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||BRAND NAME : Anafranil
CHEMICAL CONTENTS: Clomipramine HCl
Anafranil, a chemical cousin of tricyclic antidepressant medications such as Tofranil and Elavil, is used to treat people who suffer from obsessions and compulsions.
An obsession is a persistent, disturbing idea, image, or urge that keeps coming to mind despite the person's efforts to ignore or forget it Ч for example, a preoccupation with avoiding contamination.
A compulsion is an irrational action that the person knows is senseless but feels driven to repeat again and again Ч for example, hand-washing perhaps dozens or even scores of times throughout the day.
Adults : the usual recommended initial dose is 25 mg daily. Your doctor may gradually increase this dosage to 100 mg during the first 2 weeks. During this period you will be asked to take this drug, divided into smaller doses, with meals. The maximum daily dosage is 250 mg. After the dose has been determined, your doctor may direct you to take a single dose at bedtime, to avoid sleepiness during the day.
Children : the usual recommended initial dose is 25 mg daily, divided into smaller doses and taken with meals. Your doctor may gradually increase the dose to a maximum of 100 mg or 3 mg per 2.2 pounds of body weight per day, whichever is smaller. The maximum dose is 200 mg or 3 mg per 2.2 pounds of body weight, whichever is smaller. Once the dose has been determined, the child can take it in a single dose at bedtime.
Anafranil Contraindications :
Do not take Anafranil if you are sensitive to or have ever had an allergic reaction to a tricyclic antidepressant such as Tofranil, Elavil, or Tegretol .
Be sure to avoid Anafranil if you are taking, or have taken within the past 14 days, an MAO inhibitor such as the antidepressants Parnate or Nardil . Combining Anafranil with one of these medications could lead to fever, seizures, coma, and even death.
Do not take Anafranil if you have recently had a heart attack.
Anafranil Side Effects:
More common side effects of Anafranil may include : Abdominal pain, abnormal dreaming, abnormal tearing, abnormal milk secretion, agitation, allergy, anxiety, appetite loss, back pain, chest pain, confusion, constipation, coughing, depression, diarrhea, dizziness, dry mouth, extreme sleepiness, failure to ejaculate, fast heartbeat, fatigue, fever, flushing, fluttery heartbeat, frequent urination, gas, headache, hot flushes, impotence, inability to concentrate, increased appetite, increased sweating, indigestion, inflamed lining of nose or sinuses, itching, joint pain, light-headedness on standing up, memory problems, menstrual pain and disorders, middle ear infection (children), migraine, muscle pain or tension, nausea, nervousness, pain, rash, red or purple areas on the skin, ringing in the ears, sex-drive changes, sleeplessness, sleep disturbances, sore throat, speech disturbances, taste changes, tingling or pins and needles, tooth disorder, tremor, twitching, urinary problems, urinary tract infection, vision problems, vomiting, weight gain, weight loss (children), yawning
Critical signs and symptoms of Anafranil overdose may include : Impaired brain activity (including coma), irregular heartbeat, seizures, severely low blood pressure
Other signs and symptoms of overdose may include : Agitation, bluish skin color, breathing difficulty, delirium, dilated pupils, drowsiness, high fever, incoordination, little or no urine output, muscle rigidity, overactive reflexes, rapid heartbeat, restlessness, severe perspiration, shock, stupor, twitching or twisting movements, vomiting
Anafranil Missed dose:
If you take 1 dose at bedtime, consult your doctor. Do not take the missed dose of Anafranil in the morning. If you take 2 or more doses a day, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at the same time.
Store Anafranil at room temperature in a tightly closed container, away from moisture.
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