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Clomipramine HCl 0.5% Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Clomipramine Hydrochloride

Clomipramine HCl 0.5% Oral Liquid is a specially formulated medication designed for oral administration. This liquid formulation ensures accurate delivery of the medication and is particularly beneficial for individuals who find swallowing solid dosage forms challenging, such as pediatric and geriatric populations. Clomipramine HCl is primarily used to treat obsessive-compulsive disorder (OCD), panic disorder, depression, and certain types of chronic pain. The convenience and ease of ingestion of this oral liquid formulation make it an ideal choice for these patient groups.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Clomipramine Hydrochloride
Oral Liquid
653f2985064f6b44c2c597c3

Formula Information

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Clomipramine HCl 0.5% Oral Liquid is a specially formulated medication designed for oral administration. This formulation is particularly beneficial for patients who find it difficult to swallow solid dosage forms, such as tablets or capsules. It is also a preferred choice for pediatric and geriatric populations who may have difficulty with traditional dosage forms. The liquid formulation allows for precise dosing and easy ingestion, ensuring the patient receives the correct amount of medication for their treatment.

Clomipramine HCl is a tricyclic antidepressant (TCA) that works by increasing the levels of certain chemicals in the brain that help regulate mood. It is primarily used to treat obsessive-compulsive disorder (OCD), but can also be used in the treatment of panic disorder, depression, and chronic pain conditions. The medication works by restoring the balance of serotonin, a natural substance in the brain, which helps to decrease the urge to perform repeated tasks (compulsions) that interfere with daily living.

It's important for patients to understand that this medication may take 2 to 3 weeks to start having an effect and it must be taken regularly to maintain its benefit. Side effects can include dry mouth, constipation, loss of appetite, tiredness, weight changes, increased sweating, or changes in sexual desire or ability. If any of these effects persist or worsen, patients should inform their doctor or pharmacist promptly.

For prescribers, it's crucial to monitor the patient's progress, especially during the first few months of therapy. Patients should be observed for clinical worsening, suicidality, and unusual changes in behavior, especially during the initial few months of a course of drug therapy, or at times of dose changes. It's also important to consider the potential interaction with other drugs the patient may be taking, as Clomipramine HCl can interact with many medications.

If you have any questions about this formulation, or need further information, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to assist you.

Drug Interactions

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Clomipramine HCl 0.5% Oral Liquid is a tricyclic antidepressant (TCA) that is primarily used to treat obsessive-compulsive disorder (OCD). It works by increasing the levels of certain chemicals in the brain that help elevate mood. However, like all medications, it can interact with other drugs, potentially altering their effects or increasing the risk of adverse reactions.

One of the most significant interactions is with monoamine oxidase inhibitors (MAOIs). Combining these two types of medications can lead to a potentially life-threatening condition called serotonin syndrome, characterized by symptoms such as agitation, hallucinations, rapid heartbeat, fever, and loss of coordination. Therefore, it is crucial to avoid taking MAOIs within two weeks of starting or stopping clomipramine.

Clomipramine can also interact with other types of antidepressants, including selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs). These combinations can also increase the risk of serotonin syndrome. Additionally, combining clomipramine with other TCAs can lead to an additive effect, potentially increasing the risk of side effects such as dry mouth, blurred vision, constipation, and urinary retention.

Other medications that can interact with clomipramine include anticholinergic drugs, which can increase the risk of side effects, and certain antifungal medications, which can increase the levels of clomipramine in the body, potentially leading to toxicity. Furthermore, clomipramine can interact with certain heart medications, potentially leading to irregular heart rhythms.

It's also important to note that clomipramine can interact with certain foods and beverages. For example, consuming alcohol while taking clomipramine can increase the risk of drowsiness and other side effects. Grapefruit and grapefruit juice can also interact with clomipramine, potentially increasing the levels of the medication in the body and leading to increased side effects.

Patients should always inform their healthcare provider of all medications, supplements, and herbal products they are currently taking to avoid potential drug interactions. Similarly, prescribers should carefully consider the potential for drug interactions when prescribing clomipramine, particularly in patients who are already on multiple medications.

If you have any questions about the potential interactions of Clomipramine HCl 0.5% Oral Liquid, please do not hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is always here to help.

How Does it Work

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Clomipramine HCl 0.5% Oral Liquid is a specially formulated medication that is designed to be taken orally. It is a tricyclic antidepressant (TCA) that works by restoring the balance of certain natural substances (neurotransmitters such as serotonin) in the brain.

The active ingredient, Clomipramine HCl, is absorbed in the gastrointestinal tract and then metabolized in the liver. It works by inhibiting the reuptake of serotonin and norepinephrine, two neurotransmitters in the brain. By blocking their reuptake, Clomipramine HCl increases the levels of these neurotransmitters in the brain, which helps to reduce the symptoms of OCD.

As a liquid formulation, Clomipramine HCl 0.5% Oral Liquid is particularly beneficial for patients who have difficulty swallowing pills, such as children or the elderly. The liquid form allows for easy ingestion and accurate dosing. It is also beneficial for patients who need to adjust their dose, as the liquid form allows for more precise adjustments than a pill.

It's important to note that while Clomipramine HCl 0.5% Oral Liquid can help manage the symptoms of OCD, it is not a cure for the condition. It should be used as part of a comprehensive treatment plan that may include other medications, psychotherapy, and lifestyle changes. As with any medication, it's important to discuss potential side effects and interactions with your healthcare provider.

If you have any questions about Clomipramine HCl 0.5% Oral Liquid, or if you would like more information about how it works, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Other Uses

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Clomipramine HCl 0.5% oral liquid, apart from its marketed use, may also find utility in several off-label conditions. Its psychopharmacological properties have been found useful in managing certain psychiatric disorders. For instance, several clinical studies have evidenced clomipramine's efficacy in conditions such as obsessive-compulsive disorders (OCD), panic disorder, and certain depressive states. It can also be employed in managing some anxiety disorders. Furthermore, this compound has shown promise in the treatment of nocturnal enuresis (bedwetting) in children.

Due to its pharmacological profile, clomipramine may also be useful as an adjunct in pain management. Its tricyclic-antidepressant properties may prove useful in reducing certain manifestations of neuropathic pain. Although the exact mechanism of this analgesic effect is yet to be unequivocally understood, it is currently attributed to its ability to raise the pain threshold. Note, however, that each of these off-label applications should be thoroughly evaluated on a case-by-case basis, taking into account such factors as patient history, coadministration of other drugs and potential onset of side-effects.

Clomipramine HCl 0.5% oral liquid's pharmacological characteristics also make it a potent candidate for use in veterinary medicine. In particular, its role in managing separation anxiety and obsessive-compulsive disorders in dogs has been recognized. Its substantial therapeutic action, coupled with the ease of administration associated with the liquid dose form, could facilitate medication adherence. However, due to potential toxicity in certain species (notably, cats), the use of this compound in veterinary applications should always be overseen by a veterinary professional.

In conclusion, while the Clomipramine HCl 0.5% oral liquid has a wide array of potential applications, these should be closely evaluated by healthcare or veterinary professionals to ensure patient safety and optimal therapeutic outcome. For any questions and further information on this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists stands ready to aid with expertise and knowledge.

Frequently Asked Questions

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What is Clomipramine HCl 0.5% Oral Liquid?

This is a specially compounded liquid form of Clomipramine HCl intended for oral administration. This format allows for accurate dosage delivery and is human-friendly, particularly for the pediatric and geriatric populations or those with difficulty swallowing solid dosage forms.

Who is this liquid medication intended for?

While it can be used by anyone prescribed it by a healthcare provider, this format is particularly useful for those who find swallowing solid dosage forms challenging. This includes children (pediatric patients), older adults (geriatric population), and anyone with swallowing difficulties.

How is Clomipramine HCl 0.5% Oral Liquid used?

This medication is administered orally, based on the dose instructed by your healthcare professional. The liquid format allows for easy ingestion and accurate dosage delivery.

What are the benefits of the liquid form of Clomipramine HCl?

The liquid form allows for easier dosage administration, especially for those unable to swallow solid dosage forms. It allows for the delivery of accurate dosages, reducing the risk of under-dosing or overdosing. Also, it may provide improved gastrointestinal absorption, leading to a more predictable therapeutic response.

Can Clomipramine HCl Oral Liquid 0.5% be used for different age groups?

Yes, this medication can be used for patients of various age groups, including pediatric and geriatric populations, based on the prescription and recommendation of a healthcare professional.

What makes Clomipramine HCl Oral Liquid 0.5% different from other common dosage forms?

The primary difference lies in the convenience of administration. Some patients may find it challenging to swallow pills or tablets. The liquid form this medication comes in makes it a more accessible option for such individuals.

Will the effectiveness of the medication differ between liquid form and solid form?

When dosed correctly, the effectiveness of the medication will remain the same regardless of the form. However, the liquid form may ensure better absorption in the gastrointestinal tract.

Is it safe to use Clomipramine HCl 0.5% Oral Liquid with other medications?

As with any medication, it's important to inform your healthcare provider of all other medications you'll be taking concurrently. This is to prevent potential interactions and ensure the safety and effectiveness of your treatment plan.

How do I store Clomipramine HCl 0.5% Oral Liquid?

Store this medication at room temperature, away from direct heat and light. Consult the label or your pharmacist for more detailed information on storage conditions.

What if I miss a dose of Clomipramine HCl 0.5% Oral Liquid?

If you miss a dose, take it as soon as you remember. If it’s close to the time of your next dose, skip the missed dose and continue with your regular dosing schedule. Never double dose to make up for a missed one. If you’re unsure, consult with your healthcare provider.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Clomipramine HCl 0.5% Oral Liquid
Oral Liquid
controlled

Take orally