Drug Identity
Active Ingredient
Clomipramine
Chemical Class
Imipramine
Pharmacological Group
on the basis of mechanism of action and also cl...
ATC Code
N06AA04
Status
Essential Medicine
What is Anafril?
Uses
Clomipramine (HCl) is a tricyclic antidepressant. Clomipramine (HCl) is used in the treatment of (OCD) obsessive compulsive disorders (me...
How It Works
Chemical Class
Imipramine
Pharmacological Group
on the basis of mechanism of action and also classified in Psychotherapeutic Drugs and Antidepressant pharmacological group
It is of Synthetic origin and belongs to Imipramine. It belongs to Amine uptake inhibitor pharmacological group on the basis of mechanism of action and also classified in Psychotherapeutic Drugs and Antidepressant pharmacological group. The Molecular Weight of Clomipramine (HCl) is 314.90. It is weakly alkaline drug and Its pKa is 9.5.
How to Take It
1
Adult · PO
25 mg — 24 hourly
Initial, gradually increased
2
Child
200 mg/day — 24 hourly
3
Child · PO
0 to 3 mg — As recommended.
initial, gradually incteased.To a maximum of 100mg/kg daily.
Safety Alerts
Clomipramine (HCl) is contraindicated in conditions like Cardiac arrhythmia, Mania, Myocardial infarction, Heart block, Narrow-angle glaucoma, Hypersensitivity, Urinary retention
Important Warnings
Clomipramine should be used with caution in patients with medical history, especially of glaucoma, prostate problems, decreased urine output, thyroid disease, breathing problems, seizure, alcohol use, heart disease, mental or emotional problems, liver or kidney disease and of any drug allergy
This medication can increase sensitivity to sunlight, avoid prolonged sun exposure, wear sunscreen and protective clothing
It should be used with caution in elderly persons because they are usually more sensitive to the effects of this medication
This drug should be used during pregnancy or lactation only if clearly needed
Side Effects
The severe or irreversible adverse effects of Clomipramine (HCl)which give rise to further complications include ParkinsonismJaundiceSeizuresExtrapyramidal symptomsBone marrow depressionHypertension. Clomipramine (HCl) produces potentially life-threatening effects which include Cardiac ArrestManiaStroke. which are responsible for the discontinuation of Clomipramine (HCl) therapy.The signs and symptoms that are produced after the acute over dosage of Clomipramine (HCl) include VomitingTachycardiaConvulsionsComaDrowsinessAtaxiaMydriasis
Drug Interactions
Clomipramine (HCl) is known to interact with other drugs
the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementAdrenalineAlcoholAmiodarone (HCl)Increased risk of ventricular arrhythmia when amiodarone given with tricyclic antidepressant (e.g clomipramine). ADVICE: Avoid concomitant use or only undertaken with caution and appropriate monitoring.MajorAntazolineIncreased antimuscarinic and sedative effects when antihistamines (e.g Antazoline) given with tricyclic antidepressants (e.g Clomipramine).Apraclonidine (HCl)Cimetidine (HCl)Clonidine (HCl)Fluoxetine (HCl)Fluvoxamine (Maleate)GestodeneGuanethidineHaloperidolIsocarboxazidMazindolMethylphenidate (HCl)MoclobemideNoradrenaline (Acid Tartrate)Phenytoin (Na)SulpirideVORICONAZOLEAdditive QTc prolongation may occur. Consider alternate therapy or monitor for QTc prolongation as this can lead to Torsade de Pointes (TdP).Warfarin (Na) These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Storage
Caps Store in a well closed container, Below 40°C. Protect from Sunlight.
Price Intelligence
Rs 141.65
DRAP approved maximum price · per pack of 20 · approved 04 Sep, 2025
No retail price observed for this pack. Retailers may not exceed the approved maximum.
Prices across sources
DRAPper pack of 20Rs 141.65
Should you consider an alternative?
Other options containing Clomipramine, and what they are not.
Identical active ingredient at the same strength. Cheapest per unit first.
Clomfranil
25mg
Rs 72.2Rs 7.22/unit
Lowest price per unitBelow approved ceilingNo DRAP alerts
Clomipera
25mg
Rs 276.12
No DRAP alertsMEDERA PHARMACEUTICALS (PVT) LTD.
Clopra
25mg
Rs 276.12 ceiling
No DRAP alertsMEDERA PHARMACEUTICALS (PVT) LTD.
Ordered by lowest price per unit where a pack size is known, then by price. Order is never affected by sponsorship. Not medical advice — confirm any change with your pharmacist or doctor.
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