Pamelor is used for the treatment of depression. The main active substance of this drug is nortriptyline. Nortriptyline hydrochloride belongs to the tricyclic antidepressants, intended for the treatment of major depression. Moreover, this drug can be used to cure migraine headaches and attention deficit hyperactivity disorder. Smoking patients often use nortriptyline to get rid of their bad habit. There drug contains such chemicals as serotonin and norepinephrine, which are directly impacted by the intake of drugs containing nortriptyline, including Pamelor. The constant use of Pamelor can help you deal with the chronic pain and anxiety attacks.
Pamelor may cause mild to severe adverse effects. According to the studies, this drug is generally well-tolerated. However, Pamelor may cause the following adverse effects:
Vertigo and/or sleepiness
Dryness in the mouth
Constipation and urination difficulty
Sudden weigh loss/gain
Erectile dysfunction in males and reduced sexual desire in females
Severe adverse effects that require immediate medical assistance are:
Irregular heart rate
Hallucination, delirium and disorientation
Behavioral changes, such as anger, aggression, etc.
Yellowing of the skin
Breast augmentation or nipple discharge
Allergy to the drug components, which may cause wheezing, breathing difficulty, itching, edema and urticaria
The list doesn’t include all the possible adverse effects of this drug. Discuss all the pros and cons with your doctor before starting the treatment.
Don’t change the dosage on your own, as an overdose or improper use of the medication may cause serious health implications. The dosage depends on your age, the drugs you’re taking and your case history. Nortriptyline must not be used by older patients and teenagers. You must start the treatment with the small dose (25mg 1-2 times a day), and then gradually increase it. If you take more that 100 mg of the drug day, it must be controlled. It is advisable to take Pamelor at the same time every day to achieve maximum effect. The pill should be taken during the meal to avoid stomach upset. Skipped doses reduce the efficiency of the medication. Therefore, you must take the missed pill as soon as possible. However, you should never take double dose. Avoid changing the dose or ending the treatment with Pamelor without the doctor’s approval, as it can reduce the effect of the medication and even become fatal.
Pamelor interacts negatively with numerous medications. You should inform your doctor about all the medications you’re using so that he/she can prescribe the right dosage and minimize the possibility of adverse effects. Alcohol increases the adverse effects of Nortriptyline.
Antispasmodics, arrhythmia medications, barbiturates, monoamine oxidase inhibitors, antipsychotics, vasopressor agents, drugs for thyroid disorders, selective serotonine reuptake inhibitors can interact with Pamelor. Consult your physician if you’re taking any of the above-mentioned drugs.