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Pamelor (Nortriptyline Hydrochloride)

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Full information about Pamelor

General Information on Pamelor

Pamelor is a prescription antidepressant containing the drug nortriptyline. Nortriptyline hydrochloride comes from the tricyclic antidepressant class of drugs that are used to treat clinical or major depression. Pamelor can also be used to treat migraines and ADHD, but these are its off-label uses. Smokers often resort to nortriptyline to quit smoking. There are certain chemicals in the brain, notably serotonin and norepinephrine, that are directly affected by the use of medicines containing nortriptyline, like Pamelor. Continuous use of Pamelor is known to treat chronic pain and bouts of anxiety.

Side Effects of Pamelor

Pamelor has got its share of minor and major side effects. Studies show that people usually cope well with the prescribed doses of nortriptyline. Listed below are some of the common reactions to Pamelor:

  • Dizziness and/or drowsiness
  • Dry mouth
  • Problems with passing stools and urinating
  • Confusion
  • Drastic changes in weight
  • Erectile dysfunction in men and changes in libido in women
  • Impotence
  • Excessive sweating

The more serious symptoms of Pamelor that require immediate medical attention are:

  • Instances of heart attack or stroke
  • Changes in heart rhythm pattern
  • Hallucination, delusion and confusion
  • Seizures
  • Suicidal thoughts and actions
  • Behavioral changes like hostility, aggressiveness, etc.
  • Jaundice
  • Swelling in the testicles
  • Insomnia
  • Breast enlargement or discharge
  • Sudden and abrupt mood swings
  • Restlessness
  • Allergic reactions to the drug contained in Pamelor include wheezing,breathing troubles,itches,swelling and hives

The list does not cover all the possible side effects of Pamelor. Medical advice from a professional is required to gain a complete understanding of the subject.

Dosage

The recommended dosage of Pamelor must be adhered to as an overdose or irregular use of the drug can have adverse, even fatal implications. The dose prescribed by the doctor is dependent on the age, current medications being taken, and the medical history of the patient. Nortriptyline is not recommended for use by the elderly or those in their teens. Pamelor should be initiated in low doses (25mg-30 mg once or twice a day) and then increased under careful observation of the doctor. If the levels of Pamelor surpass 100 mg per day, it should be monitored. Try to take Pamelor at the same time each day for best results. The tablet can be taken with food to avoid stomach problems. Missed doses hinder the effectiveness of the drug and should be made up for as soon as you remember. However, double doses should be completely avoided. Tampering with doses or stopping the use of Pamelor without professional guidance will nullify the effect of the medication and even prove fatal.

Interactions

Pamelor interacts adversely with a large number of drugs.You must inform your doctor about all the drugs you are taking so that he or she can ensure the correct administration of Pamelor and reduce the chances of side effects. Nortriptyline has adverse reactions with alcohol.

Antichlorinergic drugs, medicines used to treat arrythmia, barbiturates, MAOIs, phenothiazine medications, pressors, drugs that treat thyroid problems, SSRI or SNRI medications, and other antidepressants interact with Pamelor. Consulting your doctor on this matter if you take any of the above medications is of prime importance.

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