Product image of Imipramine Crescent Pharma (Imipramine Hydrochloride Bp) supplied by GNH India

Imipramine Crescent Pharma

Active Ingredient:
Imipramine Hydrochloride Bp
Origin:
EU

Imipramine Crescent Pharma (Imipramine Hydrochloride Bp)

Imipramine, the active ingredient in Imipramine Crescent Pharma, is a tricyclic antidepressant presented as an oral tablet for oral use. It is indicated for the treatment of depression, nocturnal enuresis, and anxiety disorders in adult patients, and works by modulating neurotransmitter levels in the central nervous system.

The product complies with European Union regulatory requirements and is distributed across multiple international markets. GNH India supplies Imipramine Crescent Pharma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to EU quality standards and rigorous manufacturing practices.

Manufacturer / TM Owner

Crescent Pharma Limited

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Indications & Clinical Uses

  • Imipramine is a tricyclic antidepressant that acts on mood‑regulating pathways and is used for several clinical conditions. It is prescribed when other first‑line agents are unsuitable or ineffective.
  • Depression: alleviates depressive symptoms by improving mood, energy levels, and sleep quality in adult patients.
  • Enuresis: reduces the frequency of nocturnal bedwetting, helping both children and adults achieve better nighttime continence.
  • Anxiety disorders: lessens anxiety, tension, and associated physical symptoms, supporting improved daily functioning.

How It Works

  • Imipramine blocks the reuptake of the neurotransmitters norepinephrine and serotonin at presynaptic neuronal membranes, increasing their concentration in the synaptic cleft. The elevated levels enhance neurotransmission in limbic and cortical pathways that regulate mood, pain perception, and autonomic functions. By also exhibiting weak antagonism at muscarinic, histamine H1, and α‑adrenergic receptors, it contributes to its therapeutic and side‑effect profile.

Side Effects

Imipramine may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Dry mouth
  • Constipation
  • Drowsiness or sedation
  • Blurred vision

Serious or Rare Side Effects

  • Cardiac arrhythmias (including QT prolongation)
  • Seizures
  • Agranulocytosis or other blood dyscrasias

Precautions & Warnings

  • When prescribing imipramine, several safety considerations should be observed.
  • Cardiac assessment: evaluate patient’s cardiac history and monitor ECG before initiating therapy.
  • Blood pressure monitoring: check blood pressure regularly, especially in patients prone to hypotension.
  • Discontinuation: avoid abrupt cessation; taper the dose under medical supervision to reduce withdrawal symptoms.
  • Elderly patients: use lower initial doses and monitor for anticholinergic effects.
  • Drug interactions: avoid concomitant use with monoamine oxidase inhibitors or other serotonergic agents.
  • Store at ambient temperature: keep below 25 °C, protect from moisture and light in the original packaging.

Avoid Interactions

Imipramine interacts with several drug classes; careful assessment is required.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of severe hypertensive crisis or serotonin syndrome.
  • Selective serotonin reuptake inhibitors (SSRIs) or serotonin‑norepinephrine reuptake inhibitors (SNRIs): may precipitate serotonin syndrome.
  • Strong anticholinergic antihistamines: can exacerbate anticholinergic toxicity.

Moderate Interactions (Monitor Closely)

  • CYP2D6 inhibitors (e.g., fluoxetine, quinidine): increase imipramine plasma levels, requiring dose adjustment.
  • CNS depressants (e.g., benzodiazepines, alcohol): may enhance sedation and drowsiness.
  • Diuretics or antihypertensives: may potentiate orthostatic hypotension.

Frequently Asked Questions

Imipramine Crescent Pharma contains the tricyclic antidepressant imipramine and is prescribed for major depressive disorder, nocturnal enuresis (bedwetting), and various anxiety disorders. It helps improve mood, reduce anxiety symptoms, and decrease the frequency of involuntary nighttime urination in both children and adults.

Imipramine works by inhibiting the reuptake of the neurotransmitters norepinephrine and serotonin at neuronal synapses. This inhibition raises the levels of these chemicals in the brain, enhancing neurotransmission in pathways that regulate mood, anxiety, and autonomic functions, which contributes to its therapeutic effects.

The appropriate dose of imipramine is individualized and must be determined by a qualified prescriber based on the patient’s condition, age, response to therapy, and tolerability. Physicians typically start with a low dose and adjust gradually, following clinical guidelines and monitoring for efficacy and safety.

Safety data for imipramine in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies the potential risk to the fetus or infant. Healthcare providers usually assess the risk‑benefit ratio and may consider alternative treatments for pregnant or nursing patients.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Imipramine Crescent Pharma. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Imipramine belongs to the tricyclic antidepressant class, which differs from newer agents such as SSRIs and SNRIs in its broader receptor profile, including anticholinergic and antihistaminic activity. While effective, tricyclics may have a higher incidence of certain side effects, making them a second‑line option when newer antidepressants are unsuitable or ineffective.

Store the product at ambient temperature, preferably below 25 °C, in its original packaging. Protect it from moisture, direct sunlight, and excessive heat. Keep the container tightly closed and out of reach of children to maintain product integrity.

Imipramine Crescent Pharma is taken orally, usually with a glass of water. It may be administered with or without food, but consistent timing each day helps maintain stable blood levels. Patients should follow the prescribing physician’s instructions regarding dose timing and any necessary dose adjustments.

Serious risks include cardiac arrhythmias, especially in patients with pre‑existing heart disease, seizures, and rare blood disorders such as agranulocytosis. Additionally, imipramine can contribute to serotonin syndrome when combined with other serotonergic agents. Prompt medical attention is required if any severe symptoms develop.

Imipramine is contraindicated in individuals with known hypersensitivity to the drug, recent use of monoamine oxidase inhibitors, or those with certain cardiac conditions that predispose them to arrhythmias. Caution is also advised for patients with uncontrolled glaucoma, severe liver disease, or a history of seizures.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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