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Online Tofranil (Imipramine)

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On this page: Overview FAQ Gov/NIH

Overview

Imipramine, sold as Tofranil, is a tricyclic antidepressant (TCA) introduced in 1957. It inhibits serotonin and norepinephrine reuptake while antagonizing muscarinic and histamine receptors.

Uses

Treats major depressive disorder, panic disorder, and nocturnal enuresis in children.

Dosage & Administration

Depression: 75–150 mg/day, divided or at bedtime; up to 300 mg/day inpatient. Enuresis: 10–75 mg at bedtime. Taper gradually when discontinuing.

Side Effects & Warnings

Anticholinergic effects—dry mouth, constipation, blurred vision—plus orthostatic hypotension and sedation. Serious: arrhythmias, seizures, overdose toxicity. Contraindicated with MAOIs.

Patient Considerations

Monitor ECG in cardiac patients. Avoid alcohol.

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FAQ

How long until Tofranil works?

2–4 weeks.

Can children use it safely?

Yes, under strict supervision for enuresis.

Is overdose dangerous?

Yes, TCAs are highly toxic in overdose.

Government / NIH sources

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