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Clomipramine - Oral - Patient Medicine Information

> Why do I need this medicine?
> How do I take this medicine?
> What should I do if I have forgotten to take this medicine?
> When should I not use this medicine?
> What should I take note of while taking this medicine?
> What side effects could I experience?
> Can I take this with other medicines?
> What special dietary instructions should I follow?
> How should I store this medicine?

 
Other Known Brands
  • Apo-Clomip    
  • Anafranil    

Why do I need this medicine?

Clomipramine is used to treat depression.

It can also be used to treat obsessive-compulsive disorder (OCD), panic disorders, phobias and post-traumatic stress disorder.

Clomipramine can also be used to treat other conditions such as certain sleep disorders and long term pain.

How do I take this medicine?

Take Clomipramine exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.

You may take Clomipramine with or without food. Try to take it at the same time each day.

Clomipramine must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed otherwise, as stopping it suddenly could worsen your condition.

What should I do if I have forgotten to take this medicine?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.

DO NOT double a dose under any circumstances.

If you often forget to take your medicine, let your doctor and pharmacist know.

When should I not use this medicine?

Alert your doctor if you had a recent heart attack as Clomipramine may not be suitable for you.

Do not take Clomipramine if you are currently taking a certain type of medicine to treat depression known as a monoamine oxidase inhibitor (MAOI) such as selegiline, or within 14 days of stopping the MAOI. Do not take Clomipramine if you are taking linezolid (antibiotic).

What should I take note of while taking this medicine?

Inform your doctor if you have the following conditions:

- mood disorders including bipolar disorder (mania and hypomania)
- heart, liver or kidney disease
- epilepsy (fits)
- thyroid disease
- phaeochromocytoma (a tumour of the adrenal gland)
- history of glaucoma (increased pressure in the eye)
- urinary retention
- thoughts of suicide

Let your doctor know if you are pregnant or breastfeeding.

Clomipramine is not meant for children and teenagers younger than 18 years old unless instructed by the doctor.

Alert your doctor if you have recently undergone electroshock therapy (also known as electroconvulsive therapy or ECT).

If you are going for an operation, including minor operations and dental work, inform your doctor or dentist that you are being treated with Clomipramine.

Medicines for depression such as Clomipramine may increase the risk of suicidal thoughts and behaviour. As depression and some psychiatric disorders are themselves associated with an increased risk of suicide, it is important for you or your family members to monitor your condition especially at the start of treatment and if your dosage is still being adjusted. If you experience new or sudden changes in mood, behaviour, thoughts or feelings or a worsening of your depression with suicidal thoughts or attempts, harm to self or harm to others, contact your doctor immediately.

What side effects could I experience?

Clomipramine may make you drowsy or dizzy. You may also experience some problems with your eyesight, such as blurred vision. If affected, do not drive or take part in any activity in which you need to be alert.

Other side effects include any of the following: dry mouth, constipation, diarrhoea, nausea, vomiting, weight gain or loss, weakness, tiredness, rash, sweating, hot flushes, headache, difficulty sleeping, indigestion, stomach pain, stomach wind, increased appetite, itching and ringing in the ears.

Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:

- irregular or fast heartbeat
- unexplained bone pain, swelling or bruising
- inability to pass urine
- tingling and numbness in the hands and feet
- muscle pain and stiffness, difficulty in controlling movements such as trembling or shaking of hands and feet or shuffling of feet when walking
- severe sore throat and fever
- unusual bleeding or bruising
- confusion or hallucination
- fits or seizures

Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.

Can I take this with other medicines?

Do not take Clomipramine if you are currently taking a certain type of medicine to treat depression known as a monoamine oxidase inhibitor (MAOI) such as selegiline, or within 14 days of stopping the MAOI. Do not take Clomipramine if you are taking linezolid (antibiotic).

Inform your doctor and pharmacist if you are taking any of these medicines:

- high blood pressure medicines e.g. clonidine, guanethidine, betanidine
- other medicines used to treat depression and other mood disorders e.g. lithium, fluoxetine, alprazolam
- epilepsy (fits) medicines e.g. phenobarbital
- heart medicines e.g. digoxin, quinidine, flecainide
- blood-thinners e.g. warfarin

This list does not include all medicines that may interact with Clomipramine.

Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.

What special dietary instructions should I follow?

Avoid alcohol.

How should I store this medicine?

Store in a cool, dry place, away from the reach of children.

Medicines must not be used past the expiry date.

This information is independently developed by MIMS based on Clomipramine - Oral and is provided for your reference only. It is not a replacement for and should only be used in conjunction with full consultation with a licensed healthcare professional, the information provided by your pharmacist and/or the manufacturer of the medication. It may not contain all the available information you require and cannot substitute professional medical care, nor does it take into account all individual circumstances. Although great effort has been made to ensure content accuracy, we shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2019 MIMS. All rights reserved. Powered by MIMS.com

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