Gromin Capsule 25 Milligrams (Clomipramine Hydrochloride)

Adult dosage

Oral administration: The initial dose is 10 mg once daily, gradually increasing to 30-150 mg per day. Dosing can be divided or administered once at bedtime. The maintenance dose is 30-50 mg daily. Intramuscular injection: The initial dose is 25-50 mg administered intramuscularly, gradually increasing by 25 mg daily until a total of 100-150 mg is reached. Reduce the frequency of injections and maintain with oral dosage once symptoms improve. Intravenous infusion:

This medication is used to treat depression or other psychiatric disorders. While taking this medication, particularly in children, adolescents, and young adults, there may be an increased risk of suicidal thoughts or behaviors, and careful observation is required. It should not be used in patients who are allergic to this medication or are taking certain other medications, and in those with heart disease or glaucoma. Patients with low blood pressure, heart disease, thyroid issues, or impaired liver or kidney function need to be cautious when using this medication and should consult their healthcare provider. Possible side effects of this medication include drowsiness, dizziness, dry mouth, constipation, insomnia, anxiety, irregular heartbeat, and in severe cases, should be reported to a healthcare provider immediately. Especially during treatment, it is recommended to avoid driving or operating hazardous machinery, and taking with alcohol or other central nervous system depressants may exacerbate side effects. Women who are pregnant or breastfeeding should consult a physician before taking this medication; those breastfeeding are advised to discontinue breastfeeding or the medication. The safety and efficacy of this medication have not been established in children and adolescents, so use is not recommended. In the elderly, decreased drug metabolism may increase the risk of side effects, necessitating more cautious use. In case of overdose, serious heart issues or neurological disturbances may occur, and immediate emergency treatment is necessary. This medication must be kept out of reach of children and it is advised to avoid transferring it to another container.

Serious side effects

Hives, severe swelling, chest tightness, difficulty breathing, cold sweat, paleness, severe rashes with high fever, blisters, skin peeling, pain in mouth/eyes mucosa, shortness of breath or breathing difficulties, asthma attacks, respiratory abnormalities with cough and fever, yellowing of skin or eyes (jaundice), extreme lethargy, sudden and severe headaches, thunderclap headache, seizures, confusion of consciousness, visual disturbances, paralysis, significant decrease in urine output.

Mild side effects

• Drowsiness
• fatigue
• agitation
• increased appetite
• dizziness
• tremors
• headache
• confusion
• localized sensory loss
• hallucinations

This medication should be stored in a tightly sealed container to prevent air exposure, ideally at room temperature between 1 to 30 degrees Celsius. This way, the efficacy of the medication can be maintained and deterioration can be avoided.

Appearance

Hard capsule containing white to pale yellow powder with a green (upper) and white (lower) shell.

Package unit

200 capsules/bottle