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Precautions

Do NOT use Anafranil if:

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• you're allergic to any ingredient in Anafranil as well as to similar medicines

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• you took furazolidone or perhaps a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) in the last two weeks, or you take astemizole or terfenadine

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• you happen to be coping with a recent cardiac arrest.

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Contact your medical professional or physician immediately if all of these connect with you.

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Some health concerns may talk with Anafranil. Tell your doctor or pharmacist when you have any health concerns, especially if any in the following sign up for you:

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• if you happen to be pregnant, planning to get pregnant, or are breast-feeding

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• in the event you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• in case you have allergies to medicines, foods, or other substances

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• if you drink alcohol-containing beverages daily or use a reputation alcohol abuse

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• if you are taking thyroid medicine or have a good an overactive thyroid

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• when you have a history of adrenal gland problems, glaucoma, heart problems, kidney or liver problems, diabetes, seizures, trouble urinating, the blood disease porphyria, or other blood problems

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• if you might be undergoing electroshock therapy or else you are scheduled to possess any surgery.

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Some medicines may connect to Anafranil. Tell your medical provider should you are taking every other medicines, especially any in the following:

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• Azole antifungals (eg, fluconazole), cimetidine, duloxetine, haloperidol, methylphenidate, mibefradil, phenothiazines (eg, chlorpromazine), selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), terbinafine, or valproic acid since they might increase the likelihood of Anafranil's unwanted effects

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• Astemizole, furazolidone, ketolide antibiotics (eg, telithromycin), macrolide antibiotics (eg, erythromycin), MAOIs (eg, phenelzine), pimozide, or terfenadine as the likelihood of hypertension, serious heart related illnesses (eg, irregular heartbeat), or seizures may be increased
• Barbiturates (eg, phenobarbital) or phenytoin because they may decrease Anafranil's effectiveness

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• Anticoagulants (eg, warfarin), carbamazepine, or sympathomimetics (eg, phenylephrine) for the reason that chance of their negative effects might be increased by Anafranil

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• Clonidine, guanethidine, or guanfacine his or her effectiveness might be decreased by Anafranil.

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This is probably not a total list of all interactions that may occur. Ask your medical provider if Anafranil may communicate with other medicines that you take. Check with your doctor when you start, stop, or alter the dose of the medicine.

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Important safety information:

• Anafranil could cause drowsiness, dizziness, or blurred vision. These effects might be worse should you go with alcohol or certain medicines. Use Anafranil with caution. Do not drive or perform other possible unsafe tasks until you recognize how you respond to it.

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• Do not drink alcohol or use medicines that might cause drowsiness (eg, sleep aids, muscle relaxers) while you might be using Anafranil; it might increase their effects. Ask the pharmacist when you have questions regarding which medicines may cause drowsiness.

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• Anafranil could potentially cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially in the morning. Sit or sleep the night on the first symbol of all of these effects.

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• Do not become overheated in warm weather or while you are being active; heatstroke may occur.

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• Anafranil may cause you to become sunburned easier. Avoid the sun, sunlamps, or tanning booths and soon you recognize how you answer Anafranil. Use a sunscreen or wear protective clothing in the event you should be outside for more than a short time.

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• Tell your doctor or dentist that you are taking Anafranil prior to deciding to have any medical or dentistry, emergency care, or surgery.

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• Lab tests, including complete blood cell counts, could be performed while you use Anafranil. These tests might be used to monitor your condition or pay attention to side effects. Be sure to keep all doctor and lab appointments.

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• Use Anafranil with caution inside the elderly; they might be more responsive to its effects, in particular those with heart related illnesses.

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• Anafranil should be in combination with extreme care in children younger than decade old; safety and effectiveness of these children weren't confirmed.

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• Pregnancy and breast-feeding: It is not known if Anafranil may cause trouble for the fetus. If you get pregnant, get hold of your doctor. You will need to discuss the rewards and risks of using Anafranil while you happen to be pregnant. Anafranil is located in breast milk. Do not breastfeed while taking Anafranil.

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If you suddenly stop taking Anafranil, maybe you have withdrawal symptoms. Symptoms can sometimes include dizziness, headache, irritability, nausea, tiredness, sleep disorders, and vomiting.

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