Product image of Melipramin (Imipramine Hydrochloride) supplied by GNH India

Melipramin

Active Ingredient:
Imipramine Hydrochloride
Origin:
EU

Melipramin (Imipramine Hydrochloride)

Imipramine Hydrochloride, the active ingredient in Melipramin, is a tricyclic antidepressant presented as an oral tablet for oral use. It treats major depressive disorder and related conditions in adults.

GNH India supplies Melipramin as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Egis Pharmaceuticals Plc

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Indications & Clinical Uses

Imipramine Hydrochloride is a tricyclic antidepressant that modulates monoamine neurotransmission and is indicated for several psychiatric and urological conditions.

  • Major depressive disorder: alleviates depressive symptoms and improves mood.
  • Depressive episodes: reduces severity and duration of episodic depression.
  • Panic disorder: decreases frequency and intensity of panic attacks.
  • Enuresis: helps control nighttime urinary leakage in children.

How It Works

  • Imipramine Hydrochloride blocks the reuptake of norepinephrine and serotonin at neuronal synapses, increasing their extracellular concentrations. This elevation enhances neurotransmission in limbic and cortical pathways, contributing to mood elevation and anxiolytic effects. The drug also possesses anticholinergic and antihistaminic activity, which influences additional physiological responses.

Side Effects

Imipramine Hydrochloride may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Dry mouth: reduced salivation leading to discomfort.
  • Constipation: slowed gastrointestinal motility.
  • Drowsiness: increased sedation or fatigue.
  • Weight gain: increased appetite and body weight.

Serious or Rare Side Effects

  • Cardiac arrhythmia: irregular heart rhythm, potentially life‑threatening.
  • Seizures: risk of convulsive episodes.
  • Severe hypotension: marked drop in blood pressure.
  • Agranulocytosis: dangerous reduction in white blood cells.

Precautions & Warnings

When prescribing Imipramine Hydrochloride, several precautions should be observed to ensure patient safety.

  • Cardiac assessment: evaluate history of heart disease before initiation.
  • Suicidal monitoring: watch for emergence or worsening of suicidal thoughts.
  • Discontinuation: avoid abrupt cessation to prevent withdrawal symptoms.
  • Elderly use: start at low dose and monitor for anticholinergic effects.
  • Hepatic impairment: adjust dose in patients with liver dysfunction.
  • Store at below 25°C: keep in the original packaging, protect from moisture.

Avoid Interactions

Imipramine Hydrochloride interacts with several drug classes; awareness of these interactions helps prevent adverse outcomes.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors: risk of severe hypertensive crisis.
  • Selective serotonin reuptake inhibitors: increased serotonin syndrome risk.
  • Linezolid: potential for serotonin syndrome.

Moderate Interactions (Monitor Closely)

  • Anticholinergic agents: additive anticholinergic side effects.
  • CNS depressants: enhanced sedation and drowsiness.
  • CYP2D6 inhibitors: may raise imipramine plasma levels.

Frequently Asked Questions

Melipramin, containing imipramine hydrochloride, is prescribed for major depressive disorder, depressive episodes, panic disorder, and nocturnal enuresis. It belongs to the tricyclic antidepressant class and works by influencing neurotransmitter levels to improve mood and reduce anxiety or urinary leakage in appropriate patients.

Imipramine Hydrochloride inhibits the reuptake of norepinephrine and serotonin in the central nervous system, raising their synaptic concentrations. This enhanced neurotransmission in mood‑regulating pathways helps alleviate depressive symptoms and anxiety, while its anticholinergic properties also contribute to its effect on bladder control.

The exact dosage of Melipramin is individualized by the prescribing clinician based on the patient’s diagnosis, severity of symptoms, age, renal and hepatic function, and response to therapy. No standard dose is provided here; the prescriber will decide the appropriate regimen.

Safety data for imipramine during pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies any possible risk to the fetus or infant. Healthcare providers should discuss individual circumstances and consider alternative therapies when appropriate.

To request Melipramin, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. 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.

Melipramin (imipramine) is a tricyclic antidepressant, differing from newer agents such as SSRIs or SNRIs in its broader receptor profile, which includes anticholinergic and antihistaminic activity. This can lead to a distinct side‑effect spectrum but may be advantageous in patients who do not respond to newer classes.

Melipramin should be stored at temperatures below 25 °C, in its original packaging, and protected from moisture and direct sunlight. Keep the product out of reach of children and avoid exposure to excessive heat or humidity to maintain its stability.

Melipramin is taken orally, usually as a tablet, with or without food as directed by the prescriber. Swallow the tablet whole with a glass of water; do not crush or chew unless specifically instructed. Follow the dosing schedule provided by the healthcare professional.

Serious risks include cardiac arrhythmias, especially in patients with pre‑existing heart disease, seizures, severe hypotension, and rare blood disorders such as agranulocytosis. Prompt medical attention is required if symptoms like palpitations, fainting, uncontrolled seizures, or signs of infection appear.

Melipramin is contraindicated in individuals with known hypersensitivity to imipramine or other tricyclic antidepressants, recent use of monoamine oxidase inhibitors, and patients with uncontrolled narrow‑angle glaucoma. Caution is also advised for those with severe cardiac disease, recent myocardial infarction, or significant hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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