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This medication belongs to class of medications called tricyclic antidepressants. Cardiovascular side effects that have been associated with the use of tricyclic antidepressants have included orthostatic hypotension, kopa billig anafranil med anelik tachycardia, QRS widening, other conduction abnormalities, malignant arrhythmias, and malignant hypertension. Symptoms such as these may be associated with an increased risk for suicidal thinking and behavior and indicate need for very close monitoring and possibly changes in the medication.