Type your drug name (like Atorvastatin, Sildenafil, etc)
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30 capsules
Trimipramine Coupon - Trimipramine 25mg capsule
30 capsules

Surmontil Side Effects

What should I watch for?

Tell your doctor if your symptoms do not get better or if they get worse. Visit your doctor or health care professional for regular checks on your progress. Because it may take several weeks to see the full effects of this medicine, it is important to continue your treatment as prescribed by your doctor.

Patients and their families should watch out for worsening depression or thoughts of suicide. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of antidepressant treatment or after a change in dose, call your health care professional.

Patients and their families should watch out for new or worsening thoughts of suicide or depression. Also watch out for sudden changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of treatment or after a change in dose, call your health care professional.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

Do not treat yourself for coughs, colds, or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

This medicine may cause dry eyes and blurred vision. If you wear contact lenses you may feel some discomfort. Lubricating drops may help. See your eye doctor if the problem does not go away or is severe.

This medicine can cause constipation. Try to have a bowel movement at least every 2 to 3 days. If you do not have a bowel movement for 3 days, call your doctor or health care professional.

This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.


Common and Rare 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.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

Abdominal or stomach pain


black, tarry stools

bleeding or bruising

blood in the urine or stools

blurred vision

burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

chest pain or discomfort

clay-colored stools

cold sweats

confusion about identity, place, and time

continuing ringing, buzzing, or other unexplained noise in the ears


cool, pale skin

cough or hoarseness

dark urine

decrease in the frequency of urination

decreased urine output or volume


difficulty in passing urine (dribbling)

difficulty with speaking

dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position

double vision


dry mouth

false beliefs that cannot be changed by facts

fast, pounding, or irregular heartbeat or pulse

feeling of warmth

feeling that others are watching you or controlling your behavior

feeling that others can hear your thoughts

feeling, seeing, or hearing things that are not there

fever with or without chills

flushed, dry skin

fruit-like breath odor

general feeling of tiredness or weakness


hearing loss



inability to move the arms, legs, or facial muscles

inability to speak

increased hunger

increased need to urinate

increased thirst

increased urination


itching or rash

lack of coordination


loss of appetite

loss of balance control

lower back or side pain

mood or mental changes

muscle spasm or jerking of all extremities

muscle trembling or stiffness

muscle twitching



pain or discomfort in the arms, jaw, back, or neck

painful or difficult urination

passing urine more often

pinpoint red or purple spots on the skin

pounding in the ears

rapid weight gain

redness of the face, neck, arms, and occasionally, upper chest


shakiness and unsteady walk

shuffling walk

slow speech

slurred speech

sore throat

sores, ulcers, or white spots on the lips or in the mouth

stiffness of the limbs

sudden loss of consciousness


swelling of the face, ankles, legs, or hands

swollen glands

talking, feeling, and acting with excitement

trouble in holding or releasing urine

trouble sleeping

twisting movements of the body

uncontrolled movements, especially of the face, neck, and back

unpleasant breath odor

unsteadiness, awkwardness, trembling, or other problems with muscle control or coordination

unusual behavior

unusual tiredness or weakness

vomiting of blood

weakness in the arms, hands, legs, or feet

weight gain or loss

yellow eyes or skin

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:

Incidence not known

Abdominal or stomach cramps

bigger, dilated, or enlarged pupils (black part of the eye)

black tongue


decreased interest in sexual intercourse


difficulty having a bowel movement (stool)

disturbance of accommodation

enlargement of the breast

hair loss or thinning of the hair


hives or welts

inability to have or keep an erection

increase in sexual ability, desire, drive, or performance

increased sensitivity of the eyes to light

increased sensitivity of the skin to sunlight

loss in sexual ability, desire, drive, or performance

pain or discomfort in the chest, upper stomach, or throat

peculiar taste

redness or other discoloration of the skin

severe sunburn

small red or purple spots on the skin

swelling of the breasts or breast soreness in both women and men

swelling of the testicles

swelling or inflammation of the mouth

swollen, painful, or tender lymph glands in the neck

unexpected milk flow from the breasts

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

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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