Precautions and Warnings With Imipramine Pamoate
A few of the conditions that you should tell your healthcare provider about before you take imipramine pamoate include glaucoma, diabetes, and seizures. To reduce the chances of drug interactions, you should also let your healthcare provider know (prior to taking imipramine pamoate) about all other medicines you may be taking. Some other precautions and warnings with imipramine pamoate include the safety of taking imipramine pamoate while pregnant, an increased the risk of suicidal thinking or behavior in some people who take imipramine pamoate, and people who should not take the medicine at all (such as those taking MAOIs).
You should talk with your healthcare provider prior to taking imipramine pamoate (Tofranil PM®) if you have:
- Bipolar disorder (manic depression) or a family history of bipolar disorder
- A history of suicide attempts or suicidal thoughts
- Severe anxiety or agitation
- A recent history of a heart attack
- Heart problems, including heart disease
- Hyperthyroidism (overactive thyroid)
- An upcoming surgery
- Bladder problems or difficulty passing urine
- An enlarged prostate (also known as benign prostatic hyperplasia or BPH)
- Any allergies, including allergies to foods, dyes, or preservatives.
Also let your healthcare provider know if you:
- Are pregnant or thinking of becoming pregnant
- Are breastfeeding
- Drink alcohol regularly.
You should also make sure to tell your healthcare provider about all other medicines you may be taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.