Monograph Details
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Central Nervous System
> Mood disorders
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TOFRANIL |
| Manufacturer |
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Mallinckrodt, Inc. |
| Legal Classification |
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Rx
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| Pharmacological Class |
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Tricyclic. |
| Generic Name |
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Imipramine HCl 10mg, 25mg, 50mg; tabs. |
| Also |
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• TOFRANIL-PM
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| Indications |
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Depression. |
| Children |
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Not recommended. |
| Adults |
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Initially 75mg/day; max 200mg/day. Adolescents or elderly: initially 30–40mg/day; max 100mg/day. |
| Contraindications |
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During or within 14 days of MAOIs. Acute post-MI. |
| Precautions |
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Urinary retention. Glaucoma. Cardiovascular disease. Epilepsy. Suicidal tendencies. ECT. Psychosis. Mania/hypomania. Bipolar disorder. Diabetes. Hyperthyroidism. Renal or hepatic disorders. Pregnancy (Cat.C). Nursing mothers: not recommended. |
| Interactions |
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Hyperpyretic crisis, convulsions, death with MAOIs. Potentiates alcohol, sympathomimetics, CNS depressants. Potentiated by methylphenidate, CYP2D6 inhibitors; monitor plasma levels with cimetidine, SSRIs, phenothiazines, type 1C antiarrhythmics (eg, quinidine). Antagonized by barbiturates, carbamazepine, phenytoin. Paralytic ileus, hyperpyrexia with anticholinergics. Increased cardiovascular effects with methylphenidate. Blocks guanethidine, clonidine. |
| Adverse Reactions |
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Drowsiness, anticholinergic effects, CNS overstimulation, arrhythmias, extrapyramidal symptoms, hypo- or hypertension, nausea, fatigue, rash, increased perspiration, headache, changes in blood sugar, photosensitivity, edema, blood dyscrasias (discontinue if occurs), jaundice. |
| How Supplied |
Tabs—100
Caps—30, 100 |
| Additional Resources |
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• Related Prescribing Note |
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