Anafranil, which is clomipramine - is a tricyclic antidepressant. Clomipramine has antiserotonin effect, it eliminates night enuresis, causes loss of appetite. Sedative action is shown due to linkng with H1-histamine receptors, blocking of alpha-adrenoceptors. Medicine eliminates arrhythmia, slows down ventricular conductivity. The anti-depressive effect is implemented due to increase in concentration of noradrenaline, serotonin in synapses because of weakening of the process of recapture of these substances by presynaptic neurons.
Anafranil
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Anafranil product description
Drug uses
Anafranil is a tricyclic antidepressant, serotonin and noradrenaline reuptake inhibitor. The drug exerts an antidepressant effect and has antiserotoninergic, antihistaminic and anticholinergic activity. Anafranil is recommended for use in adults and adolescents aged 10 years and older for the treatment of:
- major depression
- cataplexy associated with narcolepsy
- obsessions and compulsions in patients with obsessive-compulsive disorder
The initial recommended dose for adults is 25 mg of Anafranil per day. Then, the daily dose of the antidepressant Anafranil can be gradually increased to about 100 mg per day. Anafranil daily dose can be increased to 250 mg for the treatment of severe psychiatric disorders.
The recommended Anafranil dose for teenagers aged 10 to 17 years (inclusive) is 25 mg a day. Having regard to the tolerance, Anafranil dose for children can be gradually increased up to 100 mg per day. The initial dose of Anafranil for elderly patients is 20-30 mg per day.
Missed dose
The patients are required to adhere to the established dosing regimen and not double an Anafranil dose, even if they missed a dose, during the entire period of mental disorders drug therapy.
To prevent an overdose, the patient should skip the missed dose, if the time for taking the next Anafranil dose is soon to come. If the patient can not remember, whether he or she took Anafranil, it is recommended to skip the next dose, and to take the following antidepressant dose at the usual time.
More information
Anafranil is recommended to be taken in divided doses during meals for reducing the risk of gastrointestinal side effects. After titration, the daily Anafranil dose can be taken once a day, at bedtime. The evening dose of Anafranil helps maintaining a significant antidepressant effect, and causes no unwanted daytime sleepiness.
Storage
Anafranil capsules should be protected from heat and stored in a dry place at temperature below 30°C, out of reach of children.
Anafranil safety information
Warnings
Anafranil should be prescribed with great caution to patients with arrhythmias, cardiovascular insufficiency, conduction disorders. The listed groups of patients should systematically undergo cardiac function monitoring and the ECG. Anafranil may cause chronic constipation in bedridden and elderly patients.
Since the drug has anticholinergic effects, it should be used with caution in patients with narrow-angle glaucoma and increased intraocular pressure. Anafranil may cause symptoms of manic and hypomanic states in patients with major depressive disorder. The dose of Anafranil antidepressant should be reduced, if such symptoms manifest.
Disclaimer
All available information about the tricyclic antidepressant Anafranil is accurate at the time of its publication and should not be considered as a substitute for consulting a psychologist or a psychotherapist. The online pharmacy assumes no responsibility for how and for what purpose people use the published information on antidepressant Anafranil.
Anafranil side effects
Anafranil apsules may cause one or more adverse events. Some undesirable effects of Anafranil may require drug therapy cessation. Clinical studies have shown that about 5% of patients stopped taking Anafranil capsules due to excessive sleepiness.
Unwanted sleepiness is the most common reason for Anafranil abolition. A little more than 1% of the patients, participating in clinical trials, stopped taking Anafranil due to gastrointestinal disorders (constipation, dry mouth, dyspepsia, nausea).
In addition to drowsiness and digestive disorders, Anafranil may cause: vertigo, erectile dysfunction, headache, flushes, sweating, decreased blood pressure, increased appetite, weight increase, anorexia, decreased libido, labored urination, seizures, nervousness, restlessness, tachycardia, tremor, and blurred vision. In most patients with depression, Anafranil causes soft, reversible adverse events, which do not require the antidepressant cessation.
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Cialis Super Active is a generic drug, against erectile dysfunction, containing 20 mg of tadalafil. The tablets in this series have a gel inside. This form allows the active substance, Tadalafil, to immediately enter the blood, thus providing an immediate effect. The result from the Cialis Super Active tablets appears after 5 minutes! The action lasts for two days. The drug is safe and has virtually no contraindications.
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Glucotrol peroral hypoglycemic medicine. It is taken at a diabetes mellitus of type 2 (at inefficiency of dietotherapy). It has pancreatic and extra pancreatic effects. Stimulates secretion of insulin by reductions of the threshold of irritation with glucose of beta cells of pancreas, increases sensitivity to insulin and extent of its linkng with target cells, increases insulin release, strengthens influence of insulin on glucose absorption by muscles and liver, brakes lipolysis in fatty tissue.
The antifungal agent which has activity against dermatophytes, yeasts, dimorphic fungi and eumycetes. It is also active against staphylococci and streptococci. The therapeutical indications of the drug include: mycoses of the gastrointestinal tract, eyes, genital organs, chronic recurrent vaginal candidiasis, dermatomycosis, onychomycosis, Candida, folliculitis, dermatophytosis, systemic fungal infections (blastomycosis, candidiasis, paracoccidioides, coccidioidomycosis, cryptococcosis, histoplasmosis, hromomikoz, sporotrichosis, paronychia, fungal sepsis, fungal pneumonia); leishmaniasis; tinea versicolor, prevention of fungal infections in patients with a high risk of their development. The mechanism of action is inhibition of fungal membrane ergosterol synthesis and the violation of the cell wall permeability.
Premature ejaculation (PE) is a distressing male sexual dysfunction that can be present from the first sexual encounter or can develop later in life. Men with premature ejaculation appear to go through the same process of ejaculation as other men, but it happens more quickly and with a reduced feeling of control.
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Combined oral contraceptives block the action of gonadotropins. The first effect of these drugs is aimed to inhibit ovulation. The drug leads to modifications in cervical mucus. Thus, it is strenuous for sperm to pass to the uterine cavity and affect the uterine lining, thereby reducing the possibility of implementation. It helps to prevent pregnancy. Moreover, oral contraceptives prevent pregnancy and have a number of advantages. They have an impact on the cycle of menses and it becomes regular. The amount of blood loss at the time of menstruation is shorter as well as the loss of iron, dysmenorrhea is rare.
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Anticholinesterase agent; having a cholinesterase effect through a reversible acetylcholinesterase inhibition and enhancing the action of acetylcholine. Improves neuromuscular transmission, increases the motility of the gastrointestinal tract, increases the tone of urinary bladder, bronchi, the secretion of exocrine glands. Prescribed for myasthenia gravis, postoperative intestinal atony, atonic constipation, bladder atony, post-traumatic movement disorders; flaccid paralysis; residual explication of polio, encephalitis, violation of emptying the bladder after gynecological surgery and childbirth.
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