Imipramine – Usages, Side effects, Risk factors, Precautions

Aamir Ranjha

Imipramine - Usages, Side effects, Risk factors, Precautions

Imipramine – Usages, Side effects, Risk factors, Precautions

Here in this post, we are discussing the “Imipramine”. You can read usages, side effects, Risk factors, and warning information.  Keep visiting Psychology Roots.

About Imipramine

Imipramine is an antidepressant TCAs.

Brand name

Imipramine is available with the following brand name.
●       Tofranil
●       Tofranil- PM

Forms of  Imipramine

Imipramine is available in the following form

  • Tablet
  • Capsule

Tablet

Imipramine tablets are available in the following doses

  • 10mg
  • 25mg
  • 50mg

Capsule

Imipramine capsules are available in the following doses

  • 75mg
  • 100mg
  • 125mg
  • 150mg
Imipramine - Usages, Side effects, Risk factors, Precautions
Imipramine – Usages, Side effects, Risk factors, Precautions

Disorder to treat

It is used for the treatment of the following disorder
●       Depression

Depression

Adults
●       Initially, 75mg orally per day is given.
●       It may increase to 150 mg per day gradually
●       It should not exceed 200 mg per day
●       It may give in divided doses or single doses at bedtime.
●       Maintenance dose: 50-100 mg orally per day.
Children
●       1.5 mg/kg/day PO divided q8hr; may increase every 3-4 days by 1 mg/kg; not to exceed 5 mg/kg/day
Adolescents
●        30-40 mg per day orally is given in a divided dose every day or divided every 8hr.
●       It should not exceed to 100 mg per day.
Older Adults
●       5-50 mg orally daily at bedtimes.
●       It may increase weekly.
●       It should not exceed to 100 mg per day.

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Adverse effects

There are the following side effects of Clomipramine:

  • Fatigue
  • Weakness
  • Constipation
  • Sedation
  • Blurred vision
  • Lethargy
  • Insomnia
  • Anxiety
  • Dry mouth
  • Vomiting
  • Agitation
  • Headache
  • Nausea
  • Sweating
  • Rash
  • ECG changes, orthostatic hypotension, tachycardia
  • Increased LFTs
  • Sexual dysfunction
  • Eosinophilia
  • Seizures
  • Thrombocytopenia
  • Confusion, extrapyramidal symptoms (EPS), dizziness, paresthesia, tinnitus
  • Agranulocytosis
  • SIADH
  • Leukopenia

Warnings

Following are the warnings that must know while using Imipramine

  • 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 illnesses.
  • This increase was not seen in patients aged >24 years. A slight decrease in suicidal thinking was seen in adults >65 years.
  • In children and young adults, risks must be weighed against the benefits of taking antidepressants.
  • Patients should be monitored closely for changes in behavior, clinical worsening, and suicidal tendencies. This should be done during the initial 1-2 months of therapy and dosage adjustments.
  • The patient’s family should communicate any abrupt changes in behavior to the healthcare provider.
  • Worsening behavior and suicidal tendencies that are not part of the presenting symptoms may require discontinuation of therapy.
  • This drug is not approved for use in pediatric patients.

Contraindications

There are the following contraindications of Clomipramine

  • Hypersensitivity.
  • Acute recovery post-MI
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Cautions

  • BPH, urinary/GI retention, hyperthyroidism, seizure disorder, brain tumour, respiratory impairment.
  • Risk of anticholinergic side effects
  • Risk of mydriasis; may trigger angle closure attack in patients with angle-closure glaucoma with anatomically narrow angles without a patent iridectomy.
  • Clinical worsening and suicidal ideation may occur despite medication
  • Potentially life-threatening serotonin syndrome reported when coadministered with drugs that impair serotonin metabolism (in particular, MAOIs, including non-psychiatric MAOIs, such as linezolid and IV methylene blue)
  • May cause sedation and impair physical or mental abilities.
  • Do not discontinue abruptly for prolonged high dosage.
  • May cause bone marrow suppression.
  • May cause orthostatic hypotension.

Pregnancy

Lactation
It is distributed in breast milk.

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I am a senior clinical psychologist with over 11years of experience in the field. I am the founder of Psychology Roots, a platform that provides solutions and support to learners and professionals in psychology. My goal is to help people understand and improve their mental health, and to empower them to live happier and healthier lives.

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