Surmontil

Why should Surmontil not be prescribed?

Surmontil should not be used if you are recovering from a recent heart attack.

You should not take Surmontil if you are sensitive to it or have ever had an allergic reaction to it or to similar drugs such as Tofranil.

Special warnings about Surmontil

In clinical studies, antidepressants increased the risk of suicidal thinking and behavior in children and adolescents with depression and other psychiatric disorders. Anyone considering the use of Surmontil or any other antidepressant in a child or adolescent must balance this risk with the clinical need. Surmontil has not been studied in children.

Additionally, the progression of major depression is associated with a worsening of symptoms and/or the emergence of suicidal thinking or behavior in both adults and children, whether or not they are taking antidepressants. Individuals being treated with Surmontil and their caregivers should watch for any change in symptoms or any new symptoms that appear suddenly—especially agitation, anxiety, hostility, panic, restlessness, extreme hyperactivity, and suicidal thinking or behavior—and report them to the doctor immediately. Be especially observant at the beginning of treatment or whenever there is a change in dose.

Use Surmontil cautiously if you have a seizure disorder, the eye condition known as glaucoma, heart disease, or a liver disorder. Also use caution if you have thyroid disease or are taking thyroid medication. People who have had problems urinating should also be careful about taking Surmontil.

Nausea, headache, and a general feeling of illness may result if you suddenly stop taking Surmontil. This does not mean you are addicted, but you should follow your doctor's instructions closely when discontinuing the drug.

This drug may impair your ability to drive a car or operate potentially dangerous machinery. Do not participate in any activities that require full alertness if you are unsure of the drug's effect on you.