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Anafranil  Geigy  
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What you need to know about Anafranil
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Please read this carefully before you start to take your capsules.  This leaflet does not contain the complete information about your capsules.  If you have any questions or are not sure about anything ask your doctor or pharmacist.
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Anafranil contains a substance called clomipramine which is used to treat depression.  As well as being an antidepressant, doctors sometimes prescribe Anafranil for other purposes.  Ask your doctor for information.
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Things to remember about Anafranil
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Make sure it is safe for you to take Anafranil 
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(see the back of this leaflet).
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Take your capsules as instructed by your doctor and read the label on your capsules.
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Do not stop taking your capsules suddenly. Ask your doctor first.
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These capsules may cause unwanted effects in some people. You can find information about them on the back of this leaflet.
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Keep your capsules in a cool, dry place out of reach of children. Anafranil is not suitable for children.
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Remember to return any unused capsules to your pharmacist.
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This leaflet has been prepared for patients as part of our 'Partners in Health Care' theme by:–
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Geigy Pharmaceuticals, Horsham, West Sussex, England.
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This leaflet is produced in accordance with guidance issued by the Association of the British Pharmaceutical Industry.
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The information in it applies only to Anafranil.
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PL 0001/0037R PL 0001/5000R PL 0001/0068R PA 1 1/5/3 PA 1 1/5/4 PA 1 1/5/1 <PB n=5> <CB n=1> Copyright &copy; Ciba-Geigy PLCDecember 1991
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Anafranil contains clomipramine which is used to treat depression.  Doctors sometimes prescribe Anafranil for other purposes. Ask your doctor for information.
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What's in your medicine
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Anafranil capsules come in three sizes containing 10mg, 25mg or 50mg of clomipramine hydrochloride.
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These capsules also contain lactose.
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Before taking your medicine
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Have you ever had a rash or other possible allergic reaction whilst taking antidepressants?
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Do you suffer from any serious heart or liver disease?
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Do you suffer from glaucoma (increased eye pressure) or difficulty in passing water?
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Do you suffer from any mental illness other than depression?
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Have you had a heart attack within the past three months?
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Are you taking or have you recently taken any other medicines for depression (particularly monoamine oxidase inhibitors [MAOIs])?
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If the answer to any of these questions is YES, DO NOT take the capsules without talking to your doctor again.
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Do you suffer from epilepsy (fits)?
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Do you have an overactive thyroid gland?
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Are you taking any medicines for high blood pressure?
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Are you taking any other medicines (including cold remedies) which your doctor does not know about?
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Are you pregnant, trying to become pregnant or breast feeding?
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If the answer to any of these questions is YES, tell your doctor or pharmacist.
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Taking your medicine
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It is important to take your capsules at the right times.  You must take them as instructed by your doctor.  The label will tell you how many to take and how often.  If it does not, or you are not sure, ask your doctor or pharmacist.
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Swallow your capsules with a drink of water.
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Keep taking your capsules until your doctor tells you to stop.  Do not stop because you do not feel any better.  These capsules may take up to four weeks to work.
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If you forget to take a dose, take the next dose at the usual time.  Do not take a double dose.
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If you accidentally take too many Anafranil capsules tell your doctor at once or contact your nearest hospital casualty department.
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After taking your medicine
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These capsules sometimes cause unwanted effects in some people.  If you get any of the following tell your doctor.
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Skin rash or itching for the first time.
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Any yellowing of your skin or the whites of your eyes.
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Persistent sore throat or fever.
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Dizziness when you stand up.
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Other effects which may occur include:
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Headache or dry mouth.
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Weight gain or upset stomach.
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Shakiness of the hands, increased sweating or hot flushes.
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Mild blurring of vision.
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Feeling tired, sleepy or slightly confused.
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Constipation or difficulty in passing water.
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Unusually fast heart beat or palpitations.
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These effects are often mild and may wear off after a few days' treatment.  If they are severe or last for more than a few days, tell your doctor.  Also, if your capsules upset you in any other way, tell your doctor.
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Precautions
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Whilst you are taking Anafranil, your doctor may want to carry out a number of tests from time to time.  This is quite usual and nothing to worry about.  You should also have regular dental check ups whilst taking Anafranil.
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Tell your doctor if you are planning to have an operation of any kind.
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Be careful when drinking alcohol – it may affect you more than usual.
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If you feel dizzy or sleepy when you start to take these capsules, do not drive or work machinery until this effect has worn off.
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REMEMBER: this medicine is for YOU.  Only a doctor can prescribe it for you.  Never give it to someone else.  It may harm them even if they have the same symptoms as you.
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