IMIPRAMINE HYDROCHLORIDE- imipramine hydrochloride tablet, film coated 
Advanced Rx Pharmacy of Tennessee, LLC


Medication Guide

Antidepressant Medicines, Depression and other Serious Mental Illnesses, and Suicidal Thoughts or Actions

Dispense with Medication Guide

Read the Medication Guide that comes with your or your family member’s antidepressant medicine. This Medication Guide is only about the risk of suicidal thoughts and actions with antidepressant medicines. Talk to your family member’s, or your healthcare provider about:

What is the most important information I should know about antidepressant medicines, depression and other serious mental illnesses, and suicidal thoughts or actions?

  1. Antidepressant medicines may increase suicidal thoughts or actions in some children, teenagers, and young adults within the first few months of treatment.
  2. Depression and other serious mental Illnesses are the most important causes of suicidal thoughts and actions. Some people may have a particularly high risk of having suicidal thoughts or actions. These include people who have (or have a family history of) bipolar illness (also ca led manic- depressive illness) or suicidal thoughts or actions.
  3. How can I watch for and try to prevent suicidal thoughts and actions in myself or a family member?

Call a healthcare provider right away if you or your family member has any of the following symptoms, especially if they are new, worse, or worry you:

Thoughts about suicide or Dying new or worse irritability
Attempts to commit suicide acting aggressive, being angry or violent
new or worse depression acting on dangerous impulses
new or worse anxiety

an extreme increase in activity and talking (mania)

feeling very agitated or restless

other unusual changes in behavior or mood
panic attacks

Visual problems: eye pain, changes in vision, swelling or redness in or around the eye

trouble sleeping (insomnia)

Who should not take imipramine hydrochloride tablets?
Do not take imipramine hydrochloride tablets if you:
take a monoamine oxidase inhibitor (MAOI). Ask your healthcare provider or pharmacist if you are not sure if you take an MAOI, including the antibiotic linezolid.
Do not take an MAOI within 2 weeks of stopping imipramine hydrochloride unless directed to do so by your physician.
Do not start imipramine hydrochloride if you stopped taking an MAOI in the last 2 weeks unless directed to do so by your physician.
What else do I need to know about antidepressant medicines?
Never stop an antidepressant medicine without first talking to a healthcare provider. Stopping an antidepressant medicine suddenly can cause other symptoms.
Visual problems: Only some people are at risk for these problems. You may want to undergo an eye examination to see if you are at risk and receive preventative treatment if you are.
Antidepressants are medicines used to treat depression and other illnesses. It is important to discuss a l the risks of treating depression and also the risks of not treating it. Patients and their families or other caregivers should discuss all treatment choices with the healthcare provider, not just the use of antidepressants.
Antidepressant medicines have other side effects. Talk to the healthcare provider about the side effects of the medicine prescribed for you or your family member.
Antidepressant medicines can interact with other medicines. Know a l of the medicines that you or your family member takes. Keep a list of a l medicines to show the healthcare provider. Do not start new medicines without first checking with your healthcare provider.
Not a l antidepressant medicines prescribed for children are FDA approved for use in children. Talk to your child’s healthcare provider for more information.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800- FDA-1088.
This Medication Guide has been approved by the U.S. Food and Drug Administration for all antidepressants.
Manufactured For:
Key Therapeutics, LLC
Flowood, MS 39232

Distributed by:
Advanced Rx Pharmacy of Tennessee, LLC
Rev 01

Revised: 6/2023
Advanced Rx Pharmacy of Tennessee, LLC