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FAQ
Imipramine is a prescription-only medicine in the United Kingdom and requires a prescription when obtained from a local pharmacy. Our store policy allows you to order it without submitting a prescription, and the tablets can be sent by mail.
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.
Not necessarily. Tablets with imipramine may differ from a familiar brand in colour, shape, size, coating and imprint, and the exact manufacturer and appearance of the supplied product are not confirmed in advance.
Do not take the tablets until the discrepancy has been checked. Compare the active ingredient, strength, dosage form, manufacturer, lot number and expiry date on the package with your order details, and retain the packaging for verification.
As solid oral tablets, imipramine tablets can normally be transported by post when appropriately packed and protected from light and moisture. On arrival, check that the packaging is intact and that the tablets have not been exposed to conditions inconsistent with their labelled storage requirements.
Alcohol should be avoided while taking imipramine. It can increase drowsiness, dizziness, impaired concentration and other central nervous system effects, including effects that may make driving unsafe.
Imipramine is a tricyclic antidepressant used to treat depressive illness in adults. It may also be used for nocturnal enuresis in children aged 6 years and over under specialist direction, with age- and weight-based dose limits.
Imipramine should generally be avoided during pregnancy unless a prescriber considers that the expected benefit outweighs the possible risk. It is also best avoided while breastfeeding because imipramine and its active metabolite pass into breast milk; breastfeeding or treatment may need to be discontinued.
Take imipramine tablets by mouth exactly as prescribed, preferably at the same time or times each day. Swallow the tablets with water; they may be taken with food if needed. The dose and timing depend on the condition being treated, age and individual response.
Common effects include dry mouth, constipation, blurred vision, sweating, nausea, drowsiness, dizziness, tiredness and difficulty passing urine. Seek urgent medical help for fainting, a fast or irregular heartbeat, seizures, severe confusion, eye pain with visual changes, or thoughts of self-harm.
Description
We stock Tofranil tablets, the established brand form of the tricyclic antidepressant imipramine, in three strengths - 25 mg, 50 mg and 75 mg - each available across six pack sizes ranging from 60 to 360 pills. Choosing the right combination of strength and quantity is as much a value decision as a treatment one. This guide sets out exactly what we offer, how the pack sizes compare on unit value, and what is worth weighing before you select an option at checkout.
Compare Tofranil 75 mg Package Sizes by Value
Because Tofranil is usually taken regularly, the pack size helps determine how long a single order may last and how much each pill effectively costs. The actual duration depends on the dose prescribed and the number of tablets taken each day, so it should not be estimated from package quantity alone. The comparison below shows the exact total prices and unit values for every 75 mg pack size we currently offer.
The comparison covers all six available quantities of the 75 mg strength. Larger packs may provide a lower unit cost, but the lowest price per pill is not automatically the most suitable option. Good value depends on whether the strength is expected to remain unchanged, how long treatment is planned to continue, and whether the pills can be used before their expiry date.
The 25 mg and 50 mg tablets are available in the same six quantities, but their exact values should be checked against the corresponding option shown during selection and checkout. Do not use the 75 mg comparison to estimate an exact price for another strength.
Which Tofranil Strength and Pack Size Suits Your Plan?
Strength and quantity are separate decisions. Strength determines how much imipramine each tablet contains, while package quantity determines how many pills are supplied. A prescriber should determine the dose; package value should be considered only after the intended strength and dosing plan are clear.
Strength
Pack sizes available
25 mg
60, 90, 120, 180, 270 or 360 pills
50 mg
60, 90, 120, 180, 270 or 360 pills
75 mg
60, 90, 120, 180, 270 or 360 pills
Imipramine is commonly started at a lower dose and adjusted gradually according to response and tolerability. A person may therefore move between strengths during treatment, or a prescriber may use a particular strength to make the prescribed daily dose more practical. Do not combine strengths, split tablets, or change the number taken unless the prescriber or dispensing information specifically supports doing so.
When choosing a pack size, consider:
How long your prescriber expects you to remain at the current dose before a review.
Whether a dose change is likely soon, which may make a smaller pack more practical while treatment settles.
How many pills the prescribed daily dose requires, rather than assuming that one pill always equals one day.
Whether the full quantity can be stored correctly and used before its expiry date.
Whether you prefer to order less frequently with a larger pack or keep quantities smaller and reorder more often.
A larger quantity can be useful for a stable, continuing plan, but it may offer poor practical value if the dose is still being adjusted or treatment is due for review. Avoid ordering extra pills solely to obtain a lower unit cost.
Tofranil as a Brand, Imipramine as the Medicine
Tofranil is a brand name for tablets containing imipramine. Imipramine belongs to the tricyclic antidepressant (TCA) class and works differently from newer selective serotonin reuptake inhibitors (SSRIs) and serotonin-noradrenaline reuptake inhibitors (SNRIs). The brand name does not change the active ingredient, but formulation details and available strengths can differ between products, so check the exact item selected rather than assuming that all imipramine tablets are interchangeable without professional advice.
SSRIs are now often considered before a tricyclic antidepressant for depression because they tend to be better tolerated in overdose and may cause fewer anticholinergic effects. That does not mean one class is right for everyone. Previous response, other medicines, medical conditions and expected side effects all affect the choice. For a related comparison, see Paxil (paroxetine), an SSRI with a different mechanism, interaction profile and withdrawal considerations. Any switch between antidepressants requires a prescriber-led plan rather than a direct substitution at checkout.
What Is Tofranil Used For?
Imipramine has a well-established role in treating symptoms of depressive illness in adults. It is now less commonly chosen as a first treatment than many newer antidepressants, but it may remain useful when a prescriber considers its expected benefits appropriate for the individual.
Depressive illness in adults: an established oral use requiring gradual dose adjustment and monitoring of response and adverse effects.
Nocturnal enuresis: imipramine may be used for bedwetting in children aged six years and over, with strict age- and weight-based limits and usually for a restricted period. It is not a routine first choice.
Other specialist uses: imipramine has also been used under specialist supervision for conditions such as panic disorder, but this is distinct from its established UK product indications and requires an individual clinical decision.
Imipramine is not recommended for treating depressive disorders in people under 18. This is separate from its restricted paediatric use for nocturnal enuresis. The dose, timing and treatment duration for enuresis also differ from those used for adult depression.
How Does Imipramine Work, and How Should You Take It?
Imipramine mainly inhibits the reuptake of serotonin and noradrenaline, increasing the availability of these neurotransmitters at nerve connections in the brain. It also affects muscarinic, histamine and alpha-adrenergic receptors. Those additional actions help explain effects such as dry mouth, constipation, drowsiness, blurred vision, dizziness and a fall in blood pressure on standing.
Prescribers usually begin with a lower dose and increase it gradually according to response, age and tolerability. Depending on the indication, dose and treatment stage, the daily amount may be divided or taken once daily. An evening dose may be chosen when drowsiness is troublesome, but the prescribed directions should take priority. For nocturnal enuresis, timing is linked to bedtime and should follow the child's specific instructions.
Tablets can generally be taken with or without food. Taking each dose consistently at around the same time can make the routine easier to follow. Swallow the tablets as directed and do not take more than prescribed. If a dose is missed, follow the patient information or advice from a pharmacist or prescriber; do not take a double dose to compensate.
Some effects, including sleepiness or dry mouth, can appear early, while improvement in depressive symptoms often takes two to four weeks and may take longer to develop fully. Treatment may continue after symptoms improve to reduce the risk of relapse. Imipramine should normally be reduced gradually under professional direction rather than stopped abruptly, as sudden withdrawal can cause symptoms such as nausea, headache, anxiety, sleep disturbance or a return of the treated condition.
Important Safety Considerations and Interactions
Common adverse effects include dry mouth, constipation, drowsiness, dizziness, blurred vision, sweating, difficulty passing urine, increased heart rate, postural hypotension and weight change. Some effects may improve as treatment continues, but persistent or troublesome symptoms should be discussed with a pharmacist or prescriber.
Imipramine is unsuitable for some people and needs particular caution in others. A prescriber should know about heart disease or rhythm problems, a recent heart attack, epilepsy, bipolar disorder or previous mania, glaucoma, urinary retention or prostate problems, thyroid disease, liver or kidney impairment, and any history of self-harm. Monitoring may include mood and suicidal thoughts, blood pressure, pulse, blood glucose in people with diabetes, and heart or blood tests where clinically indicated.
Important interaction points include:
Do not combine imipramine with a monoamine oxidase inhibitor (MAOI), and observe the prescribed interval when changing between these treatments.
Alcohol, sleeping tablets, opioid pain medicines, sedating antihistamines and other central nervous system depressants can increase drowsiness and impairment.
Other medicines with anticholinergic effects can worsen dry mouth, constipation, blurred vision, confusion or urinary retention.
Some antidepressants and other medicines can raise imipramine concentrations or increase the risk of serotonin toxicity, seizures or abnormal heart rhythms.
Tell the prescriber about all prescription medicines, non-prescription products and supplements before starting or changing treatment.
Pregnancy is generally a situation in which imipramine is avoided unless a prescriber judges that the expected benefit outweighs the possible risk. Use close to delivery has been associated with withdrawal effects in newborns. Imipramine and its active metabolite pass into breast milk, so a prescriber may advise gradually withdrawing imipramine or stopping breastfeeding after considering the circumstances.
Imipramine can alter blood glucose, making monitoring important for people with diabetes. It can also cause drowsiness, dizziness and blurred vision; do not drive, cycle, or operate machinery until you know how it affects you. Seek urgent medical help for a suspected overdose, a seizure, fainting, a severe or irregular heartbeat, severe confusion, inability to pass urine, a serious allergic reaction, or thoughts of self-harm. NHS patient information provides further guidance, and suspected side effects can be reported to the MHRA through the Yellow Card scheme.
Do You Need a Prescription to Order Tofranil From Us in the UK?
Imipramine is classified as a prescription-only medicine in the UK. This regulatory classification reflects the need for individual dose selection, interaction checks and appropriate monitoring. It is separate from our product-specific ordering policy.
Our ordering process for Tofranil does not require you to submit a prescription before we accept your order, so checkout can be completed without uploading prescription paperwork. This does not make imipramine a non-prescription medicine in the UK or replace the need to follow a prescriber's treatment plan. For transparency, available regulatory records do not confirm a UK marketing authorisation for this exact Tofranil pill presentation or any of the listed strengths, although imipramine remains an established prescription medicine.
Ordering, Delivery and Support
We have operated our pharmacy catalogue since 2018. After selecting 25 mg, 50 mg or 75 mg and one of the available package quantities, review the option shown at checkout carefully. The confirmation should match both the intended strength and the number of pills; package size alone is not enough to identify the correct selection.
Our support team is available 24/7 by email and online chat, with a pharmacist available for questions about the listed strengths, package quantities, storage, or the practical details of an order. Support can explain the product options we offer, but changes to dose, treatment duration, or antidepressant choice should be discussed with the relevant prescriber.
Once checkout is complete, we pack and dispatch the selected option. Check that the delivery address and postcode are accurate and allow enough lead time before the current supply runs out. On arrival, examine the package and confirm the product name, strength and quantity before use. Contact our support team promptly if the parcel is damaged or the supplied option does not match the order confirmation.
Getting the Best Value From Your Tofranil Order
The lowest unit price is worthwhile only when the pack size matches the expected treatment period and prescribed dose. Before ordering, use a simple value check:
Confirm the exact strength against the current treatment instructions.
Estimate how long the quantity will last from the prescribed number of pills per day.
Consider whether a dose review or planned change could leave a larger pack unused.
Check the expiry date on receipt against the period over which the pills are expected to be used.
Store tablets at 20°C to 25°C, allowing only brief excursions between 15°C and 30°C, in a tightly closed, light-resistant container protected from moisture.
Plan a reorder early enough to avoid an unintended interruption while allowing for delivery.
For a stable treatment plan, a larger pack may reduce the unit cost and the frequency of reordering. During titration or before an upcoming review, a smaller quantity may provide better practical value even if its price per pill is higher. With all three strengths and six package quantities set out above, you can match the order to your prescriber's plan and let our checkout confirm the exact selection before we prepare it.
I'm in Belfast. Can I confirm that imipramine can be delivered to my address in Northern Ireland before I pay?
A
Answered by Support team
Yes. Please enter your Belfast delivery address and review the destination options at checkout before completing payment. Availability is confirmed there, rather than assumed for every UK region.
Q
Asked by James, Portsmouth, United Kingdom
I live in Portsmouth and need to know whether you deliver to my postcode before placing an order. Where can I check?
A
Answered by Support team
Enter your Portsmouth postcode at checkout and the available delivery options for that address will be shown before you place the order. This is the best way to confirm destination availability.
Q
Asked by Mia K, Brighton, United Kingdom
My order to Brighton has been marked as dispatched. Does that mean it will arrive tomorrow?
A
Answered by Support team
Not necessarily. Dispatch means the order has been sent; delivery depends on the option selected and your location in Brighton, so a dispatch notification does not confirm a next-day arrival.
Q
Asked by Sophie, London, United Kingdom
I have type 2 diabetes and have just started imipramine. Should I test my blood glucose more often?
Imipramine can raise or lower blood glucose, so closer monitoring is sensible when treatment is started or changed. If your readings become unexpectedly high or low, discuss this with the clinician managing your diabetes.
Product specifications
Active ingredient
Imipramine
Drug class
Tricyclic antidepressant
Dosage form
Tablets
Available strengths
25 mg, 50 mg, 75 mg
Route
Oral
Storage
Store 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 code
N06AA02
Regulatory information
Licensing StatusImipramine is fully authorised for human medical use in the United Kingdom.
Prescription RequirementImipramine tablets are classified as a prescription-only medicine (POM) and require a valid UK prescription to be dispensed.