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Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:

* fast, pounding, or uneven heart rate;
* confusion, hallucinations, or seizure (convulsions);
* easy bruising or bleeding, unusual weakness;
* feeling light-headed, fainting;
* restless muscle movements in your eyes, tongue, jaw, or neck;
* tremors or uncontrollable shaking;
* urinating less than usual or not at all; or
* extreme thirst with headache, nausea, vomiting, and weakness.

Less serious side effects may include:

* nausea, vomiting, constipation, loss of appetite;
* dry mouth;
* weight changes;
* weakness, lack of coordination;
* numbness or tingly feeling;
* feeling dizzy, drowsy, or tired;
* sleep problems (insomnia), nightmares;
* blurred vision, headache, ringing in your ears;
* increased sweating;
* breast swelling (in men or women); or
* decreased sex drive, impotence, or difficulty having an orgasm.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:

* fever, chills, body aches, flu symptoms;
* white patches or sores inside your mouth or on your lips; or
* feeling like you might pass out.

Less serious side effects include:

* drowsiness, dizziness, weakness;
* nausea, stomach pain;
* constipation;
* increased appetite, weight gain;
* dry mouth; or
* thirst.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), thoughts of suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:

* seizure (convulsions);
* tremors, shivering, muscle stiffness or twitching;
* problems with balance or coordination;
* agitation, confusion, sweating, fast heartbeat; or
* easy bruising or bleeding (such as a nosebleed).

Less serious side effects may include:

* feeling nervous, restless, or unable to sit still;
* drowsiness, dizziness, weakness;
* sleep problems (insomnia);
* nausea, constipation, loss of appetite;
*  weight changes;
* decreased sex drive, impotence, or difficulty having an orgasm; or
* dry mouth, yawning, or ringing in your ears.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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

Agitation; confusion; convulsions (seizures); decreased reflexes; extreme drowsiness; high blood pressure; loss of memory; nausea; slurred speech; vomiting

Other 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. However, check with your doctor if any of the following side effects continue or are bothersome.

More common

Dryness of mouth; trembling or shaking of arms or legs

Less common or rare

Abdominal or stomach pain or discomfort; change in your sense of taste; constipation; diarrhea; dizziness; drowsiness; feeling of warmth of the face, neck, arms, and occasionally upper chest; heartburn or indigestion; increased or decreased appetite; increased sweating; joint or muscle pain; nightmares; trouble sleeping.

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

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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.

Stop taking this medicine and check with your doctor immediately if any combination of the following side effects occur:

Fast or racing heartbeat; pounding or irregular heartbeat; neck stiffness; severe throbbing headache which starts at the back of the head and radiates forward; slow heartbeat. Check with your doctor as soon as possible if any of the following side effects occur:

More common

Mild to moderate headache, or pressure in head

Less common

Anxiety; blurred vision or other changes in vision; dizziness, faintness, or lightheadedness, especially when getting up from a sitting or lying position; fast or racing heartbeat; high blood pressure; irritability; nervousness; pounding or irregular heartbeat; restlessness; unusual tiredness or weakness

Rare

Aggressive behavior; bleeding gums; burning, prickling, or tingling sensations; chest pain ; confusion; increased depression, or other mood and mental changes; difficulty in speaking; fast, slow, or irregular heart beat; feeling of something in the eye; general feeling of illness; headache (severe); increase in urination; increased sensitivity of eyes to light; irregular or prolonged menstrual periods; irritation or soreness of mouth; itching, redness, and swelling of eye; loss of balance control; loss of interest in self or surroundings; memory problems; pain or straining to pass urine or stool; painful urination; restlessness or desire to keep moving; ringing or noise in ears; seeing, hearing, or feeling something things that are not there; skin rash, hives, or itching; stomach pain or burning; slow heartbeat; troubled breathing; twisting movements of body; uncontrolled movements, especially of face, neck, and back

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When taken with certain drinks or other medicines, moclobemide and other monoamine oxidase inhibitors can cause very dangerous reactions such as sudden high blood pressure (also called hypertensive crisis). To avoid such reactions, obey the following rules of caution :

* Do not drink excessive amounts of alcohol.
* Do not take any other medicine unless approved or prescribed by your doctor. This especially includes nonprescription (over-the-counter [OTC]) medicine, such as that for colds (including nose drops or sprays), cough, hay fever, and appetite control; “keep awake” products; or products that make you sleepy.

Check with your doctor immediately if you experience any combination of the following symptoms: severe throbbing headache which starts at the back of the head and radiates forward, stiff neck, fast or racing heartbeat, pounding or irregular heartbeat, or slow heartbeat. These may be symptoms of a serious side effect that should have a doctor’s attention.

Do not stop taking this medicine without first checking with your doctor . Your doctor may want you to reduce gradually the amount you are using before stopping completely.

Dizziness, lightheadedness, or fainting may occur , especially when you get up from a lying or sitting position. Getting up slowly may help . When you get up from lying down, sit on the edge of the bed with your feet dangling for 1 or 2 minutes. Then stand up slowly. If the problem continues or gets worse, check with your doctor.

This medicine may cause blurred vision or make some people drowsy or less alert than they are normally. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are unable to see well or are not alert .

Before having any kind of surgery, dental treatment, or emergency treatment, tell the medical doctor or dentist in charge that you are using this medicine or have used it within the past 2 weeks . Taking moclobemide together with medicines that are used during surgery or dental or emergency treatments may increase the risk of serious side effects.

After you stop using this medicine, you must continue to exercise caution for at least 1 to 2 weeks concerning drink and other medicine, since these things may continue to react with moclobemide.

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Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have a serious side effect such as:

* seizure (convulsions);
* unusual thoughts or behavior;
* anxiety, restlessness, memory problems, trouble concentrating, hallucinations, feeling like you might pass out;
* high fever, chills or goose bumps, loss of coordination, overactive reflexes, stiff muscles; or
* confusion, sweating, fast or uneven heartbeats, and rapid breathing.

Less serious side effects may include:

* loss of appetite, weight loss;
* dry mouth, mild nausea or upset stomach, diarrhea, constipation;
* sleep problems (insomnia);
* dizziness, drowsiness;
* decreased sex drive, impotence, trouble having an orgasm; or
* unusual dreams.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Blurred vision; change in sexual desire or ability; constipation; diarrhea; dizziness; drowsiness; dry mouth; headache; loss of appetite; nausea; tiredness; trouble sleeping; weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; confusion; dark urine; delusions; difficulty speaking or swallowing; fainting; fast or irregular heartbeat; fever, chills, or sore throat; hallucinations; new or worsening agitation, anxiety, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, or inability to sit still; numbness or tingling in an arm or leg; one-sided weakness; seizures; severe or persistent dizziness or headache; severe or persistent trouble sleeping; slurred speech; suicidal thoughts or actions; tremor; trouble urinating; uncontrolled muscle movements (eg, of face, tongue, arms, legs); unusual bleeding or bruising; unusual or severe mental or mood changes; vision problems; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.

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* Elavil may cause dizziness, drowsiness, or blurred vision. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Elavil . Using Elavil alone, with other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
* Avoid drinking alcohol or taking other medicines that cause drowsiness (eg, sedatives, tranquilizers) while taking Elavil . Elavil will add to the effects of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants.
* Elavil may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
* Involuntary and uncontrollable movements may develop in patients taking Elavil . Occurrence is highest among the elderly, especially women. The risk of developing these involuntary movements and the likelihood they will become permanent are increased with long-term use and with high doses. However, it is possible to develop these symptoms after short-term use at low doses. Contact your health care provider at once if any of the following occur: involuntary movements of the tongue, face, mouth, or jaw (eg, protrusion of tongue, puffing of cheeks, puckering of mouth, chewing movements), sometimes accompanied by involuntary movements of the arms and legs.
* Elavil may cause sensitivity to sunlight. Avoid prolonged exposure to the sun and other ultraviolet light (eg, tanning beds). Use sunscreens and wear protective clothing until tolerance is determined.
* Do not become overheated in hot weather or during exercise or other activities since heatstroke may occur.
* Children, teenagers, and young adults who take Elavil may be at increased risk for suicidal thoughts or actions. Watch all patients who take Elavil closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.
* Diabetes patients - Elavil may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
* Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using Elavil .
* Use caution in the ELDERLY; they may be more sensitive to its effects, especially lightheadedness upon standing; rapid heartbeat; breathing problems; difficult urination; and constipation.
* PREGNANCY and BREAST-FEEDING: Elavil has been shown to cause harm to the human fetus. If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using Elavil during pregnancy. Elavil is excreted in the breast milk. Do not breast-feed while taking Elavil.

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Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), thoughts of suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:

* increased blood pressure (severe headache, blurred vision);
* nausea, vomiting, diarrhea, fever, fast heartbeat; hallucinations, loss of coordination, fainting, coma;
* seizure (convulsions);
* extreme thirst with headache, nausea, vomiting, and weakness; or
* easy bruising or bleeding.

Less serious side effects may include:

* drowsiness, dizziness, nervousness, or anxiety;
* dry mouth, increased sweating;
* nausea, vomiting, diarrhea, constipation;
* decreased sex drive, impotence, or difficulty having an orgasm;
* headache, blurred vision;
* tremor or chills; or
* changes in appetite or weight.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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