Country: Ireland
Language: English
Source: HPRA (Health Products Regulatory Authority)
Clomipramine hydrochloride
Novartis Ireland Limited
N06AA; N06AA04
Clomipramine hydrochloride
75 milligram(s)
Tablet
Product subject to prescription which may not be renewed (A)
Non-selective monoamine reuptake inhibitors; clomipramine
Marketed
1988-09-19
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Anafranil SR 75 mg Prolonged-release Tablets 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each tablet contains 75mg clomipramine hydrochloride Also contains polyoxyl hydrogenated Castor Oil, 190 micrograms per tablet For a full list of excipients see section 6.1. 3 PHARMACEUTICAL FORM Prolonged – release, film-coated tablet. Pink, capsule shaped, biconvex, film-coated tablet, scored on both sides. One side debossed with ‘CG’ and the other ‘GD’. The tablets should not be broken 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS In the management of endogenous depression including manic depression, periodic and involutional depression, reactive and neurotic depression, obsessional and phobic states and as an adjunctive treatment of cataplexy associated with narcolepsy. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Before initiating treatment with Anafranil, hypokalemia should be treated (see 4.4 Special warnings and precautions for use). As a precaution against possible QTc prolongation and serotonergic toxicity, adherence to the recommended doses of Anafranil is advised and any increase in dose should be made with caution if other serotonergic agents are co- administered (see sections 4.4 Special Warnings and Precautions for use and 4.5 Interaction with other Medicinal Products and other forms of Interaction). The dosage should be adapted to the individual patient’s condition. The aim is to achieve an optimum effect while keeping the doses as low as possible and increasing them cautiously. After a response has been obtained, maintenance therapy should be continued at the optimum dose to avoid relapse. Patients with a history of recurrent depression require maintenance treatment for a longer duration. Duration of maintenance treatment and need for further treatment should be reviewed periodically. Abrupt discontinuation of Anafranil therapy should be avoided because of possible withdrawal symptoms. Therefore, dosage should be stopped gradually Read the complete document