"What are anxiety medications and how do they work?
Anxiety is a normal and useful response to potentially stressful or dangerous situations. It increases our awareness of what's going on around us. For most people, anxiety is short liv"...
Pamelor Patient Information including How Should I Take
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 should I discuss with my healthcare provider before taking nortriptyline (Pamelor)?
You should not take this medication if you have recently had a heart attack, or if you are allergic to nortriptyline or to similar antidepressants such as amitriptyline, amoxapine, clomipramine, desipramine, doxepin, imipramine, protriptyline, or trimipramine.
Do not use nortriptyline if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include furazolidone, isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.
To make sure nortriptyline is safe for you, tell your doctor if you have:
- heart disease, or a history of heart attack, stroke, or seizures;
- a family history of sudden death related to a heart rhythm disorder;
- bipolar disorder (manic-depression);
- schizophrenia or other mental illness;
- liver disease;
- a thyroid disorder;
- diabetes (nortriptyline may raise or lower blood sugar);
- problems with urination; or
- if you are being treated with methylene blue injection.
Some young people have thoughts about suicide when first taking an antidepressant. Your doctor will need to check your progress at regular visits while you are using nortriptyline. Your family or other caregivers should also be alert to changes in your mood or symptoms.
It is not known whether nortriptyline will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.
It is not known whether nortriptyline passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.
Older adults may be more likely to have side effects from this medication.
Do not give this medicine to a child without medical advice.
How should I take nortriptyline (Pamelor)?
Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.
If you need surgery, tell the surgeon ahead of time that you are using nortriptyline. You may need to stop using the medicine for a short time.
Do not stop using nortriptyline suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using nortriptyline.
It may take up to a few weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve during treatment.
Store at room temperature away from moisture and heat.
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.
Get tips on therapy and treatment.