What should I Know Regarding Pregnancy, Nursing and Administering Clomipramine HCL to Children or the Elderly?

If you are PREGNANT

  • Only When Necessary: REPORTS OF WITHDRAWAL SYMPTOMS (JITTERINESS, TREMOR, SEIZURES) IN NEONATES

If you are NURSING

  • Precaution: LIMITED DATA SUGGEST MINIMAL EXCRETION RESULTING IN NO ADV EFFECT ON INFANT

If you are an adult over 60

  • management or monitoring precaution: Neuro/Psych-Anticholinergic effects may cause sedation, worsen cognitive impairment and increase fall risk. Cardiovascular-May cause orthostatic hypotension at higher doses. Gastrointestinal-May cause or worsen pre-existing constipation. Genitourinary-Best avoided in patients with urinary retention from any cause.

Giving Clomipramine HCL to a child under 12

  • Severe Precaution: Possible increased suicidal ideation and attempt with underlying major depression. Unknown long term effects on growth.
  • Severe Precaution: Unknown long term effects on growth. Possible increased suicidal ideation and attempt with underlying major depression. No safety and efficacy.