Cipramil 20 Mg Tablets 20 mg Tablets
PDF Leaflet Revision Date: 25 October 2024
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of depression, panic disorder, and OCD.
Dosage (summary)
20 mg daily; max 40 mg based on response. Elderly: 10-20 mg.
Onset of Action / Duration
Onset: 2-4 weeks.
Special Populations
- Elderly
- Renal impairment
- Hepatic impairment
- Poor CYP2C19 metabolizers
Pregnancy & Breastfeeding
Not established; risks include neonatal complications and postpartum hemorrhage.
Key Drug Interactions
- MAOIs
- Pimozide
- Serotonergic drugs
- St. John's Wort
Contraindications
- Hypersensitivity
- Children under 18
- Severe renal impairment
- QT interval prolongation
Common side effects
- Insomnia
- Somnolence
- Dry mouth
- Nausea
- Fatigue
Counselling Points
- Monitor for worsening depression or suicidality.
- Avoid abrupt discontinuation.
- Caution in driving or operating machinery.
Serious warnings
- Suicidal ideation
- QT prolongation
- Serotonin syndrome
- Withdrawal symptoms
Important Disclaimer
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