promethazine25 ,citalopram 40mg ,metoprolol tartate 50mg ,accupril 10mg , methylphenidate ,perphenazine/amitrip 2mg//25mg , dilaudid 8 mg drug interaction concerns? potential side affects? to include:::??:: NO energy! terrible memory! light headedness {enough to have to go to my knees so I dont fall ... which i gave gone down HARD on a few occasions} NO sex drive, significant reduction in emotions of any kind {the spectrum} can you adress any of my ????s