You should not need a new prescription for this medication to be refilled. Clomipramine (Anafranil) is a drug prescribed to treat OCD or obessive-compulsived disorder.

-During initial titration, this drug should be given in divided doses with meals to reduce gastrointestinal side effects. I went up to 50 mg in a few days and felt better.
You may need to decide whether to stop breastfeeding or stop taking this medication. Dose Confirmation: In another placebo-controlled, multi-site clinical trial, Clomicalm Tablets at 2 - 4 mg/kg/day given either once daily or divided twice daily showed significant improvement in resolving signs of separation anxiety when tested against behavioral modification alone (desensitization and counter conditioning). We comply with the HONcode standard for trustworthy health information - All rights reserved. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Several types of anxiety drugs are available, including benzodiazepines, buspirone, antidepressants, and beta-blockers.

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If you can’t, be sure to wear protective clothing and apply sunscreen.Not every pharmacy stocks this drug.

Clomipramine is a prescription drug. This increases your risk of sunburn. Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature. This can be harmful or prevent the drug from working well.To help avoid interactions, your doctor should manage all of your medications carefully. Treatment for anxiety usually consists of psychotherapy and medication. and formulary information changes.

© 2005-2020 Healthline Media a Red Ventures Company. After the initial titration, the dose may be increased gradually over the next several weeks to a maximum of 250 mg/day. This drug can cause a severe allergic reaction. Obsessive-Compulsive Disorder. Healthline Media does not provide medical advice, diagnosis, or treatment.



Gradually increase to 100 mg/day (divided with meals) over 2 weeks, THENMay increase further to 250 mg/day maximum; may give as single daily dose qHS once toleratedGradually increase to maximum 3 mg/kg/day or 100 mg/day, whichever is less May further increase to maximum 3 mg/kg/day or 200 mg/day, whichever is less; may give as single dose qHS once toleratedAvoid; strong anticholinergic and sedative effects; may cause orthostatic hypotension (Beers criteria)Consider alternatives; if must use, initiate with lower initial doseGradually increase to 100 mg/day (divided with meals) over 2 weeks, THENMay increase further to 250 mg/day maximum; may give as single daily dose qHS once toleratedEndocrine Disorders: Syndrome of inappropriate antidiuretic hormone secretion (SIADH)In short-term studies, antidepressants increased the risk of suicidal thinking and behavior in children, adolescents, and young adults (<24 yr of age) taking antidepressants for major depressive disorders and other psychiatric illnessesThis increase was not seen in patients aged >24 years; a slight decrease in suicidal thinking was seen in adults >65 yearsIn children and young adults, risks must be weighed against the benefits of taking antidepressantsPatients should be monitored closely for changes in behavior, clinical worsening, and suicidal tendencies; this should be done during initial 1-2 months of therapy and dosage adjustmentsThe patient’s family should communicate any abrupt changes in behavior to the healthcare providerWorsening behavior and suicidal tendencies that are not part of the presenting symptoms may require discontinuation of therapyThis drug is not approved for use in pediatric patientsBPH, urinary/GI retention, hyperthyroidism, seizure disorder, brain tumor, respiratory impairmentRisk of mydriasis; may trigger angle closure attack in patients with angle closure glaucoma with anatomically narrow angles without a patent iridectomyClinical worsening and suicide ideation may occur despite medication in adolescents and young adults (18-24 yr)Potentially life-threatening serotonin syndrome reported when coadministered with drugs that impair serotonin metabolism (in particular, MAOIs, including nonpsychiatric MAOIs, such as linezolid and IV methylene blue)Rare cases of drug rash with eosinophilia and systemic symptoms (DRESS) reported with use; in event of severe acute reactions such as DRESS, discontinue clomipramine therapy immediately and institute appropriate treatmentLactation: distributed in breast milk, do not nurse (AAP states effect on nursing infants is unknown but may be of concern)A: Generally acceptable.

This paradoxical initial increase in anxiety is most pronounced during the first few days of treatment and generally subsides within two weeks.

Tell your doctor right away if you notice changes in your mood or thoughts. doi: 10.1111/j.1751-0813.1998.tb12353.x.

2002 These chemicals are believed to help regulate mood and behavior.Clomipramine oral capsule may cause drowsiness and other side effects.The more common side effects of clomipramine can include:If these effects are mild, they may go away within a few days or a couple of weeks. doi: 10.1371/journal.pone.0018448.Watson SL, McCoy JG, Fontenot MB, Hanbury DB, Ward CP. Our website services, content, and products are for informational purposes only.

≥10 years: 25 mg PO qDay initially. Clomipramine has serious interactions with at least 127 different drugs.

This drug can cause suicidal thoughts or behaviors.

271662-overview Diseases & Conditions Select one or more newsletters to continue. To find out how this drug might interact with something else you’re taking, talk to your doctor or pharmacist.Examples of drugs that can cause interactions with clomipramine are listed below.You should not take certain drugs with clomipramine.

Be sure to tell your doctor about all medications, vitamins, or herbs you’re taking.