This is particularly true when taking medication as strong as Accutane. Tell your doctor immediately if any of these rare but very serious side effects occur: easy bruising bleeding, signs of infection. Mental Health: Comment Tricyclic antidepressants may be classified as tertiary amitriptyline, doxepin, clomipramine, imipramine, trimipramine or secondary amines nortriptyline, desipramine, protriptyline. If you suddenly stop taking Tofranil you may experience WITHDRAWAL symptoms, including headache, nausea, and tiredness. Withdrawal Symptoms: Though not indicative tofranil yossa toimitus of addiction, abrupt cessation of treatment after prolonged therapy may produce nausea, headache, and malaise.