Anti-Depressant/Anti-Anxiety

Pamelor (Nortriptyline)

Pamelor is used for treating depression. It may also be used for other conditions as determined by your doctor.

Use Pamelor as directed by your doctor.

• Pamelor may be taken by mouth with or without food.
• Swallow Pamelor whole. Do not crush or chew before swallowing.
• Continue to take Pamelor even if you feel well. Do not miss any doses. Taking Pamelor at the same time each day will help you to remember to take it.

Pamelor is a tricyclic antidepressant. It works by increasing the activity of certain chemicals in the brain that help elevate mood.

If you miss a dose of Pamelor , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. If you take 1 dose daily at bedtime, do not take the missed dose the next morning.

Store Pamelor between 59 and 77 degrees F (15 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Pamelor out of the reach of children and away from pets.

Do not use Pamelor if:

• you are allergic to any ingredient in Pamelor;
• you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (e.g., phenelzine) within the last 14 days, or you are taking astemizole, droperidol, or terfenadine;
• you are recovering from a recent heart attack.

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you drink alcohol-containing beverages daily or you have a history of alcohol abuse
• if you take thyroid medicine or you have a history of overactive thyroid, glaucoma, heart problems, kidney or liver problems, diabetes, seizures, the blood disease porphyria, or difficulty urinating
• if you have a history of suicidal thoughts or behavior, bipolar disorder, or any other mental disorders; you are undergoing electroshock therapy; or you are scheduled to have any surgery

• Azole antifungals (eg, fluconazole), cimetidine, duloxetine, flecainide, methylphenidate, mibefradil, phenothiazines (eg, chlorpromazine), propafenone, quinidine, selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), or terbinafine because they may increase the risk of Pamelor 's side effects
• Arsenic, astemizole, droperidol, furazolidone, MAOIs (eg, phenelzine), pimozide, quinolone antibiotics (eg, ciprofloxacin), streptogramins (eg, dalfopristin), terfenadine, or tramadol because the risk of high blood pressure, serious heart problems (eg, irregular heartbeat), or seizures may be increased
• Barbiturates (eg, phenobarbital) or phenytoin because they may decrease Pamelor 's effectiveness
• Anticholinergics (eg, benztropine), carbamazepine, chlorpropamide, or sympathomimetics (eg, phenylephrine) because the risk of their side effects may be increased by Pamelor
• Clonidine, guanethidine, or guanfacine because their effectiveness may be decreased by Pamelor