ANAFRANIL . 25mg. 30 tablets
ANAFRANIL . 25mg. 30 tablets
ANAFRANIL WHAT IS AND WHAT IT IS USED FOR ?
ANAFRANIL belongs to the group of drugs known as tricyclic antidepressants are used to treat depression and mood swings. Other psychiatric disorders that may be treated with ANAFRANIL are obsessional states , panic disorder and phobias , chronic pain and nocturnal enuresis .
2 . BEFORE YOU TAKE ANAFRANIL
It is important to tell your doctor if you have other health problems or are taking other medications.
Do not take ANAFRANIL if:
Tell your doctor if:
in the past have developed an unusual or allergic reaction to clomipramine to another tricyclic antidepressant or to any of the excipients of the tablet ANAFRANIL ;
• you are already taking medicines for depression , such as . monoamine oxidase inhibitors ( MAO - inhibitors) selective reuptake inhibitors of serotonin selective reuptake inhibitors of serotonin and norepinephrine , have recently had a heart attack or suffer from a serious cardiovascular disease.
If any of the answers to the above questions is yes, it probably ANAFRANIL not be suitable for you .
If you think you may be allergic / allergic , ask your doctor for advice.
Need to notify your doctor if :
suicidal thoughts have epileptic seizures ;
have an irregular heart beat , you have schizophrenia;
have glaucoma ( increased eye pressure) ;
have liver disease or kidney disease ;
have a disease of the blood ;
have difficulty in micturition (e.g., due to disease of the prostate) ;
you have too much thyroid ;
have frequent constipation ;
easily lose consciousness
Information for families and those caring for sick
You have to watch your child or whether depressed patients show signs of behavioral changes such as unexplained anxiety , restlessness, trouble sleeping , irritability , aggressiveness , agitation or other changes in behavior , worsening of depression and thoughts of suicide. Should inform the patient's physician of any such symptom , especially if symptoms are severe , sudden onset and were not part of the initial symptoms of the patient. You will need to watch for these symptoms occur every day, especially at the beginning of treatment with antidepressants , and dose changes because the changes can be vnezapni.Simptomi as these may be associated with an increased risk of thoughts and behavior suicide related and show the need for monitoring and treatment change .
ANAFRANIL and elderly
Elderly patients usually require lower doses than younger patients and those of middle-aged . Possibly more frequently observed adverse reactions in elderly patients . Your doctor will provide you with additional information needed for more careful dosing and monitoring .
ANAFRANIL and children
ANAFRANIL should not be used in children and adolescents , unless specifically told to by a doctor . Your doctor will provide you with additional information needed for more careful dosing and monitoring .
Inform your doctor if you are pregnant or breastfeeding. ANAFRANIL should not be used during pregnancy unless specifically was predpisan.Vashiyat your doctor will discuss with you the potential risk of taking ANAFRANIL during pregnancy .
The active substance in ANAFRANIL passes into breast milk. Recommended during treatment with ANAFRANIL mothers not to breastfeed .
Driving and using machines
ANAFRANIL may cause drowsiness or inattention , or blurred vision . If you experience these effects , do not drive, operate machinery , or perform activities requiring complete mental alertness . Drinking alcohol can increase drowsiness .
Important information about some of the ingredients of support from ANAFRANIL
ANAFRANIL coated tablets contain lactose and sucrose. If your doctor has told you that you have an intolerance to some sugars (eg , lactose, sucrose) , contact your doctor before using ANAFRANIL coated tablets .
If you are taking other medicines:
Tell your doctor or pharmacist if you have recently taken any other medicines, even those not prescribed by a doctor .
Before starting treatment with ANAFRANIL inform your doctor or pharmacist about all other medicines you are taking. Many medications interact with ANAFRANIL and you may need a dosage adjustment or stopping any medicines . It is especially important that your doctor or pharmacist know if you consume alcohol daily , and if you change this a habit, also if you are taking the following medications : medicines to control blood pressure or cardiac function , other antidepressants, sedatives , tranquilizers , anticonvulsants ( eg barbiturates ) , anti-epileptics , medicines that reduce blood coagulation (anticoagulants ) , drugs for the treatment of asthma or allergy , drugs for Parkinson's disease , thyroid preparations , drugs for the treatment of ulcer / heartburn eg . cimetidine, drugs for the treatment of impaired concentration / hyperactivity disorder eg . methylphenidate , oral contraceptives , estrogens , medicines that help the excretion of water and salts through the kidneys , acting by increasing the volume of urine (known as diuretics) .
Other rules for the safe use
It is important for your doctor to regularly monitor your condition to be able to adjust the dose and help to limit the adverse effects. He or she may require you to make a blood test, blood pressure measurement or examination of the heart activity , both before and during treatment .
ANAFRANIL can cause dry mouth, which may increase the risk of dental caries . Thus, during prolonged therapy should regularly examine your teeth si.Ako wear contact lenses and experience eye irritation, inform your lekar.Predi surgery or dental work , inform your surgeon or dentist that you are taking ANAFRANIL.ANAFRANIL may increase the sensitivity of your skin to sunlight light . Protect yourself from the sun and wear suitable protective clothing and sunglasses.
3 . HOW TO USE ANAFRANIL
Carefully follow your doctor's instructions . Do not exceed your recommended dose dosage and duration of treatment is determined by the attending physician. Your doctor will decide the most appropriate dose for you .
Upon depression , mood disorders , anxiety disorders obsessions and the daily dose is usually between 75 mg and 150 mg. In panic disorder and agoraphobia (fear of open spaces ) therapy typically starts with 10 mg daily and after several days the dose is slowly increased to 100 mg.
In conditions of chronic pain, the daily dose is usually between 10 and 150 mg.
In nocturnal enuresis in children ( 5 years or more) , the daily dose will typically be between 20 and 75 mg, depending on the age of the child.
ANAFRANIL Take exactly as it was prescribed by your doctor. Do not take more , more often or longer than your doctor. In some cases, your doctor may decide to treat you with ANAFRANIL form of injections.
Effects occurring in the discontinuation of ANAFRANIL
Depression, obsessions and chronic anxiety states require prolonged treatment with ANAFRANIL . Do not change or stop treatment without consulting your doctor. Before stopping treatment ANAFRANIL , your doctor may require you to gradually reduce the dose. So you can avoid worsening your condition and reduce the risk of symptoms of drug discontinuation , such as headache , nausea and malaise .
If you forget to take ANAFRANIL ?
If you miss a dose ANAFRANIL , take it as soon as you remember and then continue your regular dosing schedule . If it is almost time for your next dose , skip the missed again and continue your regular dosing schedule . If you have any questions , contact your doctor.
If you take more than ANAFRANIL need?
If you accidentally take too many ANAFRANIL contact your doctor immediately. May require medical grizhi.Simptomite which occur several hours after overdose are: pronounced sleepiness, poor concentration , fast, slow or irregular heartbeat , anxiety and agitation, loss of muscle coordination and muscle stiffness , choking , seizures, vomiting, fever.
4 . VZMOZHNI SIDE EFFECTS
ANAFRANIL there may be some side effects in some people. In most cases there is no need medical intervention - they can disappear during the treatment , while your body adapts to the drug. Contact your doctor if the side effects are prolonged or worry you .
The most common side effects include: drowsiness , fatigue, dizziness , anxiety, dry mouth, constipation , blurred vision, shaking (tremor ), headache , palpitations, nausea , sweating, weight gain and sexual dysfunction . At the beginning of treatment ANAFRANIL may increase your sense of anxiety , but this effect usually resolves in two sedmitsi.Drugi side effects may also vazniknzt are: disorientation , agitation, impaired concentration , sleep disturbances , agitation , irritability , aggressiveness , memory loss , feeling that you are away from the situation ( if you watch it from a distance ), worsening of depression , nightmares, yawning, tingling , fever , flushing , dilated pupils, blood pressure associated with dizziness of sharply rising or standing , increased blood pressure , vomiting , abdominal pain, diarrhea , increased skin sensitivity to sunlight , swelling ( swollen ankles and / or hands and / or any other part of the body ) , hair loss , breast enhancement and lactation , unpleasant taste and tinnitus.
SOME EFFECTS CAN BE SERIOUS
Immediately call your doctor if you experience any of the following side effects , as you may need medical attention : if you hear or see things that do not exist, if there is jaundice , skin reactions (itching and redness) , frequent infections with fever and sore throat (due to low white blood cells) , allergic reactions with / without coughing and difficulty in breathing , lack of coordination in movements, increased intraocular pressure , severe stomach pain, severe loss of appetite, sudden cuts , muscular weakness or numbness , muscle spasms, difficulty in passing urine, rapid or irregular heartbeat ( more frequent , increasing) , difficulty speaking , confusion , delirium , hallucinations, pripadatsi.Ako notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
5 . STORAGE ANAFRANIL
• Keep out of reach of children . An overdose of this medication is especially dangerous for young children .
The coated tablets can be stored dry at a temperature below 30 ° C.
• Shelf life : 5 years from date of manufacture
Do not use after the expiry date stated on the packaging.
Do not forget to go to your doctor or pharmacist any unused medicine.
ANAFRANIL coated tablets 10 mg x 30 , 25 x 30 mg
ANAFRANIL contains a drug called clomipramine hydrochloride. Available in the following forms :
coated tablets of 10 mg;
coated tablets of 25 mg;
ANAFRANIL contains the following excipients: glycerol, lactose , magnesium stearate , corn starch , stearic acid , hydroxypropylmethylcellulose, vinylpyrrolidone / vinylacetate copolymer, microcrystalline cellulose , titanium dioxide , yellow iron oxide , macrogol 8000, polyvidone , sucrose, talc . The coated tablet of 10 mg also contain gelatin and the coated tablets of 25 mg - silica .