देश: आयरलैंड
भाषा: अंग्रेज़ी
स्रोत: HPRA (Health Products Regulatory Authority)
CLOMIPRAMINE HYDROCHLORIDE
Novartis Pharmaceuticals UK Ltd
N06AA04
CLOMIPRAMINE HYDROCHLORIDE
75 Milligram
Tablets
Product subject to prescription which may not be renewed (A)
Non-selective monoamine reuptake inhibitors
Authorised
1993-09-19
PACKAGE LEAFLET: INFORMATION FOR THE USER ANAFRANIL ® SR 75 MG PROLONGED RELEASE TABLETS CLOMIPRAMINE HYDROCHLORIDE This medicine will be referred to as Anafranil in this leaflet. READ ALL OF THIS INFORMATION CAREFULLY BEFORE YOU START TAKING THIS MEDICINE. • Keep this leaflet. You may need to read it again. • If you have further questions, ask your doctor or pharmacist. • This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. • If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. IN THIS LEAFLET 1. What Anafranil is and what it is used for 2. Before you take Anafranil 3. How to take Anafranil 4. Possible side effects 5. How to store Anafranil 6. Further information 1. WHAT ANAFRANIL IS AND WHAT IT IS USED FOR Anafranil contains a medicine called clomipramine hydrochloride. This belongs to a group of medicines called “tricyclic antidepressants”. Anafranil is thought to work either by increasing the amount of chemical “messengers” in the brain or by making their effects last longer. Anafranil is used to treat depression, obsessions and phobias (irrational fears). It is also used to treat muscular weakness (cataplexy) associated with repeat attacks of extreme sleepiness (narcolepsy) in adults. 2. BEFORE YOU TAKE ANAFRANIL DO NOT TAKE ANAFRANIL IF: • you are allergic (hypersensitive) to clomipramine or any of the other ingredients of Anafranil (listed in Section 6 below) • you have ever had a rash or other allergic reaction to any other antidepressants • you have had a heart attack within the last 3 months • you have any serious heart disease • you have any serious liver disease • you have any other mental illnes पूरा दस्तावेज़ पढ़ें
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 पूरा दस्तावेज़ पढ़ें