking trimipramine, tell your doctor if you are currently using any of the following drugs:
If you are using any of these drugs, you may not be able to use trimipramine, or you may need dosage adjustments or special tests during treatment.
There are many other medicines that can interact with trimipramine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.
Where can I get more information?
Your pharmacist has information about trimipramine written for health professionals that you may read.
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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