Description
Anafranil is indicated for treatment of obsessive-compulsive disorder (OCD). It may also be used for other conditions as determined by your doctor.

How to Use
Use Anafranil as directed by your doctor. To avoid stomach upset take Anafranil with a meal. It may take 2 – 3 weeks before you notice the effect of Anafranil. Continue taking Anafranil even if you feel well.

Warnings/Precautions
Before taking Anafranil, tell your doctor or pharmacist if you have any medical conditions, especially if you have allergies to medicines, if you are allergic to any ingredient in Anafranil, if you have a history of adrenal gland problems, glaucoma, heart problems, kidney or liver problems, diabetes, seizures, trouble urinating, the blood disease porphyria or other blood problems, if you take thyroid medicine or have a history of an overactive thyroid, undergoing electroshock therapy or you are scheduled to have any surgery, if you have a history of suicidal thoughts or behavior, bipolar disorder or any other mental disorders, if you are pregnant, planning to become pregnant or are breast–feeding. It is not known if Anafranil can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Anafranil while you are pregnant. Anafranil is found in breast milk. Do not breast–feed while taking Anafranil. Some medicines may interact with Anafranil. Therefore tell your doctor of all prescription or nonprescription medicine, herbal preparation or dietary supplement that you are taking. Do not take Anafranil if you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (e.g., phenelzine) within the last 14 days, or you are taking astemizole, dofetilide, terfenadine or cisapride, or if you are recovering from arecent heart attack. Do not drink alcohol or use medicines that may cause drowsiness (e.g., sleep aids) while you are using Anafranil, it may add to their effects. Do not become overheated in hot weather or while you are being active, heatstroke may occur. Children and teenagers who take Anafranil may be at increased risk for suicidal thoughts or actions. Adults may also be affected. The risk may be greater in patients who have had suicidal thoughts or actions in the past. The risk may also be greater in patients who have had bipolar (manic–depressive) illness or if their family members have had it. Watch patients who take Anafranil closely. Contact the doctor at once if new, worsened or sudden symptoms, such as depressed mood, anxious, restless or irritable behavior, panic attacks, or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur. Anafranil may cause you to become more sensitive to the sun. Avoid the sun, sunlamps or tanning booths until you know how you react to Anafranil. Use a sunscreen or wear protective clothing if you must be outside for more than a short time. Tell your doctor or dentist that you take Anafranil before you receive any medical or dental care, emergency care or surgery. Elderly patients may be more sensitive to the effects of this drug and might require a lower dose. Anafranil should be used with extreme caution in children younger than 10 years old, safety and effectiveness in these children have not been confirmed.

Missed Dose
If you miss a dose take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Possible Side Effects
Some of the possible side effects are – constipation, diarrhea, dizziness, drowsiness, dry mouth, headache, irritability and loss of appetite, nausea, nightmares, sweating, tiredness, upset stomach, vomiting, weakness, weight loss or gain. Contact your doctor if any of these or other side effects occur. If you experience any of the following serious side effects, you should seek medical attention immediately – allergic reactions (rash, hives, itching, difficulty breathing, tightness in the chest, swelling of the mouth, face, lips or tongue), blurred vision or other vision changes, changes in sex drive, chest pain, confusion, decreased sexual ability, fainting, fever, flushing, frequent or difficult urination, impulsive behaviour or other unusual changes in behaviour, fast, slow or irregular heartbeat, mental or mood changes (e.g., increased anxiety, mood swings, agitation, irritability, nervousness, restlessness), numbness or tingling of the skin, panic attacks, ringing in the ears, seizures, severe dizziness or drowsiness, sore throat, stomach pain, suicidal thinking or behaviour, swelling of the testicles, tremor, trouble sleeping, trouble walking or keeping your balance, twitching of the face or tongue, uncontrolled movements or stiffness of arms and legs, unusual bleeding or bruising, worsening of depression, yellowing of the skin or eyes.

Storage
Store Anafranil at 68 –77 °F (20 – 25 °C). Store away from heat, moisture and light. Do not store in the bathroom. Keep Anafranil out of the reach of children.

Overdose
If overdose is suspected seek medical attention immediately. Some of the symptoms of Anafranil overdose are – agitation, bluish skin or mucous membranes, breathing problems, chest pain, coma, confusion, dry mouth, enlarged pupils, excess sweating, fainting, fast or irregular heartbeat, flushing, incoordination, involuntary movements, loss of consciousness, restlessness, rigid muscles, seizures, severe drowsiness, shock, stupor, vomiting.

More Information
Anafranil may cause drowsiness, dizziness or blurred vision. These effects may worsen if Anafranil is taken with alcohol or certain other medications. Use Anafranil with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to this drug. If your symptoms do not improve or if they worsen, contact your doctor. Anafranil should be used only by the patient for whom it has been prescribed. Do not take less or more or take it more often than prescribed by your doctor.

Disclaimer
This is only general information, it does not cover all directions, drug integrations or precautions. You should not rely on it for any purpose; it does not contain any specific instructions for a particular patient. We disclaim all responsibility for the accuracy and reliability of this information. We`re not responsible for any damage.