
Clomipramine, marketed under the brand name Anafranil, is a medication primarily used to treat obsessive-compulsive disorder (OCD). It belongs to a class of drugs known as tricyclic antidepressants (TCAs) and works by increasing the levels of serotonin and norepinephrine in the brain, which help regulate mood. While Anafranil can be effective in managing OCD symptoms, it is important to be aware of its potential side effects, which can vary among individuals. One of the reported side effects of Anafranil is muscle twitching, and it has been found to be more prevalent in individuals who are female and over 60 years old. However, it is crucial to note that the occurrence of muscle twitching in association with Anafranil does not establish a cause-and-effect relationship, and further medical consultation is advised.
| Characteristics | Values |
|---|---|
| What is Anafranil used for? | Treatment of obsessive-compulsive disorder (OCD) |
| Anafranil's active ingredient | Clomipramine |
| Clomipramine's effects | Antidepressant, increases serotonin and norepinephrine in the brain |
| Side effects | Dizziness, drowsiness, poor concentration, unusual dreams, trouble sleeping, agitation, irritability, abnormal behaviour, suicidal thoughts, increased energy, reckless behaviour, nervousness, mania, heart rhythm changes, low sodium levels, serotonin syndrome, neuroleptic malignant syndrome, muscle twitching, etc. |
| Overdose symptoms | Irregular heartbeats, restlessness, agitation, confusion, severe sweating, slow or jerky muscle movements, extreme drowsiness, slow breathing, feeling faint, seizure, coma |
| Precautions | Do not use if you've had a recent heart attack, used an MAO inhibitor in the past 14 days, are allergic to antidepressants, or are pregnant/breastfeeding |
| Interactions | Stimulant medicine, opioid medicine, herbal products, medicine for depression, mental illness, Parkinson's, migraines, serious infections, nausea/vomiting prevention, alcohol |
| Anafranil and muscle twitching | Muscle twitching is found among people who take Anafranil, especially females over 60 |
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What You'll Learn
- Anafranil is the brand name for clomipramine, an antidepressant medication used to treat obsessive-compulsive disorder (OCD)
- Muscle twitching is a known side effect of Anafranil, especially in females over 60
- Anafranil may cause serotonin syndrome, a life-threatening condition with symptoms like agitation, dizziness, and muscle twitching
- Anafranil may also cause low sodium levels (hyponatremia), leading to drowsiness, muscle weakness, and nausea
- Anafranil has various other side effects, including allergic reactions, increased eye pressure, and heart rhythm changes

Anafranil is the brand name for clomipramine, an antidepressant medication used to treat obsessive-compulsive disorder (OCD)
Clomipramine works by increasing the amount of serotonin and norepinephrine in the brain, which are substances that help regulate mood. It does this by blocking the reuptake of serotonin and norepinephrine, thereby prolonging their activity and enhancing communication between nerve cells. This helps to reduce symptoms of depression and anxiety and lessen the intensity and frequency of obsessions and compulsions in people with OCD. The typical dose range for adults treating OCD with clomipramine is 150mg to 250mg, with a suggested maximum dose of 250mg.
Clomipramine may cause side effects such as drowsiness, dizziness, poor concentration, unusual dreams, and trouble sleeping. More rarely, it can cause muscle twitching. It is important to consult a doctor if you experience any side effects, as they can vary depending on the individual.
Clomipramine may also cause some people to experience abnormal behaviours, including agitation, irritability, and restlessness. It may also cause some children, teenagers, and young adults to have suicidal thoughts and tendencies or become more depressed. It is important that patients and their families are vigilant for these changes and report them to a doctor.
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Muscle twitching is a known side effect of Anafranil, especially in females over 60
Clomipramine, sold under the brand name Anafranil, is an antidepressant medication used to treat obsessive-compulsive disorder (OCD). OCD is a mental health condition characterised by frequent unwanted thoughts that cause individuals to perform repetitive behaviours. Anafranil is also used to treat separation anxiety in dogs and has been proven effective in treating urine spraying in cats.
Anafranil has been associated with a range of side effects, which vary depending on the individual. Common side effects include drowsiness, nervousness, memory impairment, migraine, and muscle hypertonia. In some rare cases, it can cause anticholinergic syndrome, cerebral haemorrhage, and neuropathy, among other conditions.
One notable side effect of Anafranil is muscle twitching. According to a phase IV clinical study of FDA data by eHealthMe, muscle twitching is found among people who take Anafranil, especially females over 60 years old. While this study indicates a correlation, it is important to note that it does not establish a cause-and-effect relationship. Individual responses to medication can vary, and further research is needed to definitively conclude that Anafranil causes muscle twitching.
It is worth mentioning that Anafranil may also cause allergic reactions, including a specific type called DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms). Additionally, it can increase the risk of suicidal thoughts or actions in a small number of children, teenagers, or young adults. Therefore, it is crucial to monitor mood changes and symptoms when taking this medication, and to seek medical advice if any concerning side effects occur.
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Anafranil may cause serotonin syndrome, a life-threatening condition with symptoms like agitation, dizziness, and muscle twitching
Anafranil (clomipramine) is an antidepressant medication used to treat obsessive-compulsive disorder (OCD). It works by increasing the amount of serotonin and norepinephrine in the brain, substances that help regulate mood. While Anafranil is an effective treatment for OCD, it is important to be aware of its potential side effects, which can vary from person to person.
One of the rare but serious side effects of Anafranil is serotonin syndrome, a life-threatening condition that arises from an excess of serotonin in the body. Serotonin syndrome can occur when Anafranil is taken alone or in combination with other medications that affect serotonin. Symptoms of serotonin syndrome include agitation, restlessness, confusion, hallucinations, dizziness, racing heartbeat, nausea, vomiting, diarrhoea, muscle twitching, stiffness, tremors, seizures, and low sodium levels (hyponatremia). If you experience any of these symptoms, seek emergency medical help immediately.
Muscle twitching is a known side effect of Anafranil, as evidenced by clinical studies and reports from users of the drug. It is more commonly observed in females and individuals who are 60 years of age or older. While muscle twitching may be a concerning symptom, it is important to note that it does not always indicate a serious problem. However, if you experience muscle twitching or any other bothersome side effects while taking Anafranil, it is advisable to consult your doctor or healthcare provider.
In addition to serotonin syndrome and muscle twitching, Anafranil has other side effects that require medical attention. These include allergic reactions, such as Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS), which can affect multiple organs, including the liver, kidneys, and heart. Anafranil may also increase the risk of suicidal thoughts or actions, especially in children, teenagers, and young adults. Other possible side effects include elevated mood or mania in people with bipolar disorder, heart rhythm changes (QT prolongation and torsade de pointes), and increased pressure inside the eye, which can lead to or worsen narrow-angle glaucoma and potentially cause blindness.
It is important to be vigilant about any changes in your body when taking Anafranil and to seek medical advice if you have concerns. Always follow the directions provided by your healthcare provider and read the medication guides or instruction sheets carefully.
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Anafranil may also cause low sodium levels (hyponatremia), leading to drowsiness, muscle weakness, and nausea
Clomipramine, sold under the brand name Anafranil, is an antidepressant medication used to treat obsessive-compulsive disorder (OCD). It works by increasing the amount of serotonin and norepinephrine in the brain, substances that help regulate mood.
Anafranil has been found to cause muscle twitching in some people, especially those who are female and over 60. It can also lead to drowsiness, muscle weakness, and nausea due to low sodium levels (hyponatremia). Low sodium levels can cause a range of other symptoms, including headaches, dizziness, muscle cramps, vomiting, loss of appetite, tiredness, and sleepiness. If you experience any of these symptoms, you should contact your healthcare provider.
Anafranil may also interact with other medications, such as stimulant medicine, opioid medicine, herbal products, or medicine for depression, and cause a serious condition called serotonin syndrome. Serotonin syndrome occurs when there is too much serotonin in the body, and it can be life-threatening. Symptoms of serotonin syndrome include sweating, fever, confusion, agitation, hallucinations, dizziness, fast heartbeat, nausea, vomiting, diarrhoea, muscle twitching, seizures, and low sodium levels. If you experience any symptoms of serotonin syndrome, seek emergency medical help immediately.
It is important to note that the side effects of Anafranil may vary depending on the individual, and medication side effects may be underreported. Always consult your healthcare provider to ensure you have all the information about the medication and how it may affect you. Do not stop taking this medication suddenly without consulting your care team, as it may cause serious side effects or worsen your condition.
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Anafranil has various other side effects, including allergic reactions, increased eye pressure, and heart rhythm changes
Anafranil (clomipramine hydrochloride) is an antidepressant medication used to treat obsessive-compulsive disorder (OCD). It is known to have several side effects, including muscle twitching, and patients should be aware of these before starting treatment.
Other notable side effects of Anafranil include an increased risk of suicidal thoughts and behaviour in children, adolescents, and young adults with major depressive disorder or other psychiatric disorders. Additionally, patients may experience drowsiness, dizziness, dry mouth, constipation, and increased sensitivity to sunlight. It is important to note that Anafranil may interact with other medications, including stimulant medicine, opioid medicine, herbal products, and other antidepressants, potentially leading to serotonin syndrome. Therefore, patients should always inform their doctors about any other medications or supplements they are taking.
The side effects of Anafranil can vary between individuals, and not all patients will experience the same reactions. It is crucial to follow the directions provided by a healthcare professional and carefully read the medication guides and instruction sheets. If any concerning side effects occur, patients should contact their healthcare provider for advice and guidance.
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Frequently asked questions
Anafranil is a brand name for clomipramine, an antidepressant medication used to treat obsessive-compulsive disorder (OCD).
Yes, muscle twitching is listed as a common side effect of Anafranil, occurring in 1-10% of patients.
Anafranil has a range of possible side effects, including drowsiness, dizziness, nervousness, memory impairment, migraine, and impaired concentration. In rare cases, it can cause serious conditions like serotonin syndrome, neuroleptic malignant syndrome, and QT prolongation.
Yes, Anafranil can cause serious allergic reactions, including a type called DRESS or multi-organ hypersensitivity syndrome. It may also increase the risk of suicidal thoughts or actions, especially in children, teenagers, and young adults.
If you experience any side effects from taking Anafranil, consult your doctor or healthcare provider. They will be able to advise you on any necessary adjustments to your medication or treatment.















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