Within the first few months of treatment, this medication may cause an increase in suicidal thoughts and actions in children, teenagers, and young adults. Similar effects may be observed if the dose is changed. People who have a family history of bipolar issues may be at a higher risk for developing thoughts of suicide. Pay close attention to any sudden or severe changes in mood, thoughts, feelings, or behavior. Call your doctor if any symptoms cause you to worry.
Older antidepressants like Anafranil have been linked with heart attack in people of any age. If you have or have ever had heart disease, heart failure, irregular heartbeat, heart attack, high or low blood pressure, brain damage, stroke, urinary problems, overactive thyroid, narrow-angle glaucoma, schizophrenia, bipolar issues, seizures, or tumors on your adrenal glands, you should talk to your doctor about these medical conditions before you take this drug. Tell your doctor if you currently have or have ever experienced alcohol addiction. Mention any serious reactions you may have had to other similar medications.
If you are taking other prescription drugs or supplements, you should check with your doctor or pharmacist before taking Anafranil. This drug may interact with other medications or supplements, including MAOIs, antihistamines, other antidepressants, antacids, antifungal creams and medications, sleeping pills, antipsychotics, vitamins, minerals, high blood pressure medications, herbal products, and more.