Pamelor

Generic Name: Nortriptyline

  • What is Pamelor?

    Pamelor is a medicine used to treat the symptoms of depression.

  • What is the most important information I should know about Pamelor?

    Antidepressant medicines, like Pamelor, may increase suicidal thoughts or actions in some children, teenagers, and young adults when the medicine is first started.

    Depression and other serious mental illnesses are the most important causes of suicidal thoughts and actions. People with bipolar disorder, or who have a family history of this condition (also called manic-depressive illness) are at a greater risk.

    Call your doctor right away if you notice any changes in mood, behavior, thoughts, or feelings. Signs to watch for include anxiety, hostility, insomnia, restlessness, impulsive or dangerous behavior, and thoughts about suicide or dying.

  • Who should not take Pamelor?

    Do not use Pamelor if you are allergic to any ingredient in Pamelor or to similar medicines.

    Do not take Pamelor if you are currently taking or have taken an antidepressant/psychiatric medicine in a class called monoamine oxidase (MAO) inhibitors, such as phenelzine, within the last 14 days.

    Do not take Pamelor if you have recently had a heart attack.

  • What should I tell my doctor before I take the first dose of Pamelor?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Pamelor. Also, talk to your doctor about your complete medical history, especially if you have a history of suicidal thoughts or behavior; an overactive thyroid gland; bipolar disorder or any other mental disorder; diabetes; difficulty urinating; glaucoma (high pressure in the eye); heart, kidney, or liver problems; seizures; or a blood disorder.

    Be sure to let your doctor know if you are undergoing electroshock therapy, if you are scheduled to have any surgery, if you drink alcohol daily, or if you have a history of alcohol abuse.

  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    This medication is available in tablet and liquid form. Only tablet dosages are listed. Your doctor will prescribe the appropriate dosage of the liquid formulation.

    Adults: The usual starting dose is 25 milligrams (mg) taken 3-4 times per day. Alternatively, your doctor may tell you to take the total daily dose once a day. Doses above 150 mg per day are not recommended. Your doctor will monitor your response to Pamelor carefully and will gradually increase or decrease the dose to suit your needs.

    Elderly and adolescent patients: The usual dose is 30-50 mg per day, taken in a single dose or divided into smaller doses, as determined by your doctor.

  • How should I take Pamelor?

    Take Pamelor exactly as prescribed.

  • What should I avoid while taking Pamelor?

    Pamelor may cause you to become drowsy or less alert. Do not drive or operate dangerous machinery or participate in any hazardous activity that requires full mental alertness until you know how Pamelor affects you.

    Pamelor may make your skin more sensitive to sunlight.

    Avoid drinking alcohol or taking other medications that cause drowsiness, such as sedatives.

  • What are possible food and drug interactions associated with Pamelor?

    If Pamelor is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Pamelor with the following: alcohol, antiarrhythmics, antidepressants, antihistamines, antispasmodics, blood pressure medications, cimetidine, chlorpropamide, MAO inhibitors, quinidine, reserpine, stimulants such as dextroamphetamine, thyroid medications, and tranquilizers.

  • What are the possible side effects of Pamelor?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Side effects may include: anxiety, blurred vision, confusion, dry mouth, hallucinations, heart attack, heartbeat irregularities, high blood pressure, insomnia, loss of muscle coordination, low blood pressure, numbness or tingling in the hands and feet, sensitivity to sunlight, skin rash, stroke, tremors, weight changes

  • Can I receive Pamelor if I am pregnant or breastfeeding?

    The effects of Pamelor during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of Pamelor?

    If you miss a dose of Pamelor, take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.

  • How should I store Pamelor?

    Store at room temperature.

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