imipres 50mg tablet - Imipramine (50mg) medicine

Dimip 50mg Tablet (Imipramine): Comprehensive Medicine Guide

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🏭 Ryon Pharma 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for depression; moderate for panic disorder; limited for chronic pain.
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Irregular heartbeat or palpitations
  • Severe dizziness or fainting
  • Seizures
  • Suicidal thoughts or behavior
  • Yellowing of skin or eyes
  • Severe allergic reaction (rash, swelling, difficulty breathing)
  • Confusion or hallucinations

If experiencing severe symptoms, call emergency services immediately.

What is imipres 50mg tablet used for?

Imipramine is a tricyclic antidepressant used to treat depression, panic disorder, and bedwetting in children. It works by increasing serotonin and norepinephrine in the brain. It is available as a 50mg tablet and is taken orally. Common side effects include dry mouth, constipation, and drowsiness. It should not be stopped abruptly.

  • Generic Name: Imipramine (50mg)
  • Manufacturer: Ryon Pharma
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 imipres 50mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा इमिप्रामाइन नामक तत्व से बनी है, जो एक ट्राइसाइक्लिक एंटीडिप्रेसेंट है। इसका उपयोग अवसाद (डिप्रेशन), पैनिक डिसऑर्डर, और बच्चों में बेडवेटिंग के इलाज के लिए किया जाता है। यह मस्तिष्क में सेरोटोनिन और नॉरएपिनेफ्रिन के स्तर को बढ़ाकर मूड को बेहतर बनाती है। यह 50 मिलीग्राम की गोली के रूप में उपलब्ध है और मुंह से ली जाती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मुंह सूखना, कब्ज, धुंधली दृष्टि, नींद आना, चक्कर आना और वजन बढ़ना शामिल हैं। गंभीर दुष्प्रभावों में अनियमित दिल की धड़कन, गंभीर निम्न रक्तचाप, दौरे और एलर्जी प्रतिक्रियाएं हो सकती हैं। यदि आपको कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। अचानक बंद न करें, इससे withdrawal symptoms हो सकते हैं। शराब और अन्य नींद लाने वाली दवाओं से बचें। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन न चलाएं। अपने डॉक्टर को अन्य सभी दवाओं के बारे में बताएं, विशेष रूप से MAO inhibitors। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 imipres 50mg tablet Uses & Benefits

[{"condition":"Major depressive disorder","description":"This medicine is used to treat symptoms of depression such as persistent sadness, loss of interest, and fatigue.","evidence":"Well-established"},{"condition":"Panic disorder","description":"It can help reduce the frequency and severity of panic attacks.","evidence":"Moderate"},{"condition":"Chronic pain","description":"Sometimes prescribed for neuropathic pain and other chronic pain conditions.","evidence":"Limited"},{"condition":"Nocturnal enuresis (bedwetting) in children","description":"May be used short-term to treat bedwetting in children over 6 years old.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes used to prevent migraines, though not FDA-approved for this purpose.","evidence":"Limited"},{"condition":"Attention deficit hyperactivity disorder (ADHD)","description":"Rarely used as an alternative when other treatments fail.","evidence":"Limited"}]

Primary treatment for: Major depressive disorder

Also treats: Panic disorder, Nocturnal enuresis, Chronic pain

📋 Drug Information

Generic Name(s)Imipramine (50mg)
Brand Nameimipres 50mg tablet
ManufacturerRyon Pharma
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action ClassTricyclic antidepressants
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at bedtime to minimize daytime drowsiness.
2
Do not stop this medicine abruptly; taper gradually under medical supervision.
3
Monitor for suicidal thoughts, especially in young adults, during the first few weeks.
4
Avoid alcohol and other CNS depressants while taking this medicine.
5
Inform your doctor if you experience palpitations, dizziness, or fainting.
6
Regular follow-up is essential to assess response and adjust dosage.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Persistent sadness
This medicine is commonly prescribed for depression.
Likely Use
✅
Panic attacks
This medicine may be used for panic disorder.
Likely Use
✅
Bedwetting in children
This medicine is sometimes used for nocturnal enuresis.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionImipramine is well absorbed from the gastrointestinal tract after oral administration. Peak plasma concentrations are reached within 1 to 2 hours.
DistributionImipramine is widely distributed throughout the body, including the brain. It crosses the placenta and is excreted in breast milk.
Protein BindingApproximately 90% bound to plasma proteins.
MetabolismImipramine is metabolized in the liver primarily by CYP2D6, CYP1A2, and CYP3A4 into desipramine, an active metabolite.
Half-LifeThe elimination half-life of imipramine ranges from 6 to 20 hours. The half-life of its active metabolite desipramine is longer, ranging from 12 to 30 hours.
ExcretionImipramine and its metabolites are primarily excreted in the urine and to a lesser extent in feces.
BioavailabilityThe oral bioavailability of imipramine is approximately 30-50% due to first-pass metabolism.
Onset of ActionAntidepressant effects may take 2 to 4 weeks to become noticeable. Other effects like sedation may occur within hours.
Peak Plasma Time1 to 2 hours after oral administration.
Duration of ActionThe effects of a single dose last for about 24 hours, but full therapeutic effects require continuous use.

How It Works

Imipramine works by inhibiting the reuptake of serotonin and norepinephrine in the brain, increasing their availability in the synaptic cleft. This leads to enhanced neurotransmission and improvement in mood. It also has anticholinergic, antihistaminic, and alpha-adrenergic blocking effects, which contribute to its side effect profile.

Mechanism Steps

1
Inhibition of serotonin reuptake: Imipramine blocks the serotonin transporter, increasing serotonin levels in the synapse.
2
Inhibition of norepinephrine reuptake: It also blocks the norepinephrine transporter, leading to increased norepinephrine in the synapse.
3
Antagonism of muscarinic receptors: This contributes to side effects like dry mouth, constipation, and blurred vision.
4
Antagonism of histamine H1 receptors: This causes sedation and weight gain.
5
Antagonism of alpha-1 adrenergic receptors: This can lead to orthostatic hypotension and dizziness.

💡 How to Take imipres 50mg tablet

Strength: 50mg immediate-release tablet

1Take this medicine orally with a full glass of water.
2Can be taken with or without food, but taking with food may reduce stomach upset.
3Take at the same time each day to maintain consistent levels.
4Do not crush, chew, or break the tablet unless instructed by your doctor.
5If taking once daily, take at bedtime to minimize daytime drowsiness.

Dosage Information

Adult DosageThe usual starting dose for depression is 25-50 mg once daily, gradually increased to 100-150 mg per day in divided doses. For panic disorder, doses may be lower. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients are more sensitive to side effects. Start with lower doses (e.g., 10-25 mg at bedtime) and titrate slowly. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in renal impairment. Dose adjustment may be necessary. Consult a clinician.
Hepatic ImpairmentUse with caution in hepatic impairment. Dose reduction may be required. Consult a clinician.
Maximum Daily DoseUp to 150 mg per day for outpatients; up to 300 mg per day for inpatients under close supervision.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase drug levels.
High-tyramine foods
Avoid
May cause hypertensive crisis.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of imipres 50mg tablet

✅ Common Side Effects

Dry mouth (Very common (>10%))
Sip water, chew sugarless gum, or use saliva substitutes. Consult doctor if severe.
Constipation (Common (5-10%))
Increase fiber and fluid intake. Use stool softeners if needed.
Drowsiness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you. Take at bedtime if prescribed.
Dizziness (Common (5-10%))
Rise slowly from sitting or lying positions. Avoid sudden movements.
Weight gain (Common (5-10%))
Monitor diet and exercise. Consult doctor if concerned.

🚨 Serious Side Effects

Cardiac arrhythmias (Rare (<0.1%))
Seek immediate medical attention if you experience palpitations, chest pain, or fainting.
Severe hypotension (Rare (<0.1%))
If you feel faint or dizzy upon standing, lie down and contact your doctor.
Seizures (Rare (<0.1%))
Seek emergency care if seizures occur.
Agranulocytosis (Very rare (<0.01%))
Report any signs of infection such as fever, sore throat, or mouth ulcers immediately.

⚠️ Rare Side Effects

Jaundice
Report yellowing of skin or eyes to doctor immediately.
Galactorrhea
Consult doctor if breast milk production occurs inappropriately.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAO inhibitors Major
CYP2D6 inhibitors Major
Anticholinergics Moderate
CNS depressants Moderate
Sympathomimetics Minor

🚨 Major Interactions

  • MAO inhibitors
  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine, quinidine)

⚡ Moderate Interactions

  • Anticholinergic drugs (e.g., benztropine, diphenhydramine)
  • CNS depressants (e.g., alcohol, benzodiazepines)

🍷 Alcohol Interaction

Alcohol increases the sedative effects of imipramine and may worsen depression. Avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to imipramine or other tricyclic antidepressants","Concurrent use of MAO inhibitors","Acute recovery phase after myocardial infarction","Uncontrolled glaucoma","Urinary retention","Severe liver disease"]

⚠️ Warnings & Precautions

["May increase suicidal thoughts in children, adolescents, and young adults.","Do not stop abruptly; taper gradually to avoid withdrawal.","Use with caution in patients with seizures, hyperthyroidism, or cardiovascular disease.","May impair ability to drive or operate machinery.","Avoid alcohol and other CNS depressants."]

🤱 Lactation Safety

Imipramine is excreted in breast milk. Consult your doctor before breastfeeding; monitoring of infant for sedation and feeding difficulties is recommended.

💊 Overdose Management

Imipramine overdose is life-threatening. Symptoms include irregular heartbeat, severe hypotension, seizures, and coma. Seek emergency medical care immediately. Treatment is supportive and may include sodium bicarbonate for cardiac toxicity.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed. Do not stop suddenly as it may cause withdrawal symptoms. Avoid alcohol and other central nervous system depressants. Use caution when driving or operating machinery until you know how this medicine affects you. Inform your doctor about all other medications you are taking, especially MAO inhibitors, as dangerous interactions can occur. This medicine may increase suicidal thoughts in young adults; close monitoring is required. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to anticholinergic and cardiac effects. Start with low doses and monitor closely for confusion, falls, and arrhythmias.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor to discuss risks and benefits. Imipramine may be continued if necessary, but monitoring is required.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist about this medicine. It may interact with anesthetic agents and affect blood pressure and heart rhythm.

🦷 Dental Procedures

Dry mouth from this medicine may increase risk of dental caries. Inform your dentist and maintain good oral hygiene.

💚 Lifestyle Tips for Better Results

🏃
Maintain a regular sleep schedule.
🥗
Engage in regular physical activity as tolerated.
😴
Practice stress-reduction techniques like meditation.
💧
Avoid alcohol and recreational drugs.
🧘
Stay connected with supportive friends and family.

🏋️ Exercise Considerations

Exercise may help improve mood, but avoid strenuous activities if you experience dizziness or drowsiness. Stay hydrated.

🥗 Diet Recommendations

Eat a balanced diet rich in fruits and vegetables.
Increase fiber intake to prevent constipation.
Limit caffeine as it may increase anxiety.
Avoid high-tyramine foods if prone to hypertension.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness and impair concentration. Avoid driving or operating heavy machinery until you know how it affects you. Discuss work accommodations if needed.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience severe side effects or need to discontinue, your doctor will guide you through a gradual taper.

📅 Long-Term Use Effects

Long-term use may require periodic monitoring of blood counts, liver function, and ECG. Weight gain and dental problems due to dry mouth may occur. Regular follow-up is essential to adjust dosage and manage side effects.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Cognitive behavioral therapy (CBT)

Can be as effective as medication for mild to moderate depression.

Evidence: Well-established
Regular exercise

Has antidepressant effects and improves overall well-being.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are established. Consult your doctor before any vaccination.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. If traveling across time zones, adjust dosing schedule gradually under medical advice. Store in a cool, dry place away from direct sunlight. Check customs regulations for controlled substances before traveling internationally.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with major depressive disorder
She started taking this medicine as prescribed. After 3 weeks, she noticed improvement in mood and sleep. She experienced dry mouth initially, which subsided. She emphasizes the importance of taking it at bedtime to avoid daytime drowsiness.
💡 Lesson: Consistent use and patience are key; side effects often diminish over time.
👤 A 10-year-old boy with nocturnal enuresis
He was prescribed this medicine for bedwetting. His parents reported a significant reduction in episodes within a month. They were advised to give the medicine 1 hour before bedtime and limit fluids after dinner.
💡 Lesson: Proper timing and fluid restriction enhance the effectiveness for bedwetting.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: It may take 2 to 4 weeks for full antidepressant effects. Some side effects may occur earlier.

Q: Can I stop taking this medicine when I feel better?

A: No, stopping abruptly can cause withdrawal symptoms and relapse. Consult your doctor before stopping.

Q: Is it safe to take during pregnancy?

A: Consult your doctor. Imipramine may be used if benefits outweigh risks, but close monitoring is needed.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for imipres 50mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Imipramine is addictive.
    Fact: Imipramine is not addictive, but it can cause withdrawal symptoms if stopped abruptly. It should be tapered gradually.
  • Myth: You can stop taking imipramine once you feel better.
    Fact: You should continue taking it as prescribed to prevent relapse. Stopping suddenly can cause withdrawal and return of symptoms.

🔄 Alternative Options

Generic Alternatives

  • Imipramine hydrochloride 50mg tablet

Brand Alternatives

  • Tofranil
  • Imipramine

📊 Comparison with Similar Medicines

[{"medicine":"Imipramine","class":"Tricyclic antidepressant","main_use":"Depression, panic disorder","sedation":"Moderate","anticholinergic":"High"},{"medicine":"Amitriptyline","class":"Tricyclic antidepressant","main_use":"Depression, neuropathic pain","sedation":"High","anticholinergic":"Very high"},{"medicine":"Nortriptyline","class":"Tricyclic antidepressant","main_use":"Depression","sedation":"Moderate","anticholinergic":"Moderate"}]

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