Clomipramine is used to deal with obsessive compulsive disorder (OCD). It helps decrease persistent/unwanted thoughts (obsessions), and it helps reduce the urge to perform duplicated tasks (compulsions such as hand-washing, counting, checking) that interfere with daily living.

This medication belongs to a class of medicines called antidepressants that are tricyclic. It works by restoring the balance of certain natural substances (serotonin, among others) in the mind.

DIFFERENT USES: This area contains uses with this medication which can be perhaps not listed in the approved professional labeling for the drug but that may be prescribed by the health care professional. Make use of this drug for a condition that is listed in this area only if it's been so prescribed by the health care professional.

This medication has also been utilized to treat depression, panic attacks, and ongoing pain.

How exactly to utilize Anafranil

Read the Medication Guide available from your pharmacist. Consult with your pharmacist or doctor if you have any questions.

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Take this medication by mouth with or without meals as directed by your medical professional. To reduce side effects such as stomach upset, clomipramine may be started at a dose that is low given in several doses during the day with meals, and slowly increased as your body gets used to it. After you have reached the best dose for you, the total dose can be taken once daily, usually at bedtime to prevent daytime drowsiness or as directed by your doctor. Usually, the dose that is daily maybe not be more than 250 milligrams for adults and 200 milligrams for kids and teenagers.

Follow your medical practitioner's directions very carefully. Never take pretty much medication or take it more frequently than prescribed. Your condition will not improve any faster and your threat of side results such as for instance seizures may be increased. Dosage is founded on your condition that is medical and to therapy.

Avoid eating drinking or grapefruit grapefruit juice while being treated with this medication unless your doctor instructs you otherwise. Grapefruit can increase the amount of certain medications in your bloodstream. Consult your doctor or pharmacist for more details.

Make use of this medication regularly in order to obtain the benefit that is most from it. Continue to take it even if you feel well. To help you remember, use it at the time( that is same) each time.

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Do not suddenly stop using this medication without consulting your physician. Some conditions may be even worse when the drug is suddenly stopped. You might experience sweating, dizziness, nausea, vomiting, headache, or irritability if you abruptly stop using this drug. Your dose may need to be gradually decreased.

It might take 2 to 3 days or longer prior to the full ramifications of this medication are noticed. Inform your doctor if for example the condition persists or if it worsens.

Side Effects

See also Warning section.

Dizziness, drowsiness, dry mouth, constipation, stomach upset, nausea, vomiting, changes in appetite/weight, flushing, sweating, tiredness and blurred vision may occur. Anxiety symptoms may temporarily worsen when you initially start clomipramine that is taking. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

To alleviate dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water or utilize a saliva replacement.

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To stop constipation, maintain a meal plan adequate in fibre, drink plenty of water, and exercise. If you feel constipated while by using this drug, consult with your pharmacist for assist in selecting a laxative (e.g., stimulant-type with stool softener).

Understand that your physician has recommended this medication she has judged that the benefit to you is greater than the risk of side effects because he or. Many people using this medication do not have serious side effects.

Tell your doctor right away if some of these unlikely but side that is serious happen: mental/mood modifications (e.g., confusion, despair, memory problems), enlarged/painful breasts, unwanted breast milk manufacturing, irregular/painful menstrual periods, muscle mass stiffness, ringing into the ears, sexual issues (e.g., decreased sexual ability, alterations in desire), shakiness (tremors), numbness/tingling for the hands/feet, difficulty urinating.

Tell your physician straight away if any of these rare but extremely side that is serious occur: easy bruising/bleeding, signs of infection (e.g., fever, persistent sore throat), unusual/uncontrolled motions (especially regarding the tongue/face/lips), severe stomach/abdominal pain, dark urine, yellowing of eyes/skin.

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This medication may increase serotonin and rarely cause a very condition that is serious serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take. Get medical help right away if you develop a few of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.

Get help that is medical away if you have any very severe side effects, including: black stools, upper body discomfort, fainting, slow/fast/irregular heartbeat, seizures, vomit that looks like coffee grounds, eye pain/swelling/redness, vision modifications (such as seeing rainbows around lights through the night).

A tremendously severe allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious reaction that is allergic: rash, itching/swelling (especially associated with the face/tongue/throat), severe dizziness, trouble breathing.

This is not a list that is complete of side effects. If you notice other effects not listed above, contact your pharmacist or doctor.

In the usa -

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Call your medical professional for medical advice about side effects. You may report effects that are side FDA at 1-800-FDA-1088 or at

In Canada - Call your medical professional for medical advice about unwanted effects. You might report side effects to Health Canada at 1-866-234-2345.


Before taking clomipramine, tell your physician or pharmacist if you are allergic to it; or to other tricyclic antidepressants (e.g., imipramine, nortriptyline); or if you have any other allergies. This product may contain ingredients that are inactive which can cause allergies or other dilemmas. Talk to your pharmacist for more details.

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Before using this medication, tell your doctor or pharmacist your medical history, especially of: blood dilemmas (e.g., purpura, thrombocytopenia), difficulty in breathing (age.g., asthma, chronic bronchitis), individual or genealogy of glaucoma (angle-closure type), eating disorders (age.g., bulimia), heart dilemmas (e.g., arrhythmias, coronary artery disease, recent heart attack), intestinal issues (e.g., chronic constipation, ileus), liver problems, kidney issues, personal or genealogy and family history of other mental/mood conditions (e.g., manic depression, schizophrenia), history of hospitalization for a very serious response to specific medicines (neuroleptic malignant problem), heartburn/stomach acid within the esophagus (age.g., due to hiatal hernia), seizures, overactive thyroid (hyperthyroidism), trouble urinating (urinary retention, enlarged prostate), any condition that may raise your threat of seizures (e.g., alcohol/sedative dependency, use of electroconvulsive therapy, brain injury/disease), particular types of tumors (e.g., pheochromocytoma, neuroblastoma).

Clomipramine may cause an ailment that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention straight away.

The threat of QT prolongation might be increased in the event that you have certain medical conditions or are taking other drugs that could potentially cause QT prolongation. Before using clomipramine, inform your medical professional or pharmacist of the many drugs you are taking and in case you have got some of the next conditions: certain heart disease (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).

Lower levels of potassium or magnesium in the blood may increase your risk also of QT prolongation. This risk may increase if you have conditions such as severe sweating, diarrhea, or vomiting if you use certain drugs (such as diuretics/"water pills") or. Talk to your physician about using clomipramine safely.

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This drug could make you dizzy or drowsy or cause temporary vision that is blurred. Do not drive, use machinery, or do any activity that requires alertness or clear vision you can perform such activities safely until you are sure. Limit beverages that are alcoholic.

To diminish dizziness and lightheadedness, get up slowly when rising from a seated or lying position.

Before having surgery, tell your doctor or dentist that you are taking this medication.

Care is advised when working with this drug in children who participate in active recreations since it may increase the possibility of heart problems. (See also the Warning section.)

Older adults may be more delicate to your relative side-effects of this drug, especially bleeding, confusion, dizziness, and QT prolongation (see above).

This medication should be used only when clearly needed during pregnancy. Newborns exposed to clomipramine during pregnancy might experience withdrawal symptoms or side-effects. Inform your doctor right away if you notice jitteriness, shaking, feeding problems, fast breathing, or seizures in your newborn.

Since untreated mental/mood problems (such as obsessive disorder that is compulsive depression, panic attack) can be a serious condition, do not stop taking this medication unless directed by your doctor. You may be pregnant, immediately discuss with your doctor the benefits and risks of using this medication during pregnancy if you are planning pregnancy, become pregnant, or think.

This drug passes into breast milk and may also have effects that are undesirable a nursing baby. Consult with your doctor before breast-feeding.

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