Abstract of main article: Precautions for tricyclic anti- depressants: Do not start with full dose immediately. The effect may not show until after 4-8 weeks. They should not be taken together with certain heart medications like digoxin and certain medications used to treat seizures such as phenytoin.

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Sources list for:
"Precautions for Tricyclic Antidepressants (TCAs)"

DEPRESSION, FAMILY HEALTH GUIDE, dr Stephen Mearson in association with the defeat depression campaign
"ABC of mental health", edited by Teifion Davis and T K J Craig
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