Hypotension, HTN, tachycardia, palpitation, MI, arrhythmias, heart block, stroke, falls; confusional states (especially in the elderly) w/ hallucinations, disorientation, delusions, anxiety, restlessness, agitation, insomnia, nightmares, hypomania, exacerbation of psychosis; numbness, tingling, paresthesias of extremities, incoordination, ataxia, tremors, peripheral neuropathy, extrapyramidal symptoms, seizures, EEG patterns alterations, tinnitus; dry mouth, constipation, paralytic ileus, urinary retention, delayed micturition, urinary tract dilation; skin rash, petechiae, urticaria, itching, photosensitization, edema (general or of face & tongue), drug fever, cross-sensitivity w/ desipramine; bone marrow depression including agranulocytosis, eosinophilia, purpura, thrombocytopenia; nausea & vomiting, anorexia, epigastric distress, diarrhoea, peculiar taste, stomatitis, abdominal cramps, black tongue; gynecomastia (male), breast enlargement & galactorrhea (female), increased or decreased libido, impotence, testicular swelling, blood sugar levels elevation or depression; jaundice (simulating obstructive), urinary frequency, drowsiness, dizziness, weakness & fatigue, headache, parotid swelling, alopecia.