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Clomipramine HCl 10 mg Oral Troches

FDA-approved generic
Dose form
Troches
Active ingredients
Clomipramine Hydrochloride

Clomipramine HCl 10 mg Oral Troches are square-shaped solid dosage forms that are designed to dissolve slowly in the mouth. The medication is absorbed through the oral mucosa, providing targeted local or systemic effects. This formulation is primarily used to treat obsessive-compulsive disorder (OCD), panic disorder, depression, and chronic pain. The slow dissolution and absorption of the medication allow for a controlled release, which can provide more consistent relief from these conditions.

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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.
Starting at
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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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
Troches
653eb440222af517d4325c78
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Clomipramine HCl 10 mg Oral Troches are square-shaped solid dosage forms that are designed to dissolve slowly in the mouth. The medication is delivered through absorption by the oral mucosa, which allows for targeted local or systemic effects. This formulation is particularly beneficial for patients who have difficulty swallowing pills or for those who require a medication that can be absorbed directly into the bloodstream through the oral mucosa.

Clomipramine HCl 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 regulate mood and behavior. By delivering the medication in the form of an oral troche, the medication can be absorbed directly into the bloodstream, bypassing the digestive system and providing faster relief from symptoms.

It's important for patients to understand that while Clomipramine HCl can help reduce the symptoms of OCD, it is not a cure for the condition. Treatment should be part of a comprehensive management plan that may include other medications, psychotherapy, and lifestyle changes. Patients should also be aware of potential side effects, which may include dry mouth, constipation, nausea, and drowsiness. If any of these side effects persist or worsen, patients should contact their healthcare provider immediately.

For prescribers, it's important to note that Clomipramine HCl should be used with caution in patients with a history of heart disease, seizures, or glaucoma. It can also interact with certain other medications, so a complete medication history should be obtained before starting treatment. Regular monitoring of patient's response to the medication and adjustment of the dose as necessary is also recommended.

If you have any questions about Clomipramine HCl 10 mg Oral Troches, please don't hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is always here to help.

Drug Interactions

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Clomipramine HCl 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, Clomipramine HCl can interact with other drugs, which can alter how the medication works or increase the risk of side effects.

Clomipramine HCl should not be used with monoamine oxidase inhibitors (MAOIs) or within 14 days of stopping treatment with an MAOI. Combining these medications can lead to a potentially life-threatening condition called serotonin syndrome. Symptoms of serotonin syndrome include agitation, hallucinations, rapid heartbeat, fever, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, and fainting.

Other medications that can interact with Clomipramine HCl include selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and other tricyclic antidepressants (TCAs). These medications can increase the risk of serotonin syndrome. Additionally, certain antifungal medications, such as fluconazole and terbinafine, can increase the levels of Clomipramine HCl in the body, potentially leading to increased side effects.

Clomipramine HCl can also interact with certain heart medications, such as beta-blockers and calcium channel blockers. These interactions can lead to an irregular heartbeat or other heart-related side effects. Additionally, certain medications used to treat seizures, such as phenytoin and carbamazepine, can decrease the effectiveness of Clomipramine HCl.

It's important to note that this is not a complete list of potential drug interactions. Other medications, including over-the-counter drugs, vitamins, and herbal supplements, can also interact with Clomipramine HCl. Therefore, it's crucial for patients to inform their healthcare provider of all the medications they are currently taking.

Patients should also avoid consuming alcohol while taking Clomipramine HCl, as it can increase the risk of side effects, such as drowsiness, dizziness, and difficulty concentrating. In some cases, it can also increase the risk of serious side effects, such as severe drowsiness, confusion, and difficulty breathing.

It's also important for patients to inform their healthcare provider if they have any medical conditions, such as heart disease, liver disease, kidney disease, or a history of seizures, as these conditions can affect how Clomipramine HCl is metabolized in the body.

If you have any questions about Clomipramine HCl or its potential drug interactions, please don't hesitate to reach out to us.

How Does it Work

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Clomipramine HCl 10 mg Oral Troches are square-shaped solid dosage forms that are designed to dissolve slowly in the mouth. The active ingredient, Clomipramine HCl, is a tricyclic antidepressant (TCA) that works by restoring the balance of certain natural substances (neurotransmitters such as serotonin) in the brain. This medication is absorbed through the oral mucosa, which is the mucus membrane lining the mouth. This method of delivery allows for a more direct absorption into the bloodstream, bypassing the digestive system and potentially reducing side effects.

Once absorbed, Clomipramine HCl works by inhibiting the reuptake of serotonin and norepinephrine, two neurotransmitters in the brain. This results in an increase in the concentration of these neurotransmitters in the synaptic cleft (the space between neurons), which enhances neurotransmission (communication between neurons). This action is believed to be responsible for the medication's mood-lifting effects.

Clomipramine HCl 10 mg Oral Troches are used to treat a variety of disease states. They are most commonly used to treat obsessive-compulsive disorder (OCD), a condition characterized by unwanted thoughts or obsessions and repetitive behaviors or compulsions. By increasing the levels of serotonin in the brain, Clomipramine HCl can help reduce the symptoms of OCD. This medication may also be used to treat depression, panic disorder, and certain types of chronic pain.

It's important to note that the effects of Clomipramine HCl may not be immediate. It may take a few weeks of consistent use before the full benefits of this medication are felt. As with any medication, it's important to take Clomipramine HCl as directed by your healthcare provider. Do not increase your dose or take this medication more often than prescribed. Your condition will not improve any faster, and the risk of serious side effects may increase.

If you have any questions about Clomipramine HCl 10 mg Oral Troches, please don't hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is here to help you understand your medication and how it works. We can provide information on proper usage, potential side effects, and what to expect while taking this medication.

Frequently Asked Questions

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What is the Clomipramine HCl 10 mg Oral Troche?

Clomipramine HCl 10 mg Oral Troche is a square-shaped solid dosage form. It is designed to dissolve slowly in the mouth and deliver medication through the oral mucosal absorption for either local or systemic effect.

How does Clomipramine HCl Oral Troche work?

The troche dissolves slowly in the mouth and the medication is absorbed into the body through the oral mucosal tissue. This enables the medication to act both locally and systemically.

How should Clomipramine HCl Oral Troches be stored?

Just like most medications, Clomipramine HCl Oral Troche should be stored in a cool, dry place away from light and out of the reach of children.

How should I take Clomipramine HCl Oral Troches?

The troche should be placed in the mouth where it will slowly dissolve. It should not be chewed or swallowed whole. For exact dosing instructions, you should consult with your healthcare provider.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Can I drink or eat while the troche is in my mouth?

It is generally advised that you do not eat or drink while the troche is in your mouth to allow for maximum absorption of the medication.

Are there any side effects of Clomipramine HCl Oral Troche?

All medications can have side effects, although not everyone gets them. Possible side effects may include dry mouth, nausea, and fatigue. If you notice any side effects, contact your healthcare provider immediately.

Who should not use Clomipramine HCl Oral Troches?

Individuals who are allergic to Clomipramine HCl, or any ingredient in the formulation, should avoid using the medication. Always disclose your full medical history to your healthcare provider before the use of any new medication.

Can I use Clomipramine HCl Oral Troches while pregnant or breastfeeding?

If you are pregnant, planning to become pregnant, or breastfeeding, consult your healthcare provider before using Clomipramine HCl Oral Troches. Your healthcare provider will weigh the potential benefits against the potential risks before considering the right course of action.

Does Clomipramine HCl Oral Troche interact with any other drugs?

Clomipramine HCl can interact with certain other drugs. Always discuss with your healthcare provider about all the medications, supplements, or herbs you are currently taking before starting Clomipramine HCl Oral Troches.

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.

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 10 mg Oral Troches
Troches
90 troches
controlled

Place 1 troche between cheek and gum and let slowly dissolve

Once daily