Nortriptyline is in a class of drugs known as tricyclic antidepressants. It affects chemicals in the brain that may become unbalanced and that may cause depression. Nortriptyline can help to lift your spirits by treating your depression.

Pamelor Dosage

The usual starting dosage is 25 milligrams, 3 or 4 times per day.
For older adults, the usual dose is 30 to 50 milligrams taken in a single dose or divided into smaller doses, as determined by your doctor.

Uses of Pamelor

Nortriptyline is used to relieve symptoms of depression including such as feelings of sadness, worthlessness, or guilt; loss of interest in daily activities; changes in appetite; tiredness; sleeping too much; insomnia; and thoughts of death or suicide.
It may also be used for purposes other than those listed in this medication guide.

Side Effects of Pamelor

If you are taking this medication, then discuss the side effects with your doctor. If you feel any change in intensity, then you should tell your doctor. Because only your doctor can determine if it is safe to continue using Pamelor. Side effects may include:

constipation
delusions
diarrhea
dilation of pupils
disorientation
dizziness
drowsiness
dry mouth
excessive or spontaneous flow of milk
excessive urination at night
fatigue
fever
fluid retention
flushing
frequent urination
hair loss
hallucinations
headache
heart attack
high or low blood pressure

Warnings and precautions before taking Pamelor:

You should use Pamelor with caution if you have a history of seizures, difficulty urinating, diabetes, or chronic eye conditions including such as glaucoma. Be careful, also, if you have heart disease, high blood pressure, or an overactive thyroid, or are receiving thyroid medication.
It may also cause you to become drowsy or less alert. So, you should not drive or operate dangerous machinery or participate in any hazardous activity that requires full mental alertness.
Pamelor may make your skin more sensitive to sunlight. So you should try to stay out of the sun and wear protective clothing, and apply a sun block.
You should tell your doctor and pharmacist if you are allergic to nortriptyline or any other drugs.

Drug Interaction :-

If you are taking certain drugs with Pamelor, then it may decreased, increased or altered the effects of Pamelor medicine. It is especially important to check with your doctor before combining Pamelor with the following:-

Airway-opening drugs such as Ventolin and Proventil
Blood pressure medications such as Catapres and Esimil
Cimetidine (Tagamet)
Drugs for heart irregularities, such as Tambocor and Rythmol
Levodopa (Larodopa)
Major tranquilizers such as Thorazine and Mellaril
Quinidine (Quinidex)
Reserpine (Diupres)
Stimulants such as Dexedrine
Thyroid medication such as Synthroid
Warfarin (Coumadin)

Overdose

When you are taking Pamelor, and you feel that overdose is suspected then contact your doctor immediately. Symptoms of a Pamelor overdose may include:

Agitation
coma
dilated pupils
excessive reflexes
fluid in the lungs
hallucinations
irregular heartbeat
low body temperature
rigid muscles
severely low blood pressure
vomiting

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