TCAs (e.g., Amitriptyline, Nortriptyline)
Absolute Contraindications
- Recent myocardial infarction
- Severe liver disease
Main Side Effects
- Dry mouth, constipation, sedation
- Arrhythmias (in overdose)
Main Interactions
- SSRIs/SNRIs (risk of serotonin syndrome)
- Alcohol (additive sedation)
Main Monitoring Requirements
- ECG in high-risk patients (QT prolongation)
Pregnancy & Breastfeeding
- Avoid in breastfeeding