Anafranil (clomipramine) is in a class of drugs called tricyclic antidepressants. It works by increasing the amounts of serotonin in the brain therefore treating the symptoms of obsessive-compulsive disorder. This condition is described as an obsessive desire to repeat the same actions over and over again.
Effects of Anafranil and taking it regularly
How often you will need to take this medication depends on a number of factors, but in general Anafranil is supposed to be taken three times a day at the beginning of the treatment, and after several weeks of taking this drug regularly you are supposed to use it less often – once a day before going to bed. Make sure you follow exactly the directions of your health care provider for your treatment to be efficient and to avoid unpleasant reactions and side effects. Several weeks can pass before you will feel the full benefits of taking this medication. Make sure you give your body time to adjust to the dosage prescribed and keep taking Anafranil regularly without missing doses. Your dose may be the lowest at the beginning of the treatment, especially if you have a history of certain medical conditions or are taking some drugs, but it can be increased later depending on how well you respond to the treatment. To test your response your health care provider will have you show up for the lab tests and appointments regularly.
In case of begin allergic to this medication or other drugs that belong to the class of tricyclic antidepressants, you are not supposed to start the treatment, as the same reaction will most probably occur again. Report the fact of taking a MAO inhibitor, as these drugs are never supposed to be combined with Anafranil to prevent dangerous drug interactions from occurring. At least 14 days should pass between the last dose of Anafranil and the first dose of MAO inhibitor – and vice versa. The following are most commonly prescribed MAO inhibitors that you need to know: isocarboxazid, tranylcypromine, selegiline, and phenelzine. Taking this drug increases the risk of having a seizure and feeling drowsy. You are therefore not supposed to perform any hazardous activities that require you to be alert and concentrated. Discuss your diet and lifestyle with your doctor. Tobacco can make Anafranil less efficient – so if you are a smoker, you may need to reconsider this habit to benefit from the treatment.
Things to be discussed with your doctor
Your health care provider needs to know if you have ever had any of the following health conditions, or have them at the moment: brain damage, seizures, prostate problems, glaucoma, irregular heartbeat, blood pressure problems, heart disease, liver or kidney disease, and thyroid problems. Also make sure you tell your doctor in advance that you are taking anticoagulants, guanethidine, medications for nausea, mental illness, oral contraceptives, cimetidine, disulfiram, sedatives, selective serotonin reuptake inhibitors, phenobarbital, quinidine, tranquilizers, or vitamins. In case you are taking any of the medications mentioned, your dosage may need to be adjusted, or you will be required to show up for regular appointments for you progress to be monitored.
What are Anafranil mild side effects?
Just like most medications, Anafranil can sometimes cause side effects that in most cases go away on their own once your body adjusts to the dosage prescribed. You need to make sure you watch those side effects carefully to make sure they do not get worse, and in case they do – report them to our doctor. The following ones are most common: drowsiness, dry mouth, nausea, vomiting, diarrhea, constipation, nervousness, impotence, memory problems, insomnia, headache, and stuffy nose.
What are Anafranil serious side effects?
The following serious side effects, although rare, are most commonly reported by patients using Anafranil: seizures, irregular heartbeat, difficulty urinating, hallucinations, loss of bladder control, eye pain, difficulty breathing, unusual tiredness or weakness. In some cases patients younger than 24 have been reported to develop suicidal thoughts and other mood and behavior changes. Patients of this age are therefore considered to be at a higher risk than other age groups of developing these symptoms. If you are younger than 24 your health care provider will want to monitor your condition for side effects and you will be supposed to show up for regular appointments during the first 4 months of the treatment to make sure everything is going well and there is no need to adjust your dosage. Patients younger than 18 are not supposed to take Anafranil at all because the effects of this drug in this particular age group have not been properly studied. The following symptoms are supposed to be reported to your doctor as soon as possible: panic attacks, agitation, suicidal thoughts, irritability, aggressive behavior, severe restlessness or insomnia.
Is Anafranil overdose possible?
Report any of the following symptoms of an overdose to our local emergency center: seizures, drowsiness, restlessness, loss of coordination, stiff muscles, fast heartbeat, fever, widened pupils, or decreased urination. Their intensity can depend on a number of factors and be individual.
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