Tricyclic antidepressants (TCA’s) maybe considered if first line treatments are unsuccessful. These are as effective in treating depression but tend to be associated with more side effects than SSRIs.
Tricyclic antidepressants (TCAs)
Common side effects include:
Sleepiness (care needed with driving)
Dizziness on standing
Difficulty passing urine (especially in men)
Blurring of vision and problem with close vision (especially if you need glasses)
Tremor (slight shake of muscles of arms and hands)
Constipation
Confusion
Reduced sex drive and possible impotence
Weight gain
Increase and stabilise sleep