Therefore, it's essential during the first few weeks for the parents to wake the child completely when the alarm goes off.The major problems with the alarm units are the length of time it takes to get an adequate result, the disruption of the entire family's sleep and the fact that many children react sluggishly to the alarm.As many as 35 percent of children may relapse several months after the family stops using the alarm, but children can be easily retreated in a short period of time. The intermittent use of DDAVP along with a conditioning retraining is often effective in increasing self-confidence while working toward a cure that isn't drug-dependent.Reviewed by health care specialists at UCSF Benioff Children's Hospital.© 2002 - 2019 The Regents of The University of California Route. Many young children and their parents are better served by reassurance that there's no physical abnormality than by long-term and expensive therapy of uncertain effectiveness. 1. It treats depression by increasing the amounts of certain natural substances in the brain that are needed to maintain mental balance. Imipramine is in a class of medications called tricyclic antidepressants. Tofranil (imipramine) was the first drug introduced to treat bedwetting but we don't know exactly how it works. 8 Terms. The mechanism of action of imipramine HCl is not definitely known. Pharmacology. It is a drug that's nice to have available for sleepovers, camp, vacations and the like. Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own.Your healthcare provider will want to see you often while you are taking imipramine, especially at the beginning of your treatment. If not, discontinue the medication and call our office.If the medication works, use it for three to six months and then gradually taper the dose over several weeks.DDAVP is safe and often effective, but it's important to use it only at bedtime to reduce the risk of fluid overload and electrolyte abnormalities. However, if it is almost time for your next dose, skip the missed dose and continue your regular dosing schedule.If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (Imipramine may cause other side effects. These might include increasing fluids during the day and continued use of the moisture alarm once the child is staying dry at night.Methods often tried by parents before they seek medical attention, such as limiting fluids before bedtime, awakening the child at night at random and reward-punishment strategies, are generally ineffective. It must be emphasized that this is truly family therapy and the parents must be willing to accept the responsibility of supervising the therapy. Children, teenagers, and young adults who take antidepressants to treat depression or other mental illnesses may be more likely to become suicidal than children, teenagers, and young adults who do not take antidepressants to treat these conditions. The drug benefits the child only on the night taken but doesn't cure the condition.Imipramine is available in capsule or tablet form only. There is not enough information to explain how imipramine prevents bedwetting.Imipramine comes as a tablet and a capsule to take by mouth. top. Imipramine is in a class of medications called tricyclic antidepressants. Children who wet the bed early in the evening may be given one dose in the mid-afternoon and another dose at bedtime. Treatment may consist of medication, conditioning and behavior modification, or a combination of approaches.There's no medication that cures enuresis — they only treat symptoms. If your child remains wet, increase the dose to three 0.2 mg tablets for one week. If your child becomes dry, continue at this dose.

If your child remains wet, increase the dose to two 0.2 mg tablets for one week.