Anafranil (Clomipramine) Prescriptions Available Online Today

• Feeling dizzy, drowsy, or tired

• Tremors or jerking muscle movements

• Changes in appetite or weight

• Change in libido 

• Erectile dysfunction 

Other side effects, which are less common but might be more severe, could include:

• Low sodium levels

• Blurred vision

• Urinary retention or trouble urinating

• Worsening depression or suicidal thoughts

Ask your doctor for medical advice if you notice any adverse reactions, or if you develop any other new or concerning symptoms. In rare cases, antidepressant drugs can cause serotonin syndrome, a potentially life-threatening condition in which too much serotonin is present in your system. This usually only occurs if you are taking drugs that also raise serotonin levels. Symptoms can include anxiety, agitation, abdominal pain, and skin flushing.

The use of clomipramine in children younger than under age 10 is not advised.

Clomipramine has many possible drug interactions. Don’t change what you are taking without checking with your doctor or pharmacist. That includes other medications or supplements, as well as over-the-counter drugs. 

Possible drug interactions with clomipramine include:

• Other drugs that cause drowsiness, including sleeping pills, muscle relaxers, and opioid medication

• Tricyclic antidepressants and monoamine oxidase inhibitors

• Anti-seizure medication

Avoid drinking alcohol while taking clomipramine, as alcohol may lead to an increased risk of adverse reactions. Tell your doctor immediately if you experience uneven heartbeats, unusual tiredness, confusion, or lightheadedness.

Avoid taking clomipramine if you have certain medical conditions, such as:

• Bipolar disorder

• Kidney disease

• Liver disease

• Alcoholism

• Heart disease

• Low blood pressure

• Overactive thyroid

• Urination problems