Anafranil. 10 mg. 30 tablets
Anafranil. 10 mg. 30 tablets
Anafranil coated tablets 10 mg x 30 ; 25 mg x 30
Anafranil contains an active substance called clomipramine hydrochloride. Available in the following forms :
coated tablets 10 mg;
coated tablets of 25 mg;
Anafranil and contains the following excipients: glycerin , lactose, magnesium stearate , corn starch , stearic acid , hydroxypropylmethylcellulose, polyvinylpyrrolidone / vinyl acetate copolymer, microcrystalline cellulose , titanium dioxide , yellow ferric oxide , macrogol 8000, polyvidone , sucrose, talc . Coated tablet of 10 mg also contain gelatin and the coated tablets of 25 mg - silica.
Coated tablets x 10 mg x 30 Coated tablets x 25 mg x 30
1. Anafranil WHAT IS AND WHAT IT IS USED FOR ?
Anafranil belongs to a group of drugs known as tricyclic antidepressants, which are used for the treatment of depression and mood swings. Other psychiatric disorders that can be treated with Anafranil have 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 tablets Anafranil ;
• you are already taking medicines to treat depression , such as . monoamine oxidase inhibitors ( MAO - ) inhibitors , selective inhibitors of the reuptake of serotonin selective reuptake inhibitors of serotonin and norepinephrine ; have recently had a heart attack or suffering from severe cardiovascular disease.
If any of the answers to the above questions is yes, it probably Anafranil is not suitable for you.
If you think you may be allergic / allergic , ask your doctor for advice.
Should inform your doctor if :
suicidal thoughts have epileptic seizures ;
have an irregular heartbeat ; have schizophrenia;
have glaucoma ( increased eye pressure) ;
have liver disease or kidney ;
have a blood disorder ;
have difficulty urinating (eg, due to disease of the prostate) ;
you have too much thyroid ;
have frequent constipation ;
easily lose consciousness
Information for families and people 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. You 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 these may be associated with increased risk of thoughts and behavior associated with suicide and indicate the need for monitoring and changes in treatment.
Anafranil and elderly
Elderly patients typically require a smaller dosage than younger patients and those of middle-aged . Possibly more frequently observed adverse reactions in elderly patients . Your doctor will provide you with the additional information necessary for more careful dosing and control.
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 the additional information necessary for more careful dosing and control.
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 ingredient 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 such effects, do not drive, operate machinery or perform any activities requiring complete mental alertness . Drinking alcohol can increase drowsiness .
Important information about some of the helper substances 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 any 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 are drinking alcohol daily , and if you change this a habit, also if you are taking the following medications : medications to regulate 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 , estrogen drugs promote the release of water and salts through the kidneys , acting by enhancing 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 mitigate unwanted effects. He or she may ask you to undergo blood tests , blood pressure or cardiac examination , both before and during treatment .
Anafranil can cause dry mouth, which can increase the risk of dental caries . Therefore, 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 . Beware of 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 your doctor. 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.
Take Anafranil exactly as it was prescribed by your doctor. Do not take more often or longer than your doctor. In some cases, your doctor may decide to treat you with Anafranil in the form of injections.
Effects occurring in discontinuation of Anafranil
Depression, obsessions and states of chronic anxiety require prolonged treatment with Anafranil . Do not change or stop treatment without consulting your doctor. Before stopping treatment with Anafranil , your doctor may require you to gradually reduce the dose. So you can avoid worsening your condition and reduce the risk of onset of symptoms of drug discontinuation , such as headache , nausea and malaise .
If you forget to take Anafranil ?
If you miss a dose of 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 is needed Anafranil ?
If you accidentally take too much Anafranil contact your doctor immediately. You may need 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 may have some side effects in some people. In most cases, not require medical intervention - they can disappear during the treatment , while your body is adapted to the drug. Contact your doctor if the side effects are continuous or interrupted.
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 two sedmitsi.Drugi side effects that 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, reduction in 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 contact 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 breathing difficulties , 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 return to your doctor or pharmacist any unused medicine.