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- Clinician Information:
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. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose (Pamelor)?
Seek emergency medical attention if you think you have used too much of this medicine. An overdose of nortriptyline can be fatal.
Overdose symptoms may include extreme drowsiness, confusion, agitation, hallucinations, blurred vision, vomiting, muscle stiffness, feeling hot or cold, fainting, seizure (convulsions), or coma.
What should I avoid while taking nortriptyline (Pamelor)?
Avoid drinking alcohol. It can cause dangerous side effects when taken together with nortriptyline.
Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, medicine for seizures, or other antidepressants). They can add to sleepiness caused by nortriptyline.
Grapefruit and grapefruit juice may interact with nortriptyline. Discuss the use of grapefruit products with your doctor before increasing or decreasing the amount of grapefruit products in your diet.
Nortriptyline can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Nortriptyline can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.
What other drugs will affect nortriptyline (Pamelor)?
Before taking nortriptyline, tell your doctor if you have used an "SSRI" antidepressant in the past 5 weeks, such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft).
Before taking nortriptyline, tell your doctor if you are currently using any of the following drugs:
- cimetidine (Tagamet);
- guanethidine (Ismelin);
- reserpine; or
- heart rhythm medications such as flecainide (Tambocor), propafenone (Rhythmol), or quinidine (Cardioquin, Quinidex, Quinaglute).
This list is not complete and there are many other medicines that can interact with nortriptyline. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other 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
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