Tofranil (Imipramine)

Tofranil
4.741 ratingsReviews
Generic:
Imipramine
Indications:
depression
Analogs:
Imipramine Sertraline Escitalopram Paroxetine Fluoxetine Venlafaxine Clomipramine Doxepin Amitriptyline Desipramine Nortriptyline Desmopressin Elavil Anafranil Norpramin Pamelor Zoloft Prozac Paxil Effexor
AdultsPregnancyAllergiesDiabetesBreastfeedingChildrenDriving

Dosages

Tofranil 25 mg

Quantity Price per tablet You save Total price
60 C$1.80 - C$107.80
90 C$1.60 C$17.50 C$144.20
120 C$1.51 C$35.00 C$180.60
180 C$1.45 C$63.00 C$260.40
270 C$1.36 C$118.30 C$366.80
360 C$1.31 C$173.60 C$473.20

Tofranil 50 mg

Quantity Price per tablet You save Total price
60 C$1.68 - C$100.80
90 C$1.56 C$11.20 C$140.00
120 C$1.51 C$21.00 C$180.60
180 C$1.44 C$43.40 C$259.00
270 C$1.41 C$72.80 C$380.80
360 C$1.38 C$106.40 C$498.40

Tofranil 75 mg

Quantity Price per tablet You save Total price
60 C$1.89 - C$113.40
90 C$1.76 C$11.90 C$158.20
120 C$1.70 C$22.40 C$204.40
180 C$1.63 C$47.60 C$292.60
270 C$1.59 C$81.90 C$428.40
360 C$1.56 C$117.60 C$562.80

Manufacturers

Amdipharm Mercury CompanyIntas Pharmaceuticals Ltd.neuraxpharm Arzneimittel GmbHSpecGx

Payment & Shipping

Package Example

Your order is carefully packed and ships within 24 hours. Here's the typical package.

Sized like a regular personal letter (24x11x0.7 cm), with no indication of its contents.

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Shipping Times
Shipping MethodEstimated delivery
Express Free for orders over C$420.00Estimated delivery to Canada: 4-7 days
Standard Free for orders over C$280.00Estimated delivery to Canada: 14-21 days
EMSCanada Post
Payment Methods
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Discount Coupons

  • Victoria Day - May 18, 2026 8% VICTORIA8
  • Canada Day - July 1, 2026 10% CANADADAY10
  • Labour Day - September 7, 2026 6% LABOUR6
  • Thanksgiving (Canada) - October 12, 2026 9% THANKS9
  • Boxing Day - December 26, 2026 12% BOXING12

Brand Names

Also known as (by country):
CountryBrand Names
Germany
Imipramin-neuraxpharm

FAQ

A prescription is required to obtain imipramine from local pharmacies in Canada. However, our store policy allows customers to order it without a prescription and have it sent by mail.

Take the missed dose when you remember unless it is nearly time for the next dose. In that case, skip the missed dose and return to the usual schedule. Do not take two doses together to make up for one that was missed.

Not necessarily. Tablet colour, shape, size, coating, packaging, and any imprint can differ between manufacturers. The active ingredient for this product is imipramine, but the exact manufacturer and appearance of the supplied tablets must be confirmed from the received package.

A different appearance alone does not mean the tablets are incorrect. Compare the package label for imipramine, the prescribed strength, tablet dosage form, manufacturer, lot number, expiry date, and tablet imprint if one is present. Do not use the tablets if the ingredient, strength, dosage form, or package condition appears wrong.

Keep the tablets in their package and check that it is dry, intact, and properly labelled before use. Imipramine tablets should normally be stored at 20°C to 25°C, with brief excursions permitted between 15°C and 30°C, protected from light and moisture. Because the actual temperature and duration of exposure are unknown, stability after an unusual excursion cannot be guaranteed.

Store the tablets at 20°C to 25°C; brief temperature excursions between 15°C and 30°C are permitted. Keep them in a tightly closed, light-resistant container and protect them from light and moisture. Keep the medicine out of reach of children.

Imipramine is a tricyclic antidepressant used to relieve symptoms of depression. It may also be used as temporary adjunctive treatment for nocturnal enuresis, or bedwetting, in children aged 6 years and older. Other uses may be prescribed when a clinician considers them appropriate.

Imipramine tablets are taken by mouth exactly as directed for the individual treatment plan. Swallow the tablet with water; taking it with food may help if it causes stomach upset. The dose and timing differ by indication, age, other medicines, and tolerance, so do not change the schedule or dose without prescriber guidance.

Common effects include dry mouth, constipation, blurred vision, sweating, nausea, dizziness, drowsiness, tremor, and difficulty urinating. It can also cause a fast heartbeat or a drop in blood pressure when standing. Seek urgent medical care for fainting, chest pain, seizures, severe confusion, a serious rash, or suicidal thoughts or marked behavioural changes.

Pregnancy requires an individual prescriber assessment because safe use has not been established and late-pregnancy exposure may affect the newborn. Imipramine and its active metabolite can pass into breast milk, so breastfeeding also requires clinical advice; an infant may need monitoring for sedation, poor feeding, or anticholinergic effects. Do not stop an established antidepressant abruptly solely because of pregnancy or breastfeeding without discussing the treatment plan.

Description

tofranilTofranil: Introduction

Imipramine is a tricyclic antidepressant (TCA) drug that is marketed under the brand name Tofranil. It is used to treat depressive symptoms like melancholy, worthlessness, and disinterest in routine tasks. It can also be administered for children's enuresis or bedwetting.

Serotonin and norepinephrine are two examples of neurotransmitters elevated in the brain by Tofranil. These substances are involved in mood and emotion regulation.

Tofranil can have potential adverse effects and interactions with other medications, so as with any prescription, it's essential to take it under a doctor's supervision. If you or someone you know has been prescribed Tofranil, it's essential to take it as directed by your doctor and to let them know about any side effects or concerns you may have.

Ingredients

Imidapromine hydrochloride is Tofranil's active component. The inactive components can differ between brands and formulations, including generic variations. Typical formulations include fillers, binders, and other materials in addition to Imipramine to produce the finished drug. Speak with your pharmacist or healthcare practitioner if you have any concerns regarding allergies or sensitivities to chemicals.

How to Use

It aids in reducing depressive symptoms, such as low mood, boredom, altered eating and sleeping patterns, and feelings of worthlessness.

Imipramine is occasionally recommended to children to treat bedwetting problems.

It might be applied in some situations to treat panic episodes and the signs and symptoms of panic disorder.

It's critical to remember that Tofranil should only be used under the guidance of a medical practitioner and that prescribing medication is based on a thorough evaluation of the patient's situation. It may take some time for the drug to fully take action, so it's important to take it as directed by your doctor and avoid stopping it suddenly without first talking to one.

Dosage Sizes

Each individual's condition, age, and other aspects can affect the dosage of Imipramine (Tofranil). It's critical to adhere to the precise dosage recommendations made by the prescribing medical expert. Imipramine is commonly administered orally as tablets or capsules.

Adults with depression typically begin taking 75 mg of the medication daily, split into many doses. The patient's response to the drug may require a gradual increase in the dosage.

The dosage for children's enuresis (bedwetting) is usually smaller and is established by the child's weight. In this instance, you must heed the pediatrician's advice.

Like with any drug, it is essential to see a doctor before modifying the dosage on your own. If you have any worries, it is best to communicate them with the prescribing physician, as they may make the necessary adjustments. This includes questions about the dosage and possible adverse effects.

Important Safety Information

Adhere to your doctor's prescription for the drug precisely. Never stop taking it or adjust the dosage without first talking to your doctor.

Your doctor might need to monitor your development and modify the dosage as necessary. Keep your follow-up appointments as arranged.

Tell your doctor about all additional prescriptions you take, including over-the-counter medications and herbal supplements. Certain drugs may interact with Tofranil.

While using Tofranil, limit or prevent alcohol consumption as it may intensify the sedative effects of the drug.

Tofranil may make you feel sleepy or lightheaded. Exercise caution when operating machinery or driving until you are certain of how the drug will affect you.

Any current medical conditions should be disclosed to your doctor, including glaucoma, bipolar disorder, heart issues, and a history of seizures.

Tell your doctor if you are nursing a baby, intend to get pregnant, or are already pregnant. Discussing the advantages and disadvantages of taking Imipramine while pregnant or nursing with your doctor is advised.

Particularly in young individuals, antidepressants like Tofranil may raise the risk of suicidal thoughts. Seek immediate medical assistance if you or someone you know is experiencing suicidal thoughts, thoughts of self-harm, or deepening depression.

For individualized guidance and to discuss any specific issues regarding Tofranil, always speak with your healthcare practitioner.

Contraindications

Tofranil, or Imipramine, might not be appropriate for everyone. The following are some circumstances and contraindications for imipramine use that call for care or should be avoided:

  • Avoid using Tofranil if you have a history of allergy or hypersensitivity to any of its ingredients.
  • Tofranil should be taken cautiously if you have recently experienced a heart attack; whether or not to prescribe it will depend on the specifics of each situation.
  • The medicine should not be taken if you have taken a monoamine oxidase inhibitor (MAOI) within the previous 14 days. Tofranil and MAOIs together have the potential to cause serious, maybe fatal side effects.
  • People who have narrow-angle glaucoma should not take Tofranil since it can exacerbate their disease.
  • Tofranil should be used cautiously if you have a history of urine retention, as it may make the disease worse.
  • People with a history of seizures should use Tofranil with caution as it may lower the seizure threshold.
  • Before using Imipramine, it is essential to carefully weigh the advantages and dangers and speak with a healthcare professional.

To guarantee the safe and efficient use of Tofranil, it is essential to give your healthcare provider a thorough medical history and to let them know about any medications or supplements you are presently taking. Always heed your doctor's advice, and get help from a medical professional if you have questions or encounter adverse effects.

Side Effects

As with any drug, Tofranil might have adverse effects. It's critical to be aware of these possible adverse effects and notify your healthcare professional immediately if you encounter any strange or severe symptoms. Typical adverse effects could be:

  • Imipramine frequently causes the side effects of dry mouth. Dry mouth may be relieved by drinking plenty of water, sucking on sugar-free candies, and chewing sugar-free gum.
  • To alleviate constipation, eat more fiber and drink plenty of water. If it continues, speak with your healthcare practitioner.
  • Imipramine has the potential to produce blurred vision. Tell your doctor if you notice any changes in your vision.
  • Tofranil may make you drowsy, so avoid doing anything that requires attention until you know how the medicine affects you. 
  • Imipramine use may cause weight gain in certain people. This can be managed with regular exercise and adherence to a balanced diet.
  • Positional changes, such as standing up fast, can make you feel lightheaded. Take your time getting out of a seated or sleeping posture. 
  • Imipramine can alter heart rate. Notify your physician if your heartbeat becomes fast or erratic.
  • Some people might have trouble urinating. Tell your healthcare practitioner if you have ever experienced urinary tract issues.
  • Imipramine may result in adverse effects related to sexual dysfunction. See your doctor about any worries you may have.
  • One potential side effect is increased sweating. Consider wearing lightweight clothing and stay hydrated.

It's crucial to remember that not everyone will have these side effects, and some might go away with time. See your healthcare practitioner for advice if you are worried about any side effects or if they continue or get worse. Additionally, if you have serious side effects, including breathing difficulties, chest pain, or indications of an allergic reaction, get medical help right away.

Overdose

Imipramine (Tofranil) overdoses can be quite severe and need to be treated right away. If you believe someone has overdosed or if they are exhibiting overdose symptoms, such as extreme sleepiness, disorientation, delusions, fast heartbeat, or fainting, get emergency medical attention or get in touch with your neighborhood poison control center.

Symptoms of an overdose can differ and include disorientation, convulsions, hallucinations, extreme sleepiness, rapid or irregular heartbeat, trembling or uncontrollably moving, breathing difficulties, and loss of consciousness.

The warning indicators of a possible overdose should not be disregarded because receiving treatment right away is essential for a successful outcome. If at all feasible, tell us how much medication you took and whether you consumed any additional substances.

Never change the dosage without first talking to your doctor to prevent possible interactions. You should also let them know about any other drugs or substances you use. If you notice any strange symptoms or have questions concerning your medicine, get advice from your healthcare professional.

How to Store

Imipramine should be kept out of direct sunlight, heat, and moisture in a cool, dry location. The humidity may impact the medicine, so keep it out of the bathroom.

Make sure that pets and children cannot get it. Use a medicine storage box or a high, secured cabinet.

If your Imipramine is expired or unused, dispose of it according to the correct protocol. Numerous pharmacies and local government agencies offer safe medicine disposal techniques.

Whenever your pharmacist or healthcare practitioner gives you particular storage instructions, always heed their advice. Do not hesitate to seek advice from your pharmacist or healthcare provider if you have any issues regarding the storage of Imipramine or any other medicine.

Drugs Similar to Tofranil (Imipramine) or Generic

Tofranil, also known as Imipramine, is a member of the tricyclic antidepressant (TCA) drug class. Like Imipramine, several other TCAs may also be administered for comparable purposes. TCAs include, for instance:

  • Amitriptyline (Elavil): Amitriptyline is used to treat depression, just like Imipramine. In addition, it might be recommended for various ailments like migraines and neuropathic pain.
  • Nortriptyline, also sold under the brand name Pamelor, is another TCA used to treat depression. It is regarded as an amitriptyline metabolite.
  • Depression is treated with desipramine (also known as norpramin). It is an imipramine metabolite.
  • Depression and anxiety are treated with doxepin (Sinequan). Because of its sedative properties, doctors may also prescribe it for sleep disturbances.
  • Clomipramine, commonly known as anafranil, is a tricyclic antidepressant (TCA) that is prescribed to treat depression and obsessive-compulsive disorder (OCD).

It's crucial to remember that even though these drugs belong to the same general class, each person may respond differently to them, and they may have various side effect profiles. The selection of antidepressants is contingent upon several aspects, such as the patient's medical background, the particular symptoms under consideration, and any possible adverse reactions.

Medically reviewed by
Jennifer Bowles
Pharmacologist
Updated August 11, 2026

Customer questions

Asked by Émilie, Trois-Rivieres, Canada

I'm in Trois-Rivières. Can I enter my postal code before ordering to see whether imipramine can be shipped to my address?

Answered by Support team

Yes. Enter your postal code during checkout to check the available shipping options for your address before you place the order.

Asked by Megan, Kelowna, Canada

My imipramine package arrived in Kelowna after sitting outside in very cold weather. What should I check before I take the tablets?

Answered by Support team

Keep the tablets in their original package and check that the container is dry, intact, and correctly labelled, with no cracked, discoloured, or damaged tablets. Store them at 20°C to 25°C and protect them from light and moisture; because the actual cold exposure is unknown, do not use tablets with compromised packaging or an uncertain condition.

Asked by Sophia J, Iqaluit, Canada

I live in Iqaluit and need to know whether you can send imipramine to my address. How can I check before paying?

Answered by Support team

Please enter your Iqaluit address and postal code at checkout to see whether shipping is available for your destination. Availability can vary by address and selected shipping method.

Asked by Rachel, Victoria, Canada

I take imipramine every day, and my clinician is considering fluoxetine for me. Can the two medicines be used together?

Answered by Support team
Medical reviewed by Matthew Pitts

This combination needs prescriber and pharmacist review before it is started. Fluoxetine can raise imipramine concentrations and, together with its serotonergic effects, may increase the risk of adverse effects such as agitation, tremor, sweating, fast heartbeat, and serotonin syndrome; do not add or switch either medicine on your own.

Product specifications

Active ingredientImipramine
Drug classTricyclic antidepressant
Dosage formTablets
Available strengths25 mg, 50 mg, 75 mg
RouteOral
StorageStore at 20°C to 25°C, with brief excursions permitted between 15°C and 30°C; keep in a tightly closed, light-resistant container and protect from light and moisture.
ATC codeN06AA02

Regulatory information

Canada: medicine status
Registration statusA Canadian Drug Identification Number (DIN) record is required to confirm the authorization and current market status of this specific Tofranil product, strength, and manufacturer; this has not been confirmed in available official records.
Prescription statusImipramine is a prescription drug in Canada and requires a prescription from an authorized prescriber.
Public drug-plan coveragePublic reimbursement is determined by provincial and territorial drug plans and formularies; coverage for imipramine depends on the plan, DIN, indication, and patient eligibility.
Safety monitoringSuspected adverse reactions can be reported to Health Canada through the Canada Vigilance Program.

More information