clomivon 25mg tablet - Clomipramine (25mg) medicine

clomivon 25mg tablet - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Shine Pharmaceuticals Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 27, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
Dr. SaathiMed Expert Panel | Jun 27, 2026

What is clomivon 25mg tablet used for?

Anafranil (Clomipramine) is used to treat NEURO CNS. It contains Clomipramine (25mg), which Inhibits the reuptake of serotonin and norepinephrine at the presynaptic neurona. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Clomipramine
  • Manufacturer: Shine Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: C
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

๐Ÿ’Š clomivon 25mg tablet Uses & Benefits

Major depressive disorder, obsessive-compulsive disorder (OCD), panic disorder, chronic pain syndromes, cataplexy associated with narcolepsy.

Off-label uses: Premenstrual dysphoric disorder, body dysmorphic disorder, trichotillomania, pathological gambling, neuropathic pain.

๐Ÿ“‹ Drug Information

Generic Name(s)Clomipramine
Brand NameAnafranil
ManufacturerShine Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action ClassTricyclic antidepressants
Route of AdministrationOral.
StorageStore at 20-25ยฐC (68-77ยฐF); protect from light and moisture.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionWell absorbed from the gastrointestinal tract; peak plasma concentrations occur within 2-4 hours.
DistributionWidely distributed throughout the body; crosses the blood-brain barrier and placenta; appears in breast milk.
Protein Binding97-98% bound to plasma proteins.
MetabolismExtensively metabolized in the liver via CYP1A2, CYP2C19, CYP3A4, and CYP2D6 to active metabolite desmethylclomipramine.
Half-LifeClomipramine: 19-37 hours; Desmethylclomipramine: 54-77 hours.
ExcretionPrimarily renal (approximately 60% as metabolites, 2% as unchanged drug); fecal excretion accounts for about 30%.
BioavailabilityApproximately 50% due to first-pass metabolism.
Onset of ActionTherapeutic effects may take 2-4 weeks; some improvement may be seen within 1-2 weeks.
Peak Plasma Time2-4 hours.
Duration of ActionLong-acting; once-daily dosing is sufficient due to long half-life.

How It Works

Inhibits the reuptake of serotonin and norepinephrine at the presynaptic neuronal membrane, increasing their concentrations in the synaptic cleft.

Mechanism Steps

1Clomipramine binds to the serotonin transporter (SERT) and norepinephrine transporter (NET) on presynaptic neurons.
2Inhibition of reuptake increases synaptic concentrations of serotonin and norepinephrine.
3Enhanced neurotransmission at postsynaptic receptors leads to antidepressant and anti-obsessional effects.

๐Ÿ’ก How to Take clomivon 25mg tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of clomivon 25mg tablet

โœ… Common Side Effects

  • Dry mouth
  • Constipation
  • Blurred vision
  • Drowsiness
  • Dizziness
  • Weight gain
  • Sweating
  • Tremor
  • Sexual dysfunction

๐Ÿšจ Serious Side Effects

  • Serotonin syndrome
  • Seizures
  • QT prolongation
  • Arrhythmias
  • Orthostatic hypotension
  • Agranulocytosis
  • Hepatitis
  • Suicidal thoughts/behavior

โš ๏ธ Rare Side Effects

  • Pancreatitis
  • Pulmonary fibrosis
  • Lupus-like syndrome
  • Photosensitivity
  • Galactorrhea
  • SIADH

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
MAOIs Major Risk of serotonin syndrome; contraindicated within 14 days of MAOI use.
CYP1A2 inhibitors Major Increased clomipramine levels; monitor for toxicity.
CYP2D6 inhibitors Major Increased clomipramine levels; dose adjustment may be needed.
Serotonergic drugs Major Risk of serotonin syndrome; avoid combination.
CNS depressants Major Additive sedation; use caution.
Anticholinergic drugs Moderate Additive anticholinergic effects.
Antihypertensives Moderate May enhance hypotensive effects.
Sympathomimetics Moderate Risk of hypertension and arrhythmias.
Oral anticoagulants Moderate Increased anticoagulant effect; monitor INR.
Cimetidine Minor May increase clomipramine levels.
Methylphenidate Minor May increase clomipramine levels.
Smoking Minor May decrease clomipramine levels via CYP1A2 induction.

๐Ÿšจ Major Interactions

  • MAOIs
  • CYP1A2 inhibitors
  • CYP2D6 inhibitors
  • Serotonergic drugs
  • CNS depressants

โšก Moderate Interactions

  • Anticholinergic drugs
  • Antihypertensives
  • Sympathomimetics
  • Oral anticoagulants

โ„น๏ธ Minor Interactions

  • Cimetidine
  • Methylphenidate
  • Smoking

๐Ÿฝ๏ธ Food Interactions

Grapefruit juice may increase clomipramine levels via CYP3A4 inhibition.

๐Ÿท Alcohol Interaction

Alcohol may potentiate CNS depressant effects; avoid concurrent use.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to clomipramine or any component; recent myocardial infarction; concurrent use with MAOIs; narrow-angle glaucoma; urinary retention; severe hepatic impairment.

๐Ÿ“Š Monitoring Parameters

Mental status, blood pressure, heart rate, ECG (QT interval), liver function tests, serum drug levels (if toxicity suspected), suicidal ideation.

๐Ÿคฑ Lactation Safety

Clomipramine is excreted in breast milk; caution advised; monitor infant for drowsiness and feeding

๐Ÿ’Š Overdose Management

Activated charcoal, gastric lavage, supportive care; monitor ECG, vital signs; treat arrhythmias with sodium bicarbonate; avoid physostigmine due to risk of seizures.

โฐ Missed Dose

Take as soon as remembered; if near next dose, skip missed dose; do not double dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

Dr. SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 27, 2026

๐Ÿ”— View Profile

๐Ÿ”„ Substitutes for clomivon 25mg tablet

View All

Alternative brands with exact same active ingredient (Clomipramine (25mg)):

Medical Note: Always consult your doctor before switching medications.

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