syconil 75mg tablet - Clomipramine (75mg) medicine

Arimip 75mg Tablet SR: Complete Medicine Guide

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🏭 Psycormedies 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for OCD and depression.
Reviewed by
SaathiMed Expert Panel | Oct 16, 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
  • Confusion, hallucinations, or agitation
  • Seizures
  • Suicidal thoughts or behavior
  • Yellowing of skin or eyes
  • Difficulty urinating

If experiencing severe symptoms, call emergency services immediately.

What is syconil 75mg tablet used for?

This medicine is a tricyclic antidepressant used to treat obsessive-compulsive disorder (OCD) and depression. It works by increasing serotonin and norepinephrine in the brain. It is available as a 75 mg sustained-release tablet and is taken orally, usually once daily. It requires a prescription and close medical supervision.

  • Generic Name: Clomipramine (75mg)
  • Manufacturer: Psycormedies
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 syconil 75mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा क्लोमिप्रामाइन नामक सक्रिय तत्व से बनी है, जिसका उपयोग मुख्य रूप से ऑब्सेसिव-कंपल्सिव डिसऑर्डर (OCD) और अवसाद के इलाज के लिए किया जाता है। यह मस्तिष्क में सेरोटोनिन और नॉरएपिनेफ्रिन के स्तर को बढ़ाकर काम करती है, जिससे मूड में सुधार होता है और बार-बार आने वाले विचारों और व्यवहारों को कम किया जा सकता है। यह दवा 75 मिलीग्राम की सस्टेन्ड-रिलीज़ गोली के रूप में उपलब्ध है और इसे मुँह से लिया जाता है। इसका उपयोग डॉक्टर की सलाह के बिना नहीं करना चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मुँह सूखना, नींद आना, चक्कर आना, कब्ज, धुंधली दृष्टि और वजन बढ़ना शामिल हैं। गंभीर दुष्प्रभावों में अनियमित दिल की धड़कन, सेरोटोनिन सिंड्रोम, दौरे और आत्मघाती विचार शामिल हो सकते हैं। यदि आपको कोई भी गंभीर लक्षण दिखाई दे, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी चिकित्सीय स्थितियों के बारे में बताएं, विशेष रूप से हृदय रोग, मिर्गी, ग्लूकोमा, थायरॉइड या गुर्दे/यकृत की बीमारी। इस दवा को अचानक बंद न करें, क्योंकि इससे withdrawal के लक्षण हो सकते हैं। शराब का सेवन न करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।

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

💊 syconil 75mg tablet Uses & Benefits

  • [{"condition":"Obsessive-compulsive disorder (OCD)","description":"This medicine is effective in reducing the frequency and intensity of obsessive thoughts and compulsive behaviors.
  • It is often used when SSRIs are not effective.","evidence":"Well-established"},{"condition":"Major depressive disorder","description":"This medicine can be used to treat depression, especially when other antidepressants have failed.
  • It helps improve mood, sleep, and appetite.","evidence":"Well-established"},{"condition":"Panic disorder","description":"This medicine may help reduce the frequency and severity of panic attacks.","evidence":"Moderate"},{"condition":"Chronic pain syndromes","description":"This medicine is sometimes used to manage neuropathic pain and other chronic pain conditions.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Premature ejaculation","description":"This medicine may be prescribed off-label to delay ejaculation, but it is not approved for this use.","evidence":"Limited"},{"condition":"Cataplexy","description":"This medicine has been used off-label to reduce cataplexy attacks in narcolepsy.","evidence":"Limited"}]

Primary treatment for: Obsessive-compulsive disorder (OCD)

Also treats: Major depressive disorder, Panic disorder, Chronic pain syndromes

📋 Drug Information

Generic Name(s)Clomipramine (75mg)
Brand Namesyconil 75mg tablet
ManufacturerPsycormedies
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 and moisture. Keep out of reach of children.
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; always consult your doctor for a gradual taper.
3
Avoid alcohol and other CNS depressants while taking this medicine.
4
Inform your doctor if you experience any changes in mood, especially suicidal thoughts.
5
Regular follow-up is important to monitor your response and adjust the dose if needed.
6
Stay hydrated and eat a balanced diet to manage side effects like constipation.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Obsessive thoughts
This medicine is commonly prescribed for OCD.
Likely Use
✅
Compulsive behaviors
This medicine helps reduce compulsive rituals.
Likely Use
✅
Depressed mood
This medicine is used for depression.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is well absorbed from the gastrointestinal tract after oral administration. The sustained-release formulation is designed to release the drug slowly, which may reduce peak-related side effects.
DistributionThis medicine is widely distributed throughout the body, including the brain. It is highly lipophilic and crosses the blood-brain barrier.
Protein BindingThis medicine is approximately 96-97% bound to plasma proteins.
MetabolismThis medicine is extensively metabolized in the liver by cytochrome P450 enzymes, primarily CYP2D6, CYP1A2, and CYP3A4. Its main active metabolite is desmethylclomipramine, which also has pharmacological activity.
Half-LifeThe elimination half-life of this medicine ranges from 19 to 37 hours. The half-life of its active metabolite, desmethylclomipramine, is longer, ranging from 54 to 77 hours.
ExcretionThis medicine and its metabolites are primarily excreted in the urine and feces.
BioavailabilityThe bioavailability of this medicine is approximately 20-40% due to first-pass metabolism.
Onset of ActionThe onset of therapeutic effects for OCD may take several weeks (2-4 weeks) to become noticeable, with full benefits often taking up to 10-12 weeks.
Peak Plasma TimePeak plasma concentrations are reached within 2-6 hours after oral administration of the sustained-release tablet.
Duration of ActionThe effects of this medicine last for about 24 hours, allowing for once-daily dosing.

How It Works

This medicine works by inhibiting the reuptake of serotonin and norepinephrine in the brain. This increases the availability of these neurotransmitters in the synaptic cleft, which helps to regulate mood and reduce obsessive thoughts. It also has effects on other receptors, such as histamine and muscarinic receptors, which contribute to its side effect profile.

Mechanism Steps

1
Inhibition of serotonin reuptake: This medicine blocks the serotonin transporter, preventing the reuptake of serotonin into presynaptic neurons, thereby increasing its concentration in the synaptic cleft.
2
Inhibition of norepinephrine reuptake: This medicine also blocks the norepinephrine transporter, leading to increased norepinephrine levels in the synapse.
3
Downregulation of receptors: Chronic use leads to downregulation of beta-adrenergic and serotonin receptors, which contributes to its therapeutic effects.

💡 How to Take syconil 75mg tablet

Strength: Sustained-release tablet, 75 mg

1Take this medicine exactly as prescribed by your doctor.
2Swallow the tablet whole with a glass of water. Do not crush or chew the sustained-release tablet.
3Take it at the same time each day, preferably in the evening to minimize daytime drowsiness.
4You may take it with or without food, but taking it with food may reduce stomach upset.
5Do not stop taking this medicine suddenly without consulting your doctor.

Dosage Information

Adult DosageThe usual starting dose for adults is 25 mg once daily, gradually increased over 1-2 weeks to a target dose of 75-150 mg daily, depending on the condition being treated and your response. The maximum recommended daily dose is 250 mg, but doses above 150 mg should be used with caution. 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 may be more sensitive to the effects of this medicine. Start with a lower dose (e.g., 10-25 mg daily) and increase gradually. Close monitoring for side effects is recommended.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Consult your doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult your doctor.
Maximum Daily Dose250 mg per day (but doses above 150 mg should be used with caution).

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase drug levels.
Alcohol
Avoid
Increases sedation and impairs motor skills.

⏰ 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 syconil 75mg tablet

✅ Common Side Effects

Dry mouth (Very common (>10%))
Sip water frequently, chew sugar-free gum, or use artificial saliva. Consult your doctor if it becomes bothersome.
Drowsiness (Very common (>10%))
Avoid driving or operating machinery until you know how this medicine affects you. Taking the dose at bedtime may help.
Dizziness (Common (1-10%))
Rise slowly from sitting or lying positions. If persistent, consult your doctor.
Constipation (Common (1-10%))
Increase fiber and fluid intake. Consult your doctor if it persists.
Weight gain (Common (1-10%))
Maintain a healthy diet and regular exercise. Discuss with your doctor if concerned.

🚨 Serious Side Effects

Serotonin syndrome (Rare (<0.1%))
Seek immediate medical attention if you experience agitation, hallucinations, fast heartbeat, fever, or muscle twitching.
Cardiac arrhythmias (Rare (<0.1%))
Report palpitations, chest pain, or shortness of breath to your doctor immediately.
Seizures (Rare (<0.1%))
If you have a seizure, seek emergency medical help.
Severe hyponatremia (low sodium) (Rare (<0.1%))
Watch for confusion, headache, nausea, or seizures. Contact your doctor if these occur.

⚠️ Rare Side Effects

Blood dyscrasias (e.g., agranulocytosis)
Report any signs of infection, such as fever or sore throat, to your doctor promptly.
Hepatitis
Seek medical attention if you notice yellowing of skin or eyes, dark urine, or abdominal pain.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

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

🚨 Major Interactions

  • MAO inhibitors (e.g., phenelzine, tranylcypromine)
  • SSRIs (e.g., fluoxetine, sertraline)
  • Other tricyclic antidepressants

⚡ Moderate Interactions

  • CYP2D6 inhibitors (e.g., quinidine, fluoxetine)
  • CNS depressants (e.g., alcohol, benzodiazepines)

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol can increase drowsiness, dizziness, and impair your ability to drive or operate machinery. It may also worsen depression.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

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

⚠️ Warnings & Precautions

["May increase risk of suicidal thoughts and behaviors, especially in young adults. Close monitoring is required.","Do not stop abruptly; taper gradually to avoid withdrawal symptoms.","May impair ability to drive or operate machinery. Avoid until you know how it affects you.","Use with caution in patients with epilepsy, as it may lower seizure threshold.","May cause orthostatic hypotension; rise slowly from sitting or lying positions."]

🤱 Lactation Safety

This medicine passes into breast milk. Consult your doctor before breastfeeding. Monitoring of the infant for sedation and feeding difficulties is recommended.

💊 Overdose Management

Overdose of this medicine can be life-threatening. Symptoms include irregular heartbeat, severe drowsiness, confusion, seizures, and coma. Seek emergency medical help immediately. Treatment is supportive and may include activated charcoal, gastric lavage, and management of cardiac arrhythmias.

⏰ 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 the dose to catch up.

Additional Safety Advice

General Safety

Before starting this medicine, inform your doctor about all your medical conditions, especially heart disease, epilepsy, glaucoma, thyroid problems, or liver/kidney disease. Do not stop taking this medicine abruptly, as it can cause withdrawal symptoms such as nausea, headache, and dizziness. Always follow your doctor's instructions for tapering the dose. Avoid alcohol while taking this medicine, as it can increase drowsiness and impair your ability to drive or operate machinery. This medicine can interact with many other drugs, including MAOIs, SSRIs, and certain pain relievers, so always check with your doctor or pharmacist before taking any new medication. If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits with your doctor. Keep this medicine out of reach of children and store it at room temperature away from moisture and heat.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the side effects of this medicine, especially drowsiness, dizziness, and cardiac effects. Lower starting doses and close monitoring are recommended.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor. This medicine should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Your doctor may consider switching to a safer alternative.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthetic agents and affect blood pressure and heart rhythm. Your doctor may advise temporary discontinuation before surgery.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine, as it can cause dry mouth and may interact with certain dental anesthetics. 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 or deep breathing.
💧
Avoid alcohol and recreational drugs.
🧘
Eat a balanced diet rich in fruits, vegetables, and whole grains.

🏋️ Exercise Considerations

This medicine may cause drowsiness and dizziness. Avoid strenuous exercise or activities requiring alertness until you know how it affects you. Stay hydrated during exercise.

🥗 Diet Recommendations

Increase fiber intake to prevent constipation.
Stay well hydrated.
Limit caffeine as it may increase anxiety.
Avoid grapefruit juice.

💼 Impact on Daily Work & Life

This medicine can cause drowsiness and impair concentration, affecting your ability to drive or operate machinery. It may also affect your work performance initially. Discuss with your doctor about timing the dose to minimize impact.

🛑 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 on a gradual taper to avoid withdrawal symptoms.

📅 Long-Term Use Effects

Long-term use of this medicine may require regular monitoring of heart function, liver function, and blood counts. It can cause weight gain and sexual dysfunction. Periodic evaluation by your doctor is recommended to assess the continued need and adjust the dose.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Cognitive behavioral therapy (CBT)

CBT is effective for OCD and depression and can be used alongside or instead of medication.

Evidence: Well-established
Selective serotonin reuptake inhibitors (SSRIs)

SSRIs are often first-line for OCD and depression with a different side effect profile.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. However, consult your doctor before receiving any vaccine while on this medicine.

📦 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

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store it at room temperature and protect it from extreme heat or moisture. If crossing time zones, adjust your dosing schedule gradually in consultation with your doctor. Check local customs regulations regarding prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 32-year-old woman with severe OCD
She had tried several SSRIs without much relief. Her doctor prescribed this medicine, starting at a low dose and gradually increasing. After 8 weeks, she noticed a significant reduction in her compulsive rituals and obsessive thoughts. She experienced dry mouth and drowsiness initially, but these improved over time.
💡 Lesson: Patience is key; this medicine can take several weeks to work, and side effects often diminish with continued use.
👤 A 45-year-old man with depression and chronic pain
He was prescribed this medicine for depression that had not responded to other treatments. He also had chronic back pain. Over time, his mood improved, and he found that his pain was more manageable. He had to avoid alcohol and monitor his heart health regularly.
💡 Lesson: This medicine can be effective for both depression and pain, but requires careful monitoring and lifestyle adjustments.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: It may take 2-4 weeks to notice initial improvements, with full benefits often taking up to 10-12 weeks.

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

A: No, do not stop abruptly. Consult your doctor for a gradual taper to avoid withdrawal symptoms.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember, but if it's almost time for your next dose, skip the missed dose. Do not double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my heart?
  • 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 syconil 75mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is addictive.
    Fact: This medicine is not considered addictive, but it can cause dependence and withdrawal symptoms if stopped abruptly. It should be tapered gradually under medical supervision.
  • Myth: This medicine works immediately.
    Fact: It may take several weeks to see the full benefits of this medicine. It is important to continue taking it as prescribed.

🔄 Alternative Options

Generic Alternatives

  • Clomipramine 75 mg sustained-release tablet

Brand Alternatives

  • Anafranil
  • Clomipramine 75 mg SR

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","class":"Tricyclic antidepressant","primary_use":"OCD, depression","common_side_effects":"Dry mouth, drowsiness, dizziness"},{"medicine":"Fluoxetine","class":"SSRI","primary_use":"OCD, depression","common_side_effects":"Nausea, insomnia, headache"}]

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