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Extreme drowsiness and other potentially serious effects can result if tofranil is combined with alcohol or other mental depressants, such as narcotic painkillers percocet , sleeping medications halcion , or tranquilizers valium .

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Inform your doctor about all prescribed and over-the-counter drugs you use including food supplements and vitamins and especially about tricyclic antidepressants such as clomipramine anafranil , amitriptyline elavil, endep , doxepin sinequan ; tricyclic antidepressants such as nortriptyline pamelor , protriptyline vivactil , amoxapine asendin , imipramine tofranil , desipramine norpramin ; a phenothiazine, chlorpromazine thorazine , mesoridazine serentil , thioridazine mellaril , promazine sparine , fluphenazine prolixin , trifluoperazine stelazine , perphenazine trilafon ; antihistamines including triprolidine actifed , chlorpheniramine chlor-trimeton , clemastine tavist , brompheniramine dimetapp , diphenhydramine benadryl ; quinidine quinaglute, quinidex, quinora, cardioquin ; amantadine symmetrel , haloperidol haldol , digoxin lanoxin, lanoxicaps .

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regardless of the dose prescribed, tofranil like most antidepressants can take up to three or four weeks before you either notice a change or see the maximum effect of the dose you re taking.

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