tricyclic
antidepressants (TCA), influence the levels of serotonin and norepinephrine.
They are effective in reducing symptoms of depression, but have side effects
which are not entirely negligible related to the anticholinergic action, such
as: urinary retention, even in the absence of prostatic hypertrophy, dry mouth,
visual disturbances, blurred vision, constipation, tachycardia, hypotension,
arrhythmias, ECG changes, cardiac arrest, tremors and shocks to the upper
limbs, feelings of warmth, defect of attention, mental confusion, anxiety and
memory impairment, delayed ejaculation and decreased libido, weight gain, blood
chemistry abnormalities, cholestatic jaundice, or hepato-cellular reactions.
The Vital Needs Theory - page 29