Brand Names: Pamelor

Generic Name: nortriptyline (Pronunciation: nor TRIP ti leen)

• 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 is nortriptyline (Pamelor)?

Nortriptyline is in a group of drugs called tricyclic antidepressants. 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.

Nortriptyline 10 mg-MYL

red, imprinted with MYLAN 1410

Nortriptyline 10 mg-WAT

green/white, imprinted with NORTIPTYLINE, DAN 10 mg

Nortriptyline 25 mg-GG

white, imprinted with GG 566

Nortriptyline 25 mg-MYL

peach/red, imprinted with MYLAN 2325

Nortriptyline 25 mg-TEV

orange/white, imprinted with 93 811

Nortriptyline 25 mg-WAT

green/white, imprinted with NORTRIPTYLINE, DAN 25 mg

Nortriptyline 50 mg-GG

white, imprinted with GG 567

Nortriptyline 50 mg-MYL

red/yellow, imprinted with MYLAN 3250

Nortriptyline 50 mg-TEV

white, imprinted with 93 812

Nortriptyline 50 mg-WAT

white, imprinted with NORTRIPTYLINE, DAN 50 mg

Nortriptyline 75 mg-GG

green, imprinted with NORTRIPTYLINE 75 mg, 253 CP

Nortriptyline 75 mg-MYL

brown/orange, imprinted with MYLAN 4175

Nortriptyline 75 mg-TEV

orange, imprinted with 93 813

Nortriptyline 75 mg-WAT

green, imprinted with NORTRIPTYLINE, DAN 75 mg

Pamelor 10 mg

orange/yellow, imprinted with PAMELOR10MG, SANDOZ

Pamelor 25 mg

orange/white, imprinted with PAMELOR 25 mg, SANDOZ

What are the possible side effects of nortriptyline (Pamelor)?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:

• fast, pounding, or uneven heart rate;
• chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
• sudden numbness or weakness, especially on one side of the body;
• sudden headache, confusion, problems with vision, speech, or balance;
• confusion, hallucinations, or seizure (convulsions);
• easy bruising or bleeding, unusual weakness;
• restless muscle movements in your eyes, tongue, jaw, or neck;
• tremors;
• extreme thirst with headache, nausea, vomiting, and weakness;
• feeling light-headed or fainting; or
• urinating less than usual or not at all.

Less serious side effects may include:

• nausea, vomiting, stomach pain, loss of appetite;
• constipation or diarrhea;
• weight changes;
• dry mouth, unpleasant taste;
• weakness, lack of coordination;
• numbness or tingly feeling;
• blurred vision, headache, ringing in your ears;
• mild skin rash;
• breast swelling (in men or women); or
• increased sweating.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

What is the most important information I should know about nortriptyline (Pamelor)?

Do not use nortriptyline if you have recently had a heart attack, or if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days.

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.