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Pinor (Brand name: Tofranil)

  • $0.50
  • Brand name: Tofranil
  • Availability: In Stock
  • Active Ingredient Imipramine
Pinor is used for treating depression.
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75 mg
Product name Per Pill Per Pack  
30 pills $1.18 $35.33
60 pills $0.98 $70.65 $59.09
90 pills $0.92 $105.98 $82.85
120 pills $0.89 $141.30 $106.62
180 pills $0.86 $211.95 $154.15
270 pills $0.84 $317.93 $225.45
360 pills $0.82 $423.90 $296.75
50 mg
Product name Per Pill Per Pack  
30 pills $1.13 $33.98
60 pills $0.95 $67.95 $57.20
90 pills $0.89 $101.93 $80.42
120 pills $0.86 $135.90 $103.66
180 pills $0.83 $203.85 $150.10
270 pills $0.81 $305.78 $219.78
360 pills $0.80 $407.70 $289.48
25 mg
Product name Per Pill Per Pack  
60 pills $0.66 $39.73
90 pills $0.60 $59.60 $53.87
120 pills $0.57 $79.46 $68.02
180 pills $0.54 $119.20 $96.32
270 pills $0.51 $178.79 $138.75
360 pills $0.50 $238.39 $181.19

INDICATIONS

Pinor (Imipramine) is in a group of drugs called tricyclic antidepressants. Imipramine affects chemicals in the brain that may become unbalanced.
It is used to treat symptoms of depression.
This medicine may also be used for purposes other than those listed in this medication guide.

INSTRUCTIONS  

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Follow the directions on your prescription label.
If you need to have any type of surgery, tell the surgeon ahead of time that you are taking imipramine. You may need to stop using the medicine for a short time.
Do not stop using imipramine without first talking to your doctor. You may need to use less and less before you stop the medication completely. Stopping this medication suddenly could cause you to have unpleasant side effects. It may take up to 3 weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 3 weeks of treatment.

If you missed the dose take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of imipramine can be fatal.
Symptoms of an imipramine overdose may include uneven heartbeats, extreme drowsiness, agitation, vomiting, blurred vision, sweating, muscle stiffness, swelling, shortness of breath, blue lips or fingernails, feeling light-headed, fainting, seizure (convulsions), or coma.

DOSAGE 

Take this medicine as prescribed by your doctor.

STORAGE 

Store imipramine at room temperature away from moisture and heat.

MORE INFO:

Active Ingredient: Imipramine

Pinor is a tricyclic antidepressant. It works by increasing the activity of certain chemicals in the brain that help elevate mood.

SAFETY INFORMATION

Do not use Pinor if:

you are allergic to any ingredient in Pinor;

you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (e.g., phenelzine) within the last 14 days, or if you are taking astemizole, droperidol, or terfenadine.

you are recovering from a recent heart attack.
Contact your doctor or health care provider right away if any of these apply to you.

Some medical conditions may interact with Pinor . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding

if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

if you have allergies to medicines, foods, or other substances

if you drink alcohol-containing beverages daily or you have a history of alcohol abuse

if you take thyroid medicine or you have a history of overactive thyroid, glaucoma, heart problems, kidney or liver problems, diabetes, seizures, the blood disease porphyria, or difficulty urinating

if you have a history of suicidal thoughts or behavior, bipolar disorder, or any other mental disorders; you are undergoing electroshock therapy; or you are scheduled to have any surgery.


Some MEDICINES MAY INTERACT with Pinor . Tell your health care provider if you are taking any other medicines, especially any of the following:

Azole antifungals (eg, fluconazole), cimetidine, duloxetine, flecainide, methylphenidate, mibefradil, phenothiazines (eg, chlorpromazine), propafenone, quinidine, selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), or terbinafine because they may increase the risk of Pinor 's side effects

Arsenic, astemizole, droperidol, furazolidone, MAOIs (eg, phenelzine), pimozide, streptogramins (eg, dalfopristin), terfenadine, or tramadol because the risk of high blood pressure, serious heart problems (eg, irregular heartbeat), or seizures may be increased

Barbiturates (eg, phenobarbital) or phenytoin because they may decrease Pinor 's effectiveness

Anticholinergics (eg, benztropine), carbamazepine, or sympathomimetics (eg, phenylephrine) because the risk of their side effects may be increased by Pinor

Clonidine, guanethidine, or guanfacine because their effectiveness may be decreased by Pinor

SIDE EFFECTS

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:

fast, pounding, or uneven heart rate;

chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;

sudden numbness or weakness, especially on one side of the body;

sudden headache, confusion, problems with vision, speech, or balance;

feeling short of breath, even with mild exertion;

swelling, rapid weight gain;

confusion, hallucinations, or seizure (convulsions);

easy bruising or bleeding, unusual weakness;

restless muscle movements in your eyes, tongue, jaw, or neck;

urinating more or less than usual;

extreme thirst with headache, nausea, vomiting, and weakness;

skin rash, bruising, severe tingling, numbness, pain, or muscle weakness.

Less serious side effects may be more likely to occur, such as:

nausea, vomiting, stomach pain, loss of appetite;

constipation or diarrhea;

dry mouth, unpleasant taste;

weight changes;

weakness, lack of coordination;

feeling dizzy, drowsy, or tired;

nightmares;

blurred vision, headache, ringing in your ears;

breast swelling (in men or women); or

decreased sex drive, impotence, or difficulty having an orgasm.

Pinor is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.

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Type Small Molecule
Accession Number DB00458  (APRD00672, DB08002)
Groups Approved
Synonyms
  • 10,11-dihydro-N,N-Dimethyl-5H-dibenz[b,F]azepine-5-propanamine
  • 3-(5H-DIBENZO[b,F]azepin-5-yl)-N,N-dimethylpropan-1-amine
  • 5-[3-(dimethylamino)Propyl]-10,11-dihydro-5H-dibenz[b,F]azepine
  • Antideprin
  • Imipramin
  • Imipramine
  • Imipraminum
  • Imizine
  • Irmin
  • Melipramine
  • N-(gamma-Dimethylaminopropyl)iminodibenzyl
  • N-(γ-dimethylaminopropyl)iminodibenzyl
UNII OGG85SX4E4
CAS number 50-49-7
Weight Average: 280.4073
Monoisotopic: 280.193948778
Chemical Formula C19H24N2
InChI
InChI=1S/C19H24N2/c1-20(2)14-7-15-21-18-10-5-3-8-16(18)12-13-17-9-4-6-11-19(17)21/h3-6,8-11H,7,12-15H2,1-2H3
IUPAC Name
(3-{2-azatricyclo[9.4.0.0³,⁸]pentadeca-1(15),3,5,7,11,13-hexaen-2-yl}propyl)dimethylamine
Protein binding

Imipramine is 60-96% bound to plasma proteins in circulation [3]. It is known to bind albumin, α1-acid glycoprotein, and lipoproteins.

Toxicity

The anticholinergic actvity of imipramine can produce dry mucous membranes, blurred vision, increased intraocular pressure, hyperthermia, constipation, adynamic ileus, urinary retention, delayed micturition, and dilation of the urinary tract [16].

Central nervous system and neuromuscular effects include drowsiness, lethargy, fatigue, agitation, excitement, nightmares, restlessness, insomnia, confusion, disturbed concentration, disorientation, delusions, and hallucinations.

Effects on the GI tract include anorexia, nausea and vomiting, diarrhea, abdominal cramps, increases in pancreatic enzymes, epigastric distress, stomatitis, peculiar taste, and black tongue.

Rarely agranulocytosis, thrombocytopenia, eosinophilia, leukopenia, and purpura have occured.

Infants whose mothers were receiving tricyclic antidepressants prior to delivery have experienced cardiac problems, irritability, respiratory distress, muscle spasms, seizures, and urinary retention.

Serotonin syndrome can occur when used in conjunction with other pro-serotonergic drugs.

LD50 Values

Rat - Oral 250 mg/kg - Intraperitoneal 79mg/kg - Subcutaneous 250 mg/kg - Intravenous 15.9 mg/kg

Mouse - Oral 188 mg/kg - Intraperitoneal 51.6 mg/kg - Subcutaneous 195 μg/kg - Intravenous 21 mg/kg

Human range of toxicity is considered to include single dosages greater than 5 mg/kg.

Half life

Imipramine has a mean half life of 12 h. Its active metabolite, desipramine has a mean half life of 22.5 h [3].

Delivery is an important issue, when it comes to online shopping. Our platform is customer-oriented, so we are constantly working on expansion of delivery destinations. It features an international shipping option, which lets customers from all around the world get quality and effective remedies fast. Also delivery is available to many cities in Algeria, including the following:

  • Algiers
  • Oran
  • Constantine
  • Annaba
  • Blida
  • Batna
  • Djelfa
  • Sétif
  • Sidi Bel Abbès
  • Biskra
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  • El Oued
  • Skikda
  • Tiaret
  • Béjaïa
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  • Ouargla
  • Béchar
  • Mostaganem
  • Bordj Bou Arréridj
  • Chlef
  • Souk Ahras
  • Médéa
  • El Eulma
  • Touggourt
  • Ghardaïa
  • Saïda
  • Laghouat
  • M'Sila
  • Jijel
  • Relizane
  • Guelma
  • Aïn Béïda
  • Khenchela
  • Bousaada
  • Mascara
  • Tindouf
  • Tizi Ouzou