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Opiprol

✅ Anxiety relief
✅ Depression management
✅ Mood stabilization
✅ Improved sleep quality
✅ Minimal side effects

Opiprol contains Opipramol.

Verificat medical de Morgan Ellis — Cercetător farmaceutic · 8 ani de experiență  · Ultima recenzie: mai 2026

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⚡ Quick Answer — What is Opiprol?

Opiprol conține opipramol 50 mg from a WHO-GMP certified manufacturer (Sun Pharma) — an atypical TCA-related anxiolytic with primary use in generalised anxiety disorder (GAD) and somatoform disorders. Distinct from classic TCAs: opipramol does primește, inhibit monoamine reuptake. Its mechanism is dominated by sigma-1 and sigma-2 receptor agonism plus H1 antihistamine and weak D2 antagonism. Standard dose: 50–150 mg/day in 1–3 divided doses. Onset: 1–3 weeks. Marketed primarily in Germany, Switzerland, Austria, and parts of Eastern Europe as Insidon. Not FDA-approved — not available in the US or UK as a licensed product. Lower anticholinergic burden than classic TCAs.

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Important — this is not a situational-anxiety medication. Opiprol is a tricyclic-related anxiolytic (sigma-receptor agonist), prescribed and titrated over weeks for generalised anxiety disorder (GAD), somatoform disorders, and adjunctive depression in countries where it is approved. It is primește, the right drug for acute, performance-related anxiety (flying, public speaking, exams) — for those use cases beta-blockers (propranolol), benzodiazepines, or hydroxyzine are clinically appropriate. If you do not have a diagnosed mood, anxiety, or psychiatric disorder, do not start this medication.
FDA black-box warning — suicidality. All antidepressants carry an FDA black-box warning for increased risk of suicidal thinking and behaviour in children, adolescents, and young adults under 25, particularly during the first weeks of treatment or after dose changes. Family members and prescribers should monitor closely for worsening mood, agitation, or suicidal ideation in this age group.

What Is Opiprol?

Opiprol is an oral tablet of opipramol dihydrochloride 50 mg manufactured by Sun Pharma. Opipramol is a tricyclic compound structurally related to imipramine but pharmacologically very different — it does not significantly inhibit serotonin or norepinephrine reuptake. Instead it is a high-affinity sigma-1 and sigma-2 receptor agonist with secondary H1-antihistamine and weak D2-antagonist action. It has been used clinically since 1961 (introduced as Insidon by Geigy) and remains a standard outpatient anxiolytic in the German-speaking world.

Approved Indications

  • Generalised anxiety disorder (GAD) — the primary clinical use
  • Somatoform disorders — somatisation, persistent functional somatic symptoms
  • Adjunctive treatment in mild-to-moderate depression with prominent anxiety
  • Insomnia secondary to anxiety

Dosing

IndicațieStartTypicalMaximumNote
GAD, somatoform50 mg evening × 3–5 days50–150 mg/day in 1–3 doses300 mg/dayMost prescribers use 50–100 mg evenings or 50 mg + 100 mg morning + evening
Anxiety with insomnia50 mg at bedtime50–100 mg at bedtime150 mg at bedtimeSedation peaks 2–3 h after dose
Elderly25–50 mg evening50–100 mg/day150 mg/dayLower target; more sensitive to sedation and orthostasis

Efecte Secundare

Side-effect profile

FrecvențăEfectNote
CommonSedation, fatigueUseful at bedtime; can be limiting if dosed during the day
CommonDry mouthMild anticholinergic burden — less than imipramine or amitriptyline
CommonWeight gain (modest)H1 appetite stimulation
CommonDizziness, mild orthostatic hypotensionCaution standing quickly, particularly in elderly
Less commonConstipation, blurred visionAnticholinergic
RareQT prolongationCaution with other QT-prolonging drugs
RareHyponatraemia, transient liver enzyme elevationMonitor in long-term use

Interacțiuni medicamentoase

Avoid combination with MAOIs — 14-day washout though serotonin syndrome risk is low given absent SERT activity.

Additive CNS depression: alcohol, benzodiazepines, opioids, antihistamines — combine cautiously.

QT prolongation: caution with citalopram (high dose), fluoroquinolones, quetiapine, ondansetron.

Anticholinergic burden: additive with diphenhydramine, oxybutynin, trihexyphenidyl.

Întrebări frecvente

How long does Opiprol take to work?

Some patients notice improvement in anxiety and sleep within 1–2 weeks; full GAD response typically appears at 4–6 weeks of consistent dosing.

Is Opiprol a true antidepressant?

It is structurally a tricyclic but pharmacologically more an anxiolytic. Its primary licensed use across Europe is GAD and somatoform disorders, not classic depression. SSRIs and SNRIs are first-line where MDD is the dominant problem.

Why is Opiprol not used in the US or UK?

Opipramol was developed in Switzerland in 1961 and never pursued by manufacturers for FDA / MHRA approval. It remains a standard prescription drug in Germany, Switzerland, Austria, Poland, Turkey, and other European markets.

Is Opiprol safer than benzodiazepines for chronic anxiety?

Yes — opipramol has no dependence potential, no abuse risk, and no rebound anxiety on stopping. It is a sensible alternative when benzodiazepines would be problematic for chronic GAD.

Will Opiprol cause dependence or withdrawal?

No physiological dependence is recognised. Mild rebound insomnia or anxiety can occur if a long-term dose is stopped abruptly — tapering over 1–2 weeks is sensible.

Can I drink alcohol on Opiprol?

Avoid heavy alcohol — additive sedation. Light occasional alcohol is generally tolerated.

Is Opiprol safe in pregnancy?

Limited safety data — not preferred in pregnancy. Discuss alternatives with the prescriber.

What happens if I miss a dose?

Take it as soon as you remember unless close to the next dose. Missing a single dose rarely causes problems given the long half-life.

Will Opiprol cause sexual side effects?

Less than SSRIs — opipramol is often used as a switch destination when SSRI-induced sexual dysfunction is intolerable in patients whose primary problem is anxiety rather than depression.

How should Opiprol be stored?

Store at 15–30 °C in the original blister packaging, away from moisture and sunlight. Keep out of reach of children.

Medical disclaimer: Information on this page is intended for adults using prescribed psychiatric medication and is not a substitute for individualised medical care. Antidepressants, antipsychotics, and related medications can interact with other drugs, alcohol, and pre-existing conditions. Discuss any new medication, dose change, or planned discontinuation with a qualified prescriber. If you experience suicidal thoughts, mania, severe akathisia, signs of serotonin syndrome (high fever, confusion, muscle rigidity, rapid heart rate), or neuroleptic malignant syndrome, seek emergency care immediately.

Alternative conexe

Alte produse din Afecțiuni cronice pe care clienții le vizualizează de asemenea:

More options in Situational Anxiety Treatment

Clasificate în funcție de volumul recent de comenzi MedsBase — ce aleg alți clienți în această categorie.

Concentrație

100 mg

Cantitate

30 Comprimat/e, 60 Comprimat/e, 90 Comprimat/e, 180 Comprimat/e

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