WHAT IS THIS MEDICINE?
CLOMIPRAMINE is an antidepressant and is used to treat (OCD) obsessive-compulsive disorder.
WHAT SHOULD I TELL MY DOCTOR BEFORE I TAKE THIS MEDICINE?
They need to know if you have any of these conditions:
- If you have an alcohol problem
- If you have asthma, difficulty breathing
- If you are facing bipolar disease or schizophrenia
- If you have difficulty passing urine, prostate trouble
- If you have glaucoma
- If you have heart disease or previous heart attack
- If you have liver ailment
- If you have over active thyroid
- If you have seizures
- If you have thoughts or plans of suicide, any previous suicide attempt, or family history of suicide or suicide attempt
- If you have an unusual or allergic reaction to clomipramine, other medicines, foods, dyes, or preservatives
- If you are pregnant or trying to get pregnant
- If you are breast-feeding
HOW SHOULD I USE THIS MEDICINE?
Take this medicine orally with a glass of water and take it with food to avoid acid reflux. Take your doses at regular intervals and ensure you do not skip the dose. Do not take your medicine as directed. Do not withdraw the medicine if you have been taking this medicine regularly for some time. You must gradually reduce the dose or you may face severe side effects and withdrawal symptoms. Even after you stop taking this medicine it may still affect you for several days.
Talk to a pediatrician regarding the use of this medicine in young children. While this drug may be prescribed for children who may be as young as 10 years for specific conditions, precautions need to be taken.
Overdose: If you think you have taken an overdose of this medicine contact a poison control center or emergency room immediately.
NOTE: This medicine is only for you so ensure you do not share this medicine with others.
WHAT IF I MISS A DOSE?
If you miss a dose, do not worry take it as soon as you can and if it is almost time for your next dose, miss the previous dose and take only that dose. Do not take double or extra doses. Also, ensure you dont make this a habit of missing doses.
WHAT MAY INTERACT WITH THIS MEDICINE?
Do not take this medicine with any of the following medications
- arsenic trioxide
- certain heart medicines
- MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
- other medicines for mental depression
- phenothiazines like perphenazine, thioridazine and chlorpromazine
- St. John’s Wort
This medicine may also interact with the following medications so better be careful:
- atropine and related drugs like hyoscyamine, scopolamine, tolterodine and others
- barbiturate medicines for inducing sleep or treating seizures like phenobarbital
- medicines for anxiety or sleeping problems
- medicines for colds, flu and breathing difficulties, like pseudoephedrine
- medicines for hay fever or allergies
- seizure or epilepsy medicine like phenytoin
- stimulants like dexmethylphenidate or methylphenidate
- thyroid hormones
This list may not give details and list of all possible interactions. Give your doctor a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you may be using, also tell them if you have a habit of smoking, alcohol, or use any illegal drugs.
WHAT SHOULD I WATCH FOR WHILE USING THIS MEDICINE?
Visit your doctor or health care professional for regular checks on your progress. It can take several days before you feel the full effect of this medicine.
Patients should watch out for aggravated depression or thoughts of suicide. Also watch out for sudden or severe changes in feelings such as feeling anxious, quirky, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep due to the issue. If this happens, especially at the beginning of antidepressant treatment or after a change in dosage, call your doctor.
You may get drowsy so do not drive, do not use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are a senior citizen. Doing this reduces the risk of dizzy or fainting spells. Drinking alcohol may increase dizziness and drowsiness so avoid alcoholic drinks completely.
Do not treat for coughs, colds, or allergies on your own without asking your doctors advice. Some ingredients can aggravate possible side effects.
You may get dry mouth. Drinking plenty of water or sipping on water continuously may help.
This medicine may cause dry eyes and blurred vision. If you wear contact lenses you may feel discomfort. Lubricating eye drops may help. See your ophthalmologist if the problem does not go away or is severe.
This medicine can make you more sensitive to the sun rays. Keep out of the sun. if you cannot avoid being in the sun, ensure you wear protective clothing and use sunscreen lotion. Do not use sun lamps or tanning beds/booths in such conditions.
If you are diabetic, check your blood sugar regularly, especially during the first few weeks of treatment with this medicine. This medicine can severely affect blood sugar levels.
WHAT SIDE EFFECTS MAY I NOTICE FROM THIS MEDICINE?
Side effects that you should report to your doctor or health care professional as soon as possible:
- allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
- breast enlargement, milk
- breathing problems
- confusion, hallucinations
- fast, irregular heartbeat
- fever with increased sweating
- muscle stiffness, spasms
- pain or difficulty passing urine, loss of bladder control
- suicidal thoughts or other mood changes
- swelling of the testicles
- tingling, pain, or numbness in the feet or hands
- yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
- change in sex drive or performance
- constipation, or diarrhea
- nausea, vomiting
- weight gain or loss
This list may not describe all possible side effects.
WHERE SHOULD I KEEP MY MEDICINE?
Keep out of the reach of children.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Protect from moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date.