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Pamelor (Nortriptyline)

Active Ingredient: (Nortriptyline)
Pamelor is an antidepressant that is prescribed for treating the symptoms of mental and mood problems.
Batch Expiry Date: June 2017
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Pamelor 25 mg

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How it works

Pamelor belongs to a category of drugs called Tricyclic Antidepressants that affects the levels of certain chemicals in the brain. This allows to restore mood.

Guidelines for usage

Follow the dosage instructions provided by your doctor or as mentioned in the instruction booklet/product label.

Always use only as prescribed. Never exceed the dosage.

Pamelor may be used with or without food.

Doctors recommend that you swallow the whole tablet/capsules with a glass of water unless it is specified that it can be broken or chewed.

NOTE: Use only if prescribed to you and intended for your use. Do not share with others.

Missed Dose

It is common for people to forget their dosage times and miss doses.

Do not panic if you have missed a dose.

Instead, skip the missed dose and take your next dose at the scheduled time. Do not double up or take more than what the doctor has prescribed.

How & where do I store Pamelor?

The medicine label contains detailed instructions regarding safe storage of the medication. Most medicines are best stored at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Some medications may require to be refrigerated. Please check the product label.

Keep it away from the reach of children. Ensure that it is not exposed to direct sunlight or moisture.

Ask your pharmacist about safely disposing off medication that is past expiry date.

Overdose Related Information

If you accidentally consume more medication than what was prescribed, then contact an emergency healthcare center immediately.
Safety Information/ Warning Precautions

Discuss your medical history with your healthcare provider before you start using any new medication.

Ensure that you mention the following:

Any prior serious ailment, lifestyle disease or surgery
All the prescription drugs, OTC health supplements, herbal supplements that you are using currently
Your alcohol intake and whether you smoke or not
Any history of a known allergic reaction to prescription drugs or food
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
If you consume 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.

This will allow your healthcare provider to prescribe the apt dosage of the medication for you.

To be avoided

You must avoid using Pamelor if it you are allergic to any ingredient in it or if you have conditions like

if you have taken furazolidone or a monoamine oxidase (MAO) inhibitor (eg, phenelzine) within the last 14 days, or you are taking astemizole, dofetilide, droperidol, terfenadine, or cisapride, or if you are recovering from a recent heart attack.

Using Alcohol

Pamelor is known to cause drowsiness or dizziness. Your vision may be blurred and your judgement affected if you consume alcohol with this medication. So, avoid using alcohol while using Pamelor.

These effects may also get aggravated due to hot weather or fever or severe exercise. So, be cautious when you stand up after a long time from a sitting or lying position. If you feel giddy then lie down immediately and seek medical help.

Additional Information

Pamelor can trigger suicidal thoughts or actions especially in young adults, children and teenagers. The chances of this occuring are higher in people suffering from bipolar disorder. So patients taking Pamelor must be monitored closely. Even the slight change in their mood or behavior like depressed mood; anxious, restless, or irritable behavior; panic attacks must reported to the doctor.

If your doctor has prescribed laboratory tests then ensure that you do not miss out on them.

Elderly people are more likely to experience side effects while using Pamelor. If the side effects are bothersome, then seek medical help.

Pamelor may make your skin more sensitive to sun exposure. Ensure that you take necessary precautions while you venture out.

Important Information for Pregnant Women

Discuss the potential risks with your healthcare provider before using the medication.

Certain medications may be found in breast milk so speak to your child’s doctor to rule out any possibilities of risk.
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Side Effects

Report the following side effects to your doctor only if they become bothersome or do not stop on their own

Dizziness, drowsiness, dry mouth, excitement, headache, impotence, nausea, nightmares, pupil dilation, and sensitivity to sunlight, sweating, tiredness, upset stomach, vomiting, weakness, weight loss or gain

The following side effects require immediate medical attention. So report these to your doctor immediately.

Allergic reactions (rash, hives, itching, difficulty breathing, tightness in the chest, swelling of the mouth, face, lips, or tongue), blurred vision or other vision changes, changes in sex drive, chest pain, confusion, constipation, fainting, fever, frequent or difficult urination, hallucinations, impulsive behaviour or other unusual changes in behaviour, fast, slow, or irregular heartbeat, jaw, neck, or muscle spasms, mental or mood changes (eg, increased anxiety, mood swings, agitation, irritability, nervousness, restlessness)
Panic attacks, ringing in the ears, seizures, severe dizziness or drowsiness, sore throat, stomach pain, suicidal thinking or behaviour, swelling of the testicles, tremor, trouble sleeping, trouble walking or keeping your balance, twitching of the face or tongue, uncontrolled movements of arms and legs or stiffness, unusual bleeding or bruising, worsening of depression, yellowing of the skin or eyes.

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