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Pamelor Patient Information including If I Miss a Dose
In this Article
- What is nortriptyline (Pamelor)?
- What are the possible side effects of nortriptyline (Pamelor)?
- What is the most important information I should know about nortriptyline (Pamelor)?
- What should I discuss with my healthcare provider before taking nortriptyline (Pamelor)?
- How should I take nortriptyline (Pamelor)?
- What happens if I miss a dose (Pamelor)?
- What happens if I overdose (Pamelor)?
- What should I avoid while taking nortriptyline (Pamelor)?
- What other drugs will affect nortriptyline (Pamelor)?
- Where can I get more information?
What happens if I miss a dose (Pamelor)?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose (Pamelor)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of nortriptyline can be fatal.
What should I avoid while taking nortriptyline (Pamelor)?
Do not drink alcohol. Nortriptyline can increase the effects of alcohol, which could be dangerous.
Grapefruit and grapefruit juice may interact with nortriptyline and lead to unwanted side effects. Discuss the use of grapefruit products with your doctor.
This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.
Avoid exposure to sunlight or tanning beds. Nortriptyline can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors.
What other drugs will affect nortriptyline (Pamelor)?
Taking nortriptyline with other drugs that make you sleepy or slow your breathing can increase these effects. Ask your doctor before taking nortriptyline with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.
Before taking nortriptyline, tell your doctor if you have used an "SSRI" antidepressant in the past 5 weeks, such as citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, or sertraline.
You must wait at least 5 weeks after stopping fluoxetine (Prozac) before you can take nortriptyline.
Many drugs can interact with nortriptyline. Not all possible interactions are listed here. Tell your doctor about all your medications and any you start or stop using during treatment with nortriptyline, especially:
- St. John's wort;
- any other anti-depressant, or medication to treat mental illness;
- bladder or urinary medicines--darifenacin, fesoterodine, oxybutynin, tolterodine, solifenacin;
- bronchodilators--ipratropium, tiotropium;
- cold or allergy medicine that contains an antihistamine;
- medication for Parkinson's disease;
- medication to treat excess stomach acid, stomach ulcer, motion sickness, or irritable bowel syndrome;
- a decongestant (pseudoephedrine, phenylephrine), diet pills, stimulant medication; or
- heart rhythm medications--flecainide, propafenone, or quinidine.
This list is not complete and many other drugs can interact with nortriptyline. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Give a list of all your medicines to any healthcare provider who treats you.
Where can I get more information?
Your pharmacist can provide more information about nortriptyline.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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Additional Pamelor Information
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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