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Uses

This medication is used to treat depression. It is also used with other therapies for the treatment of nighttime bed-wetting (enuresis) in children. Using this medicine to take care of depression may boost your mood, sleep, appetite, and vitality that can help restore your fascination with day-to-day living. Imipramine can help your son or daughter control nighttime bed-wetting.

Imipramine belongs to a class of medications called antidepressants that are tricyclic. It works by restoring the balance of certain substances that are naturalneurotransmitters such as for instance norepinephrine) in the brain. For bed-wetting, this medication may work by blocking the impact of a specific substance that is naturalacetylcholine) on the bladder.

OTHER USES: This section contains uses of this drug that are not detailed in the approved labeling that is professional the medication but that could be prescribed by your wellbeing care expert. Make use of this drug for a condition that is listed in this section only if it has been so prescribed by the wellness care expert.

This medication may be used for also the treatment of anxiety and panic problems.

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

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Take this medication by mouth with or without food, often 1-4 times daily or as directed by the medical practitioner. If you have daytime drowsiness, your doctor may direct you to take the entire dose once daily at bedtime. Dosage is based on your medical condition and response 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 increase your dose.

When found in children for bed-wetting, imipramine is 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 very carefully. Do not take more or less medication or take it more frequently than prescribed. Your condition will not improve any faster and your threat of side results will increase. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same time(s) each day.

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

It is essential to carry on taking this medication regardless if you feel good. Never instantly stop using this medication without consulting your doctor. Some conditions may become worse if the drug is abruptly stopped. Your dosage may gradually need to be reduced.

When used for a long period in children for bed-wetting, this medication may not work as well and may also require different dosing. Talk with a doctor if this medicine stops working well.

Inform your doctor if the condition persists or worsens.

Unwanted Effects

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

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

Tell your medical practitioner immediately 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 periods, muscle stiffness, restlessness, ringing ears, sexual problems (e.g., decreased sexual ability, changes in desire), shakiness (tremors), numbness/tingling of the hands/feet, pain/redness/swelling of hands or feet, trouble urinating.

Tell your doctor appropriate away if any of these rare but really side that is serious happen: easy bruising/bleeding, signs of infection (age.g., fever, persistent sore throat), severe stomach/abdominal pain, dark urine, yellowing of eyes/skin.

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

Get help that is medical away when you yourself have any extremely serious part results, including: upper body pain, slow/fast/irregular heartbeat, fainting, seizures, slurred speech, weakness on one side associated with the human body, eye pain/swelling/redness, eyesight changes (such as seeing rainbows around lights through the night).

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

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

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Call your doctor for medical advice about negative effects. You may report side effects to Food And Drug Administration at 1-800-FDA-1088 or at www.fda.gov/medwatch.

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

Precautions

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

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

Before using this medication, inform your doctor or pharmacist your medical background, particularly of: difficulty in breathing (e.g., asthma, chronic bronchitis), personal or genealogy of glaucoma (angle-closure type), diabetes, consuming disorders (e.g., bulimia), heart problems (e.g., arrhythmias, coronary artery disease), liver dilemmas, kidney dilemmas, personal or family history of other mental/mood conditions (e.g., bipolar disorder, schizophrenia), seizures, overactive thyroid (hyperthyroidism), trouble urinating (age.g., due to enlarged prostate), any condition that may raise your risk of seizures (age.g., alcohol/sedative dependency, use of electroconvulsive treatment, brain injury/disease such as for example stroke), particular types of tumors (e.g., pheochromocytoma, neuroblastoma).

Imipramine may cause a condition that affects one's heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat along with other symptoms (such as severe dizziness, fainting) that require medical attention appropriate away.

The risk of QT prolongation may be increased if you have specific conditions that are medical are taking other drugs that may cause QT prolongation. Before using imipramine, tell your doctor or pharmacist of most the drugs you take and in the event that you have actually some of the following conditions: certain heart problems (heart failure, sluggish heartbeat, QT prolongation in the EKG), family history of particular heart related illnesses (QT prolongation in the EKG, sudden cardiac death).

Minimal levels of potassium or magnesium into the blood may also increase your risk 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. Confer with your doctor about using imipramine safely.

Before having surgery, tell your dentist or doctor that you will be taking this medicine.

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

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

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

If you have diabetes, this drug may make it harder to control your blood sugar levels. 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 grownups may be more sensitive to the negative effects of this medication, especially dizziness (more likely when standing up), drowsiness, constipation, trouble urinating, mental/mood changes (such as confusion, agitation) and heart impacts such as QT prolongation (see above). Dizziness, drowsiness, and confusion can raise the risk of falling.

Care is advised when working with this medication in children. (See also the Warning section.)

This medication is utilized only when demonstrably needed during pregnancy. Infants born to moms who have taken similar medicines during pregnancy may have signs such as trouble urinating, prolonged sleepiness, shaking, and seizures. Discuss the dangers and benefits with your physician.

Since untreated mental/mood dilemmas (such as depression, anxiety, anxiety attacks) 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 medical professional before breast-feeding.

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