The primary use of Clomipramine is for the management of Obsessive-Compulsive Disorder (OCD). It belongs to the class of medicines known as tricyclic antidepressants.
Apart from OCD, Clomipramine can also be used for the management of depression, particularly in patients who have not responded to or cannot tolerate other antidepressants. It is sometimes used off-label to manage panic disorder and phobias. Additionally, it may be used to control cataplexy associated with narcolepsy.
Dry mouth
Constipation
Nausea
Increased appetite leading to weight gain
Dizziness
Clomipramine is a tricyclic antidepressant medication.
It works mainly by inhibiting the reuptake of serotonin, a neurotransmitter in the brain. This inhibition increases the levels of serotonin in between neurons, known as synapses.
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Clomipramine can be taken orally (tablets, capsules, or an oral solution).
Clomipramine is intended for use in adults and children aged 10 years and above.
Clomipramine is contraindicated in individuals with a known hypersensitivity to Clomipramine or any tricyclic antidepressants.
It should not be used by individuals who have recently had a heart attack or have severe liver impairment.
Clomipramine can interact with Monoamine Oxidase Inhibitors (such as Isocarboxazid and phenelzine), Selective Serotonin Reuptake Inhibitors (SSRIs), serotonin and Norepinephrine Reuptake Inhibitors (SNRIs) (like Fluoxetine and venlafaxine), triptans (Sumatriptan and rizatriptan), and Opiate analgesics (Tramadol).
It can also interact with antiarrhythmics (Quinidine, Flecainide), anticholinergics (Benztropine, Dicyclomine), barbiturates (Phenobarbital), anticonvulsants (Phenytoin and Carbamazepine) and anticoagulants (Warfarin).
Overdose of Clomipramine may cause irregular heartbeat, hypotension, seizures, coma, or respiratory depression. If this occurs, immediately contact poison control or emergency medical services.
If you missed a dose of Clomipramine, take the medication as soon as you remember. However, avoid doubling the dose.
Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
To manage dry mouth, try chewing sugar-free gum or sucking on sugar-free sweets.
If you're experiencing constipation, try to add more fibre to your diet and drink plenty of water.
Drowsiness can be managed by taking the medication at bedtime.
Clomipramine may cause drowsiness and dizziness. Therefore, it is advised not to drive or operate machinery until you know how this medicine affects you.
It is recommended to consult with your doctor before using Clomipramine during pregnancy and breastfeeding.
Caution should be exercised when using Clomipramine in individuals with conditions such as seizures, glaucoma, heart disease, liver or kidney disease, bipolar disorder, and schizophrenia.
Regular exercise may help reduce anxiety and improve mood.
A balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can support overall mental health.
Try to limit caffeine intake as it may exacerbate feelings of anxiety.
Practising mindfulness techniques such as meditation or yoga can help manage stress levels.
Frequently asked questions
No, Clomipramine is not a sleeping pill. It is a tricyclic antidepressant medication used primarily for the management of disorders such as obsessive-compulsive disorder (OCD) and depression.
Yes, one of the side effects of Clomipramine is an increase in appetite, which may lead to weight gain.
There are various natural remedies suggested for managing mental health conditions like OCD and depression. However, their effectiveness varies, and they should not be used as a replacement for prescribed medication like Clomipramine without consulting your doctor.
Yes, Clomipramine can cause mood changes, including increased suicidal thoughts, especially in people under 25 years old. If you notice any such changes while taking this medication, consult your doctor immediately.
No, Clomipramine is not classified as a controlled substance. It is available only with a doctor's prescription.
Abrupt discontinuation of Clomipramine can lead to withdrawal symptoms. Therefore, it should always be discontinued under the supervision of your doctor.
Clomipramine can cause irregular heartbeat and palpitations and should be used cautiously in people with heart disease. Always consult your doctor before taking any medication if you have a heart condition.
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