If tofranil is essential to your health, your doctor may advise you to stop breastfeeding until your treatment is finished.

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During pregnancythis medication should be used only if absolutely necessaryInfants may be born with problemsincluding seizurestrouble urinatingprolonged sleepinessor shakingDiscuss the risks and benefits with your doctor.

Available evidence suggests that imipramine may be excreted in breast milk and may be harmful to the infant.

Very small doses of Tofranil are sometimes prescribed for nocturnal enuresisinvoluntary urinationbut the effectiveness and safety of the medication for treating other conditions in children such as ADHD has not been established.

Nervousnesssleep disorderstirednessGI disturbancesconstipationconvulsionsanxietyemotional instabilitysyncopecollapsedrowsinessorthostatic hypotensionECG changesrestlessnessinsomniaanticholinergic effectsCNS overstimulationextrapyramidal symptomsrashheadachechanges in blood sugarphotosensitivityedemabone marrow depressiondiscontinue if occursjaundiceurinary frequency.

During or within 14 days of MAOIsConcomitant linezolid or IV methylene blueAcute post-MI.

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