Generic Name: Anafranil sr
What is Anafranil Sr?
T- and ST-wave changes in patients of normal cardiac status Palpitations Tinnitus hearing ringing in one's ears Mydriasis dilated pupils Vomiting Abdominal disorders Diarrhoea Decreased appetite Transaminases increased Alkaline phosphatase increased Speech disorders Paraesthesia Muscle hypertonia Dysgeusia Memory impairment Muscular weakness Disturbance in attention Confusional state Disorientation Hallucinations particularly in elderly patients and patients with Parkinson's disease Anxiety Agitation Sleep disorders Mania Hypomania Aggression Depersonalisation Insomnia Nightmares Aggravation of depression Delirium Galactorrhoea lactation that is not associated with pregnancy or breastfeeding Breast enlargement Yawning Hot flush Dermatitis allergic skin rash, urticaria Photosensitivity reaction Pruritus itching Pancytopaenia - an abnormally low amount of all the different types of blood cells in the blood including platelets, white blood cells and red blood cells.
Leucopenia - a low white blood cell count. Thr Eosinophilia - an abnormally high number of eosinophils - the cells that fight off parasitic infections - in the blood.
Syndrome of inappropriate secretion of antidiuretic hormone SIADH - a potentially fatal reaction to certain medications that is due to an excessive release of antidiuretic hormone - a hormone that prevents the production of urine by increasing the reabsorption of fluids in the kidney - this results in the development of various electrolyte abnormalities e. Glaucoma Oedema local or generalised Alopecia hair loss Hyperpyrexia a high fever that is above 41.
Abnormal ECG Anaphylactic and anaphylactoid reactions including hypotension Neuroleptic malignant syndrome NMS - a potentially fatal side effect of antidopaminergic agents such as antipsychotics, tricyclic antidepressants and antiemetics drugs that relieve nausea and vomiting. NMS develops over a period of days or weeks and is characterised by the following symptoms: Tremor Muscle rigidity Mental status change such as confusion, delirium, mania, hypomania, agitation, coma, etc.
Maudsley Prescribing Guidelines in Psychiatry 11th ed. Toimeainet prolongeeritult vabastavad tabletid on kaetud tablettide ja kapslitega bioekvivalentsed. Mutageensus Mitmete in vitro ja in vivo teostatud mutageensustestidega ei tuvastatud klomipramiinvesinikkloriidi mutageenset toimet. Anafranil 10 mg 341201 Anafranil 25 mg 124596 Anafranil SR 341301 Anafranil 10 mg 09.
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Coadministration of Anafranil with terbinafine, a strong inhibitor of CYP2D6, may result in increased exposure and accumulation of clomipramine and its N-demethylated metabolite.
Therefore, dose adjustments of Anafranil may be necessary when coadministered with terbinafine. Estrogens are not known to be inhibitors of CYP2D6, the major enzyme involved in clomipramine clearance and therefore, no interaction is expected.
Although in a few cases with high dose estrogen 50 mg daily and the tricyclic antidepressant imipramine, increased side effects and therapeutic response were noted, it is unclear as to the relevance of these cases to clomipramine and lower dose estrogen regimens.
Monitoring therapeutic response of tricyclic antidepressants at high dose estrogen regimems 50 mg daily is recommended and dose adjustments may be necessary. Ritalin may also increase concentrations of tricyclic antidepressants by potentially inhibiting their metabolism, and a dose reduction of tricyclic antidepressant may be necessary.
There is no evidence for the ability of clomipramine to inhibit the metabolism of anticoagulants, such as warfarin, however, careful monitoring of plasma prothrombin has been advised for this class of drug. In cigarette smokers, clomipramine steady-state plasma concentrations were decreased 2 fold compared to non-smokers no change in N-desmethylclomipramine.
Staggering the dosage of clomipramine and resins, such that the drug is administered at least 2 h before or 4-6 h after the administration of resins, is recommended. Concomitant administration of Anafranil with St. John's wort during the treatment may decrease the plasma concentrations of clomipramine. Pregnancy There is limited amount of data from the use of Anafranil in pregnant women that indicates a potential to harm the foetus or cause congenital malformation. Anafranil should be used during pregnancy only if the potential benefit outweighs the potential risk to the foetus.
To avoid such symptoms, Anafranil should if possible be gradually withdrawn at least 7 weeks before the calculated date of confinement.
Lactation Since the active substance passes into breast milk, Anafranil should be gradually withdrawn or the infant weaned if the patient is breast-feeding.
How should I take Anafranil Sr?
About two thirds of a single dose of clomipramine is excreted in the form of water-soluble conjugates in the urine, and approximately one third in the faeces. Characteristics in patients: In elderly patients, plasma clomipramine concentrations may be higher for a given dose than would be expected in younger patients because of reduced metabolic clearance.
The effects of hepatic and renal impairment on the pharmacokinetics of clomipramine have not been determined. The clinical relevance of these findings is unknown. Children and adolescents In children and adolescents, there is not sufficient evidence of safety and efficacy of Anafranil in the treatment of depressive states of varying aetiology and symptomatology, phobias and panic attacks, cataplexy accompanying narcolepsy and chronic painful conditions.
What should I avoid while taking Anafranil Sr?
Central Nervous System: More than 30 cases of hyperthermia have been recorded by nondomestic post-marketing surveillance systems. Most cases occurred when clomipramine was used in combination with other drugs. When clomipramine and a neuroleptic were used concomitantly, the cases were sometimes considered to be examples of a neuroleptic malignant syndrome. Sexual Dysfunction: The rate of sexual dysfunction in male patients with OCD who were treated with clomipramine in the premarketing experience was markedly increased compared with placebo controls i.
Surgery: Prior to elective surgery with general anesthetics, therapy with clomipramine HCl should be discontinued for as long as is clinically feasible, and the anesthetist should be advised. Use in Concomitant Illness: As with closely related tricyclic antidepressants, clomipramine should be used with caution in the following:Withdrawal Symptoms: A variety of withdrawal symptoms have been reported in association with abrupt discontinuation of clomipramine, including dizziness, nausea, vomiting, headache, malaise, sleep disturbance, hyperthermia, and irritability.
In addition, such patients may experience a worsening of psychiatric status.
Anafranil Sr side effects
A slight delay in the onset of absorption may be observed with the administration of Anafranil with food. Dose proportionalityThe drug follows dose-proportionate pharmacokinetics over a dose range of 25 to 150 mg. Effect of ageIn elderly patients, clomipramine has relatively low clearance in comparison to younger adult patients. It is reported to reach a therapeutic steady state at doses lower than that reported for middle-age patients.
Clomipramine should be used with caution in elderly patients. Renal impairmentThere are no specific reports describing the pharmacokinetic of the drug in patients with renal impairment.
Although the drug is excreted as inactive metabolites in the urine and feces, the accumulation of inactive metabolites may subsequently result in the accumulation of the parent drug and its active metabolite.
Common Anafranil Sr ide effects may include:
Information from clinical trials has shown an increased risk of suicidal behaviour in adults aged less than 25 years with psychiatric conditions who were treated with an antidepressant.
If you require any advice or information about the drugs on this page, a medical condition or treatment advice, you should always speak to a health professional.
A meta-analysis of placebo-controlled clinical trials of antidepressant drugs in adult patients with psychiatric disorders showed an increased risk of suicidal behaviour with antidepressants compared to placebo in patients less than 25 years old.
See also the Warning section.
Clomipramine may also be used for purposes not listed in this medication guide. BeautyAttr ShortDescription Generic Anafranil Sustained-Release Clomipramine is used for treating obsessive-compulsive disorder OCD. No signature is required on delivery Delivery dates if ordered today. Here is a review of a few qualitative and trusted online pharmacies and drugstores where you can buy clomipramine or order cheap Anafranil Clomipramine Hydrochloride online, get discount coupon, compare prices for antidepressants, anti-anxiety drugs, norepinephrine-reuptake inhibitors, and many other medications at a low prices to choose the most acceptable offer for you.
Where can I get more information?
Tricyclic antidepressants should not be employed in combination with anti-arrhythmic agents of the quinidine type.
Known hypersensitivity to clomipramine or any of the excipients, or cross-sensitivity to tricyclic antidepressants of the dibenzazepine group.