tofranil

Uses

This medicine is used to treat depression. Additionally it is used with other therapies for the treating nighttime bed-wetting (enuresis) in kiddies. Using this medication to treat despair may boost your mood, rest, appetite, and vitality and might help restore your desire for day-to-day living. Imipramine can help your son or daughter control nighttime bed-wetting.

Imipramine belongs to a class of medications called tricyclic antidepressants. It works by restoring the balance of certain substances that are naturalneurotransmitters like norepinephrine) within the brain. For bed-wetting, this medication may work by blocking the effect of a particular natural substance (acetylcholine) on the bladder.

OTHER USES: This section contains uses of this drug that aren't listed in the approved professional labeling for the drug but which may be prescribed by your quality of life care expert. Make use of this drug for an ailment that is listed in this section only if it has been so prescribed by the wellness care expert.

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This drug may be used for also the treating panic and axiety disorders.

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Read the drugs Guide available from your pharmacist. Consult your pharmacist or doctor if you have any questions.

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Take this medication by lips with or without food, frequently 1-4 times daily or as directed by your doctor. You to take the entire dose once daily at bedtime if you have daytime drowsiness, your doctor may direct. Dosage is based on your condition that is medical and to therapy. In children, dosage may also be based on body weight. To reduce your risk of side effects, your doctor may start you at a dose that is low gradually increase your dosage.

When found in children for bed-wetting, imipramine should really be taken one hour before bedtime. If your child usually wets the bed early in the night, the drug may be given earlier in separate doses (e.g., one dose in the afternoon and one dose at bedtime).

Follow your doctor's instructions very carefully. Do not take more or less medication or take it more frequently than prescribed. Your condition shall maybe not improve any faster and your risk of part impacts will increase. Use this medication regularly to be able to obtain the benefit that is most from it. To help you remember, use it at the same time(s) each day.

This medication does not away work right. It may take up to 3 weeks if you are taking this medication for depression before you experience the full benefits.

It is important to continue taking this medication regardless if you feel well. Never unexpectedly stop taking this medication without consulting your doctor. Some conditions may become even worse whenever drug is abruptly stopped. Your dose may gradually need to be reduced.

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When used for a long period in kids for bed-wetting, this medicine may not work as well that can require dosing that is different. Talk with a doctor if this medicine stops working well.

Inform your physician if the condition persists or worsens.

Side Effects

Dry mouth, blurred vision, headache, drowsiness, dizziness, constipation, sickness, vomiting, loss of appetite, diarrhea, stomach cramps, weight gain/loss, and increased sweating might occur. If any of these effects persist or worsen, notify your pharmacist or doctor immediately.

Remember that your physician has prescribed this medication she has judged that the benefit to you is greater than the risk of side effects because he or. Many people using this medication do not have side that is serious.

Tell your doctor right away if some of these unlikely but serious side effects occur: mental/mood changes (e.g., confusion, despair, memory problems), enlarged/painful breasts, unusual breast milk manufacturing, irregular/painful menstrual durations, muscle stiffness, restlessness, ringing ears, sexual dilemmas (e.g., decreased sexual ability, changes in desire), shakiness (tremors), numbness/tingling of the hands/feet, pain/redness/swelling of hands or legs, trouble urinating.

Tell your doctor right away if any of those unusual but really serious side effects happen: simple bruising/bleeding, signs of infection (age.g., fever, persistent sore throat), severe stomach/abdominal pain, dark urine, yellowing of eyes/skin.

This medicine may increase serotonin and rarely cause an extremely serious condition called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take (see Drug Interactions section). Get medical help right away if you develop some of the following symptoms: fast heartbeat, hallucinations, loss in coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.

Get medical help right away when you have any extremely severe side effects, including: upper body discomfort, slow/fast/irregular heartbeat, fainting, seizures, slurred message, weakness on one part regarding the human body, eye pain/swelling/redness, eyesight changes (such as for example seeing rainbows around lights at night).

A really serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble respiration.

It is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

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Call your physician for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

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In Canada - Call your medical professional for medical advice about side impacts. You'll report side effects to wellness Canada at 1-866-234-2345.

Precautions

Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or to other tricyclic antidepressants (such as desipramine, amitriptyline); or if you have any other allergies. This product may contain ingredients that are inactive which can cause allergies or other problems. Communicate with your pharmacist to get more details.

This medication must not be used if you have a particular condition that is medical. Before using this medicine, consult your doctor or pharmacist if you have had: a recent heart attack.

Before by using this medicine, tell your doctor or pharmacist your medical background, particularly of: breathing problems (e.g., asthma, chronic bronchitis), individual or genealogy of glaucoma (angle-closure type), diabetes, consuming disorders (e.g., bulimia), heart issues (e.g., arrhythmias, coronary artery disease), liver issues, kidney dilemmas, individual or family history of other mental/mood conditions (e.g., bipolar disorder, schizophrenia), seizures, overactive thyroid (hyperthyroidism), trouble urinating (age.g., due to enlarged prostate), any condition that may raise your risk of seizures (e.g., alcohol/sedative dependency, use of electroconvulsive treatment, brain injury/disease particularly stroke), specific types of tumors (e.g., pheochromocytoma, neuroblastoma).

Imipramine may cause a state of being which affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat along with other symptoms (such as severe dizziness, fainting) that require medical attention appropriate away.

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The possibility of QT prolongation may be increased when you have certain conditions that are medical are taking other drugs that could cause QT prolongation. Before making use of imipramine, tell your doctor or pharmacist of all of the the drugs you take and in the event that you have actually some of the following conditions: certain heart problems (heart failure, sluggish heartbeat, QT prolongation within the EKG), genealogy and family history of certain heart related illnesses (QT prolongation in the EKG, sudden cardiac death).

Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you have conditions such as severe sweating, diarrhea, or vomiting if you use certain drugs (such as diuretics/"water pills") or. Confer with your doctor about using imipramine safely.

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Before having surgery, tell your doctor or dentist that you will be taking this medication.

This drug can make you dizzy or drowsy or cause vision that is blurred. Do not drive, use machinery, or do any activity that requires alertness or clear vision you can perform such activities safely until you are sure. Limit beverages that are alcoholic.

To decrease dizziness and lightheadedness, get up slowly whenever rising from a seated or lying position.

This drug might make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear clothing that is protective out-of-doors.

If you have diabetes, this drug may make it harder to control your blood sugar levels. Check your blood sugar regularly as directed by your doctor. Tell your doctor right away if you have symptoms such as increased thirst/urination, shakiness, unusual sweating, or hunger. Your anti-diabetic medication or diet could need to be adjusted.

Older grownups may be more responsive to the side effects of this drug, especially dizziness (more likely when standing up), drowsiness, constipation, trouble urinating, mental/mood changes (such as confusion, agitation) and heart impacts such as QT prolongation (see above). Dizziness, drowsiness, and confusion can increase the risk of falling.

Care is recommended when utilizing this medication in children. (See also the Warning section.)

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This medication must be used only when plainly needed during pregnancy. Infants created to mothers who have taken comparable medications during pregnancy may have symptoms such as trouble urinating, prolonged sleepiness, shaking, and seizures. Discuss the dangers and benefits with your doctor.

Since untreated mental/mood problems (such as despair, anxiety, panic disorders) can be a condition that is serious do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss with your doctor the benefits and risks of using this medication during pregnancy.

This medication passes into breast milk and may have undesirable effects on a nursing infant. Consult your physician before breast-feeding.

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