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Anafranil Syrup  Geigy  
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What you need to know about Anafranil Syrup
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Please read this carefully before you start to take your medicine.  This leaflet does not contain the complete information about your medicine.  If you have any questions or are not sure about anything ask your doctor or pharmacist.
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Anafranil Syrup contains a substance called clomipramine which is used to treat depression.  As well as being an antidepressant, doctors sometimes prescribe Anafranil Syrup for other purposes.  Ask your doctor for information.
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Things to remember about Anafranil Syrup
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Make sure it is safe for you to take Anafranil Syrup 
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(see the back of this leaflet).
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Take your medicine as instructed by your doctor and read the label on your medicine.
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Do not stop taking your medicine suddenly. Ask your doctor first.
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These medicine 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 medicine in a cool, dry place out of reach of children. Anafranil Syrup is not suitable for children.
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Remember to return any unused medicine 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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PL 0001/5001 PA 11/55/5  
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This leaflet is produced in accordance with guidance issued by the Association of the British Pharmaceutical Industry.  The information in it applies only to Anafranil Syrup.
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Copyright &copy; Ciba-Geigy PLC  December 1991  747388a
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Anafranil Syrup contains clomipramine which is used to treat depression.  Doctors sometimes prescribe Anafranil Syrup for other purposes. Ask your doctor for information.
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What's in your medicine
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Anafranil Syrup contains 25mg of clomipramine hydrochloride in every 5ml.
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This medicine also contains sugar (sucrose) and two preservatives, methyl hydroxybenzoate and propyl hydroxybenzoate.
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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 medicine 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 medicine 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 medicine with a drink of water.
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Keep taking your medicine until your doctor tells you to stop.  Do not stop because you do not feel any better.  These medicine 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 Syrup medicine 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 medicine 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 medicine upset you in any other way, tell your doctor.
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Precautions
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Whilst you are taking Anafranil Syrup, 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 Syrup.
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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 medicine, 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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