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Tofranil

Tofranil Side Effects

Robert Chad Hakim, PharmD, BCCCPKristianne Hannemann, PharmD
Reviewed by Robert Chad Hakim, PharmD, BCCCP, Kristianne Hannemann, PharmD
Last reviewed on August 28, 2023

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

In adults (with depression)

  • Dry mouth
  • Blurry vision
  • Nausea
  • Vomiting
  • Constipation
  • Sleepiness
  • Dizziness
  • Confusion
  • Anxiety
  • Restlessness

In children (with bedwetting problems)

  • Nervousness
  • Sleep problems
  • Tiredness
  • Stomach upset

Less Common Side Effects

In adults (with depression)

  • Numbness or tingling
  • Ringing in the ears
  • Change in taste
  • Weight gain or loss
  • Sweating
  • Changes in blood pressure
  • Fast or irregular heartbeat
  • Mood changes

In children (with bedwetting problems)

  • Constipation
  • Anxiety
  • Fainting

Tofranil serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Suicidal thoughts or behaviors
  • Heart attack: chest pain, cold sweats, left arm pain, trouble breathing
  • Stroke: sudden numbness, weakness, confusion, trouble talking
  • Serious allergic reaction: difficulty breathing, hives, itching, fast heartbeat, tightness in the throat, dizziness, swelling in the face or tongue

Source: DailyMed

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The following Tofranil side effects have also been reported

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

agitation

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 or buzzing or other unexplained noise in the ears

cough or hoarseness

dark urine

decrease in the frequency of urination

difficulty in passing urine (dribbling)

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, seeing, or hearing things that are not there

feeling that others are watching you or controlling your behavior

feeling that others can hear your thoughts

fever with or without chills

flushed, dry skin

general feeling of tiredness or weakness

hearing loss

hostility

hyperventilation

inability to move the arms, legs, or facial muscles

irritability

itching or rash

lack of coordination

lethargy

loss of balance control

lower back or side pain

mood or mental changes

muscle spasm or jerking of all extremities

muscle trembling, jerking, or stiffness

nightmares

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

painful or difficult urination

pinpoint red or purple spots on the skin

rapid weight gain

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

restlessness

seizures

shakiness and unsteady walk

slow speech

sore throat

stiffness of the limbs

stupor

sweating

swelling of the face, ankles, legs, or hands

talking, feeling, and acting with excitement

trouble sleeping

twisting movements of the body

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

unusual behavior

unusual tiredness or weakness

weakness in the arms, hands, legs, or feet

yellow eyes or skin

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Bluish color of fingernails, lips, skin, palms, or nail beds

cold, clammy skin

decreased awareness or responsiveness

difficult or troubled breathing

disorientation

fast, weak pulse

hallucinations

irregular, fast, slow, or shallow breathing

severe sleepiness

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

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

black tongue

decreased interest or ability in sexual intercourse

difficulty having a bowel movement (stool)

enlargement of the breast

hives or welts

increase in sexual ability, desire, drive, or performance

increased sensitivity of the eyes to light

increased urge to urinate during the night

peculiar taste

redness or other discoloration of the skin

severe sunburn

swelling of the testicles

swelling of the breasts or breast soreness in both females and males

swollen, painful, or tender lymph glands on the side of the face or neck

unexpected or excess milk flow from the breasts

waking to urinate at night

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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Why trust our experts?

Robert Chad Hakim, PharmD, BCCCP, started his full-time career as a clinical pharmacist at UCLA Health in the general medicine, general cardiology, and ICU units after completing residency in 2016. He also was the preceptor for the general medicine rotation from 2017 to 2021, which was a required rotation for all pharmacy residents.
Kristianne Hannemann, PharmD, is a licensed pharmacist in California. She has been a retail pharmacy manager and staff pharmacist for over 7 years and has contributed drug information content to different health companies.

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