This medication is utilized to treat despair. Additionally it is used with other therapies for the treatment of nighttime bed-wetting (enuresis) in kiddies. Using this medication to treat despair might improve your mood, rest, appetite, and vitality and might help restore your fascination with daily living. Imipramine can help your child control nighttime bed-wetting.

Imipramine belongs to a class of medicines called tricyclic antidepressants. It works by restoring the balance of certain substances that are naturalneurotransmitters such as for instance norepinephrine) in the brain. For bed-wetting, this medicine may work by blocking the impact of a particular natural substance (acetylcholine) on the bladder.

OTHER USES: This section contains uses of this drug which are not detailed in the approved labeling that is professional the drug but that may be prescribed by your quality of life care expert. Use this drug for a condition that is listed in this section only if it has been so prescribed by the health care professional.

This drug may be used for also the treatment of anxiety and panic disorders.

Just how to use Tofranil

Read the medicine Guide available from your own pharmacist. Consult your pharmacist or doctor if you have any questions.

Take this medication by lips with or without food, frequently 1-4 times daily or as directed by your doctor. You to take the entire dose once daily at bedtime if you have daytime drowsiness, your doctor may direct. Dosage is based on your condition that is medical and to therapy. In children, dosage may also be based on body weight. To reduce your risk of side effects, your doctor may start you at a dose that is low gradually raise your dosage.

When used in children for bed-wetting, imipramine should be taken one hour before bedtime. The drug may be given earlier in separate doses (e.g., one dose in the afternoon and one dose at bedtime) if your child usually wets the bed early in the night.

Follow your medical professional's instructions carefully. Do not take more or less medication or frequently take it more than prescribed. Your condition shall maybe not improve any faster and your threat of part results will increase. Utilize this medication frequently in order to have the most benefit from it. To help you remember, use it at the time( that is same) each time.

This medication does not away work right. It may take up to 3 weeks before you experience the full benefits if you are taking this medication for depression.

It is crucial to continue taking this medication no matter if you feel great. Never suddenly stop using this medication without consulting your doctor. Some conditions may become worse whenever medication is abruptly stopped. Your dosage may need to be gradually reduced.

When used for a long period in children for bed-wetting, this medication may not act as well that can require dosing that is different. Talk with a doctor if this medicine prevents working well.

Inform your physician if your condition persists or worsens.

Negative Effects

Dry lips, blurred vision, headache, drowsiness, dizziness, constipation, sickness, vomiting, loss of appetite, diarrhea, stomach cramps, weight gain/loss, and increased sweating may occur. If any of these effects persist or worsen, notify your pharmacist or doctor immediately.

Remember that your medical professional has prescribed this medication she has judged that the benefit to you is greater than the risk of side effects because he or. Many people using this medication do not have side that is serious.

Tell your physician right away if any of these unlikely but serious side effects occur: mental/mood changes (e.g., confusion, depression, memory problems), enlarged/painful breasts, unusual breast milk production, irregular/painful menstrual durations, muscle stiffness, restlessness, tinnitus, sexual dilemmas (e.g., decreased sexual ability, changes in desire), shakiness (tremors), numbness/tingling of the hands/feet, pain/redness/swelling of arms or legs, trouble urinating.

Inform your doctor appropriate away if any of these uncommon but really adverse that is serious occur: easy bruising/bleeding, signs of infection (e.g., fever, persistent sore throat), severe stomach/abdominal pain, dark urine, yellowing of eyes/skin.

This medication may increase serotonin and rarely cause a very serious condition called serotonin syndrome/toxicity. The risk increases you take (see Drug Interactions section) if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs. Get medical help right away if you develop some of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, serious nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.

Get help that is medical away when you have any really serious part results, including: chest discomfort, slow/fast/irregular heartbeat, fainting, seizures, slurred message, weakness on one side associated with body, eye pain/swelling/redness, vision changes (such as for example seeing rainbows around lights during the night).

A very serious reaction that is allergic this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a list that is complete of adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the usa -

Call your medical professional for medical advice about negative effects. You may report side effects to FDA at 1-800-FDA-1088 or at

In Canada - Call your medical professional for medical advice about side results. You could report side effects to wellness Canada at 1-866-234-2345.


Before taking this medication, tell your doctor or pharmacist in the event that you are allergic to it; or to other tricyclic antidepressants (such as desipramine, amitriptyline); or if you have any other allergies. This product may contain ingredients that are inactive which can cause allergic reactions or other problems. Keep in touch with your pharmacist to get more details.

This medication must not be used if you have a specific medical condition. Before using this medicine, consult your doctor or pharmacist if you have had: a heart attack that is recent.

Before using this medicine, tell your doctor or pharmacist your health background, especially of: breathing problems (e.g., asthma, chronic bronchitis), personal or genealogy and family history of glaucoma (angle-closure type), diabetes, eating disorders (e.g., bulimia), heart issues (e.g., arrhythmias, coronary artery disease), liver problems, kidney issues, individual or family history of other mental/mood conditions (e.g., manic depression, schizophrenia), seizures, overactive thyroid (hyperthyroidism), trouble urinating (age.g., due to enlarged prostate), any condition that may boost your risk of seizures (e.g., alcohol/sedative dependency, use of electroconvulsive therapy, brain injury/disease such as for instance stroke), particular types of tumors (e.g., pheochromocytoma, neuroblastoma).

Imipramine may cause a condition that affects the center rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that require medical attention right away.

The possibility of QT prolongation may be increased if you have certain conditions that are medical are taking other medications that may cause QT prolongation. Before utilizing imipramine, tell your doctor or pharmacist of all the drugs you are taking and in the event that you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), genealogy and family history of specific heart disease (QT prolongation in the EKG, sudden cardiac death).

Minimal levels of potassium or magnesium into the bloodstream may increase your risk also of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using imipramine properly.

Before having surgery, tell your doctor or dentist you are taking this medication.

This drug may make you dizzy or drowsy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit beverages that are alcoholic.

To decrease dizziness and lightheadedness, get up slowly when increasing from a seated or position that is lying.

This drug may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear protective clothing when outdoors.

It harder to control your blood sugar levels if you have diabetes, this drug may make. Check your blood sugar regularly as directed by your doctor. Tell your doctor right away if you have symptoms such as increased thirst/urination, shakiness, unusual sweating, or hunger. Your anti-diabetic medication or diet could need to be adjusted.

Older adults may be more responsive to the negative effects of this drug, especially dizziness (more likely whenever standing up), drowsiness, constipation, trouble urinating, mental/mood changes (such as confusion, agitation) and heart results such as QT prolongation (see above). Dizziness, drowsiness, and confusion can increase the risk of falling.

Care is preferred when using this drug in children. (See also the Warning section.)

This medication is utilized only when demonstrably needed during pregnancy. Infants created to mothers who took comparable medicines during pregnancy may have signs such as trouble urinating, prolonged sleepiness, shaking, and seizures. Discuss the risks and benefits with your physician.

Since untreated mental/mood problems (such as despair, anxiety, panic disorders) can be a condition that is serious do not stop taking this medication unless directed by your doctor. You may be pregnant, immediately discuss with your doctor the benefits and risks of using this medication during pregnancy if you are planning pregnancy, become pregnant, or think.

This medication passes into breast milk and may have undesirable effects on a nursing infant. Consult your physician before breast-feeding.

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