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Precautions

Do NOT use Anafranil if:

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• you happen to be allergic to the ingredient in Anafranil or to similar medicines

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• you took furazolidone or possibly a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) during the last two weeks, or you consider astemizole or terfenadine

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• you happen to be dealing with a newly released cardiac event.

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Contact your medical professional or doctor right away if these affect you.

Some health concerns may connect to Anafranil. Tell your physician or pharmacist when you have any medical conditions, particularly if any from the following sign up for you:

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• if you might be pregnant, intending to become pregnant, or are breast-feeding

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• in case you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• for those who have allergies to medicines, foods, or any other substances

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• in case you are drinking alcohol-containing beverages daily or use a good reputation for alcohol abuse

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• if you take thyroid medicine or use a good reputation for an overactive thyroid

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• for those who have a reputation adrenal gland problems, glaucoma, heart problems, kidney or liver problems, diabetes, seizures, trouble urinating, the blood disease porphyria, or other blood problems
• in case you have a reputation suicidal thoughts or behavior, bipolar disorder, or any other mental disorders

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• if you're undergoing electroshock therapy or else you are scheduled to possess any surgery.

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Some medicines may interact with Anafranil. Tell your doctor in the event you consider every other medicines, especially any of the following:

• Azole antifungals (eg, fluconazole), cimetidine, duloxetine, haloperidol, methylphenidate, mibefradil, phenothiazines (eg, chlorpromazine), selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), terbinafine, or valproic acid simply because they could raise the risk of Anafranil's side effects

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• Astemizole, furazolidone, ketolide antibiotics (eg, telithromycin), macrolide antibiotics (eg, erythromycin), MAOIs (eg, phenelzine), pimozide, or terfenadine because the probability of high blood pressure, serious cardiovascular disease (eg, irregular heartbeat), or seizures may be increased

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• Barbiturates (eg, phenobarbital) or phenytoin simply because they may decrease Anafranil's effectiveness

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• Anticoagulants (eg, warfarin), carbamazepine, or sympathomimetics (eg, phenylephrine) as the probability of their unwanted effects could possibly be increased by Anafranil

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• Clonidine, guanethidine, or guanfacine as their effectiveness may be decreased by Anafranil.

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This will not be a whole list of all interactions that will occur. Ask your medical provider if Anafranil may talk with other medicines that you are taking. Check with your medical provider when you start, stop, or alter the dose associated with a medicine.

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Important safety information:

• Anafranil could potentially cause drowsiness, dizziness, or blurred vision. These effects could be worse in case you go on it with alcohol or certain medicines. Use Anafranil with caution. Do not drive or perform other possible unsafe tasks unless you discover how you reply to it.

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• Do not consume alcohol or use medicines that could potentially cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Anafranil; it might add to their effects. Ask your friendly phamacist when you have questions regarding which medicines may cause drowsiness.

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• Anafranil might cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially inside the morning. Sit or take a nap on the first sign of any of these effects.

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• Do not become overheated in hot weather or while you happen to be being active; heatstroke may occur.

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• Anafranil might cause you to become sunburned with less effort. Avoid the sun, sunlamps, or tanning booths before you know how you respond to Anafranil. Use a sunscreen or wear protective clothing should you have to be outside for more than a short period of time.

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• Tell your physician or dentist that you are taking Anafranil before you have any medical or dentistry, emergency care, or surgery.
• Lab tests, including complete blood cell counts, might be performed while you use Anafranil. These tests could be used to monitor your complaint or check for negative effects. Be sure to keep all doctor and lab appointments.

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• Use Anafranil with caution inside the elderly; they could be more sensitive to its effects, especially those with cardiovascular disease.

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• Anafranil must be used in combination with careful attention in kids younger than decade old; safety and effectiveness in these children weren't confirmed.

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• Pregnancy and breast-feeding: It is not known if Anafranil might cause problems for the fetus. If you get pregnant, contact your doctor. You will need to discuss the rewards and perils associated with using Anafranil while you might be pregnant. Anafranil is situated in breast milk. Do not breastfeed while taking Anafranil.

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If you suddenly stop taking Anafranil, you may have withdrawal symptoms. Symptoms can include dizziness, headache, irritability, nausea, tiredness, sleep disorders, and vomiting.

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