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INDICATIONS

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Tofranil (Imipramine) is a small grouping of drugs called tricyclic antidepressants. Imipramine affects chemicals within the brain that may become unbalanced.
It is utilized to deal with signs and symptoms of depression.
This medicine doubles for purposes apart from those placed in medicines guide.

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INSTRUCTIONS  

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Take medicines exactly as it absolutely was prescribed to suit your needs. Do not consider the medication in larger amounts, or go on it for more than recommended because of your doctor. Your doctor may occasionally change your dose to successfully get the best results from prescription drugs. Follow the directions on your prescription label.
If you might want almost any surgery, tell the surgeon before hand that you are taking imipramine. You may need to stop while using the medicine for the short time.
Do not stop using imipramine without first talking to your medical professional. You may need to use much less before you stop the medication completely. Stopping medicines suddenly may cause that you have unpleasant negative effects. It may take approximately 21 days utilizing this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your medical professional should your symptoms usually do not improve after 25 days of treatment.

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If you missed the dose take it as soon as you remember. If it can be almost time for your forthcoming dose, skip the missed dose and go ahead and take medicine at the next regularly scheduled time. Do not take extra medicine to create inside the missed dose.

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Seek emergency medical assistance if you believe you have used an excessive amount this medicine. An overdose of imipramine may be fatal.
Symptoms associated with an imipramine overdose might include uneven heartbeats, extreme drowsiness, agitation, vomiting, blurred vision, sweating, muscle stiffness, swelling, breathlessness, blue lips or fingernails, feeling light-headed, fainting, seizure (convulsions), or coma.

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DOSAGE 

Take this medicine as prescribed from your doctor.

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STORAGE 

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Store imipramine at room temperature from moisture and heat.

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Active Ingredient: Imipramine

Tofranil can be a tricyclic antidepressant. It works by helping the activity of certain chemicals within the brain that really help elevate mood.

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Side Effects

Get emergency medical help if you might have all of these signs associated with an allergic reaction: hives; breathlessness; swelling of one's face, lips, tongue, or throat.

Call your doctor at once if you have any new or worsening symptoms for example: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you're feeling impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

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Call a medical expert immediately if you've some of these serious side effects:

fast, pounding, or uneven heart rate;

chest pain or heavy feeling, pain spreading for the arm or shoulder, nausea, sweating, general ill feeling;

sudden numbness or weakness, especially on the one hand of the body;

sudden headache, confusion, difficulties with vision, speech, or balance;

feeling short of breath, in spite of mild exertion;

swelling, rapid extra weight;

confusion, hallucinations, or seizure (convulsions);

easy bruising or bleeding, unusual weakness;

restless muscle movements in your eyes, tongue, jaw, or neck;

urinating pretty much than usual;

extreme thirst with headache, nausea, vomiting, and weakness;

skin rash, bruising, severe tingling, numbness, pain, or muscle weakness.

Less serious negative effects might be prone to occur, such as:

nausea, vomiting, stomach pain, lack of appetite;

constipation or diarrhea;

dry mouth, unpleasant taste;

weight changes;

weakness, deficiency of coordination;

feeling dizzy, drowsy, or tired;

nightmares;

blurred vision, headache, ringing in your ears;

breast swelling (in men or women); or

decreased libido, impotence, or difficulty owning an orgasm.

Tofranil is usually to be used only with the patient for whom it really is prescribed. Do not share it with other people.
If your symptoms don't improve or if they become worse, consult your medical professional.

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Precautions

Do not use Tofranil if:

you're allergic to any ingredient in Tofranil;

you might have taken furazolidone or possibly a monoamine oxidase inhibitor (MAOI) (e.g., phenelzine) in the last 2 weeks, or if you are taking astemizole, droperidol, or terfenadine.

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you might be coping with a newly released cardiac event.
Contact your physician or physician without delay if all of these connect with you.

Some health concerns may talk with Tofranil . Tell your medical professional or pharmacist if you've got any medical conditions, in particular when any in the following connect with you:

if you might be pregnant, planning to become pregnant, or are breast-feeding

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if you adopt any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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if you've allergies to medicines, foods, and other substances

if you drink alcohol-containing beverages daily or you've a reputation alcohol abuse

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if you're taking thyroid medicine or you've got a reputation overactive thyroid, glaucoma, heart disease, kidney or liver problems, diabetes, seizures, the blood disease porphyria, or difficulty urinating

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if you have a reputation suicidal thoughts or behavior, bipolar disorder, or any other mental disorders; you happen to be undergoing electroshock therapy; or you're scheduled to possess any surgery.


Some MEDICINES MAY INTERACT with Tofranil . Tell your physician if you are taking every other medicines, especially any in the following:

Azole antifungals (eg, fluconazole), cimetidine, duloxetine, flecainide, methylphenidate, mibefradil, phenothiazines (eg, chlorpromazine), propafenone, quinidine, selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), or terbinafine since they could raise the likelihood of Tofranil 's negative effects

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Arsenic, astemizole, droperidol, furazolidone, MAOIs (eg, phenelzine), pimozide, streptogramins (eg, dalfopristin), terfenadine, or tramadol for the reason that chance of high blood pressure levels, serious heart problems (eg, irregular heartbeat), or seizures might be increased

Barbiturates (eg, phenobarbital) or phenytoin since they may decrease Tofranil 's effectiveness

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Anticholinergics (eg, benztropine), carbamazepine, or sympathomimetics (eg, phenylephrine) as the risk of their side effects might be increased by Tofranil

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Clonidine, guanethidine, or guanfacine as their effectiveness might be decreased by Tofranil

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