Anafranil 10 mg, 25mg or SR 75mg Tablet Divitabs
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of depressive episodes, OCD, and cataplexy.
Dosage (summary)
Adults: Start with 25 mg 2-3 times daily; max 250 mg. Elderly: Start with 10 mg daily, increase to 30-50 mg.
Special Populations
- Elderly
- Children and adolescents
Pregnancy & Breastfeeding
Not recommended during pregnancy; may harm fetus. Clomipramine passes into breast milk.
Key Drug Interactions
- MAO-inhibitors
- SSRIs
- CYP2D6 inhibitors
Contraindications
- Hypersensitivity to clomipramine
- Recent myocardial infarction
- Severe liver disease
- Hypokalaemia
Common side effects
- Dry mouth
- Constipation
- Dizziness
- Fatigue
Counselling Points
- Avoid abrupt discontinuation
- Monitor for worsening depression
- Caution with alcohol and CNS depressants
Serious warnings
- Risk of suicide
- QTc prolongation
- Serotonin syndrome
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