Pamelor (Nortriptyline) is in a group of medications called tricyclic anti-depressants. Nortriptyline affects chemicals in the brain that may become unbalanced.
Nortriptyline is used to treat symptoms of depression.
Nortriptyline may also be used for other purposes not listed in this medication guide.
Just take this medication exactly as it was prescribed for you. Do not take the medication in bigger quantities, or take it for longer than suggested by your doctor. Your own doctor may occasionally change your dose to be sure you get the most favorable results from this drug. Follow the instructions on your own prescription label.
If you need to have any kind of operation, tell the surgeon ahead of time that you're using nortriptyline. You will need to quit using the medication for a short time.
Do not stop using nortriptyline without first talking to your doctor. You may require to use less and less before you stop the drug entirely. Stopping this medication abruptly could cause you to have uncomfortable unwanted side effects. It can take a few weeks of using this medication before your symptoms improve. For the best results, keep utilizing the drugs as directed. Talk with your doctor if your symptoms do not improve during therapy with nortriptyline.
Just take the medication as prescribed by your doctor.
In the event that you forget a dose of Pamelor, take it whenever possible. If it's almost time for your next dose, omit the missed dose and go back to your regular dosing timetable. Do not take 2 doses at the same time. If you take one dose daily at bed-time, do not take the missed dose the following morning.
Don't use this medication if you're allergic to nortriptyline, or if lately you have had a heart attack. Do not use nortriptyline in case you've used an MAO inhibitor like isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Severe, life threatening side effects may happen if you take nortriptyline before the MAO inhibitor has cleared from your own body.
Prior to taking Pamelor, make sure your doctor knows in the event that you are allergic to any medications, or in the event that you have:
heart disease;
a history of heart-attack, stroke, or seizures;
Manic depression (manicdepression);
schizophrenia or another mental illness;
diabetes (nortriptyline might lift or lower blood sugar);
overactive thyroid;
glaucoma; or
problems with urination.
When you have some of the conditions, you might need a dosage adjustment or special tests to safely take nortriptyline.
You may have ideas about suicide when you begin taking an antidepressant, especially if you're younger than 24 years-old. Tell your physician in case you have worsening symptoms of depression or suicidal thoughts during the first several weeks of remedy, or when your dose is altered.
Your family or other caregivers should also be alert to changes in your mood or symptoms. Your own doctor should examine you at normal trips for at least the very first 12 months of treatment.
This drug could be harmful to a developing fetus. Tell your doctor should you be pregnant or plan to eventually become pregnant during therapy. It is not known whether nortriptyline passes into breast milk or if it could harm a nursing baby. Don't make use of this medicine without informing your physician should you be breast-feeding a baby.
Older grownups may be considerably possible to get negative effects using this medicine.
Do not provide this medicine to anybody under-18 years aged sans the advice of a physician.
Essential safety tips:
Avoid drinking alcohol. It can lead to dangerous unwanted side effects when taken together with nortriptyline.
They can increase sleepiness caused by nortriptyline.
Grapefruit and grapefruit juice may communicate with nortriptyline. Discuss the utilization of grapefruit products with your doctor before increasing or decreasing the total amount of grapefruit products in your diet.
Nortriptyline may cause side effects that can impair your thinking or responses. Be careful in case you drive or do something that requires you to be awake and alert. Avoid exposure to sunshine or artificial UV rays (sunlamps or tanning beds). Nortriptyline can make your skin more sensitive to sunlight and sunburn may result. Use a sunblock (minimum SPF 15) and wear protective clothes if you must be out in the sunlight.
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