Final answer:
Imipramine, a tricyclic antidepressant, can cause side effects such as difficulty passing urine and erectile dysfunction. Consultation with the prescribing physician is recommended to address these symptoms.
Step-by-step explanation:
Imipramine, a tricyclic antidepressant, is known to have side effects such as difficulty passing urine and erectile dysfunction. These side effects are due to the drug's ability to inhibit the reuptake of certain neurotransmitters, which can affect urinary and sexual function.
An appropriate action would be for the 38-year-old patient to consult with their prescribing physician. The physician may consider adjusting the dosage of imipramine or switching to a different antidepressant that has fewer side effects on urinary and sexual function.
It is important for the patient to communicate their symptoms and concerns to their healthcare provider, as the well-being and quality of life of the patient should always be prioritized.