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Be very careful with generic tofranil if you are taking albuterol proventil, ventolin , antidepressants that act on serotonin, including prozac, paxil and zoloft, antipsychotic drugs such as mellaril and chlorpromazine, barbiturates such as nembutal and seconal, blood pressure medications such as catapres, carbamazepine tegretol , cimetidine tagamet , decongestants such as sudafed, drugs that control spasms, such as cogentin, epinephrine epipen , flecainide tambocor , guanethidine, methylphenidate ritalin , norepinephrine, other antidepressants such as elavil and pamelor, phenytoin dilantin , propafenone rythmol , quinidine, thyroid medications such as synthroid, tranquilizers and sleep aids such as halcion, xanax, and valium.

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