Drug InformationPharmacy FAQThat is online pharmacy?Since about the year 2000, hundreds of pharmacies have begun operating over the internet. Many such pharmacies are, in some ways, similar to community pharmacies; the primary difference is the method by which the ... more >> What does the term "generic" mean? Do generic medications produce the same effect that the brand name medicines do?The difference between a brand name medicine and a generic one is in the name, shape and in the price. A generic drug is u... more >> Why are generic medicines so cheap?Unlike generic drugs, a large part of the costs incurred by original manufacturers of brand name drugs are for research and development and advertising. The expense of obtaining FDA approval alone in th... more >> Your pills do not look like the brand name medication. The pills I have received have a different name printed on them. Why?As we have already mentioned that no manufacturer can take out a patent for a chemical agent. Thus generics can ... more >> Does every brand-name drug have a generic equivalent?No. About half of all prescription drugs have generic equivalents at this time. Generics can be manufactured only after patents on brand-name drugs have expired. There will be generic ... more >> |
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Nortriptyline hydrochlorideGeneric name: Nortriptyline hydrochloride Why is Nortriptyline hydrochloride prescribed?Pamelor is prescribed for the relief of symptoms of depression. It is one of the drugs known as tricyclic antidepressants. Some doctors also prescribe Pamelor to treat chronic hives, premenstrual depression, attention deficit hyperactivity disorder in children, and bedwetting. Most important fact about Nortriptyline hydrochloridePamelor must be taken regularly to be effective and it may be several weeks before you begin to feel better. Do not skip doses, even if they seem to make no difference. How should you take Nortriptyline hydrochloride?Take Pamelor exactly as prescribed. Pamelor may make your mouth dry. Sucking on hard candy, chewing gum, or melting ice chips in your mouth can provide relief. --If you miss a dose... Take it as soon as you remember. If it is almost time for the next dose, skip the one you missed and go back to your regular schedule. If you take Pamelor once a day at bedtime and you miss a dose, do not take it in the morning, since disturbing side effects could occur. Never take 2 doses at once. --Storage instructions... Keep Pamelor in the container it came in, tightly closed and away from light. Be sure to keep Nortriptyline hydrochloride out of reach of children; an overdose is particularly dangerous in the young. Store at room temperature. What side effects may occur?Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Pamelor.
These side effects do not indicate addiction to Nortriptyline hydrochloride. Why should Nortriptyline hydrochloride not be prescribed?If you are sensitive to or have ever had an allergic reaction to Pamelor or similar drugs, you should not take Nortriptyline hydrochloride. Make sure your doctor is aware of any drug reactions you have experienced. Do not take Pamelor if you are taking--or have taken within the past 14 days--a drug classified as an MAO inhibitor. Drugs in this category include the antidepressants Nardil and Parnate. Combining these drugs with Pamelor can cause fever and convulsions, and could even be fatal. Unless you are directed to do so by your doctor, do not take Nortriptyline hydrochloride if you are recovering from a heart attack or are taking any other antidepressant drugs. If you have been taking Prozac, you may have to wait at least 5 weeks before beginning therapy with Pamelor. A drug interaction could result. Special warnings about Nortriptyline hydrochlorideIn clinical studies, antidepressants increased the risk of suicidal thinking and behavior in children and adolescents with depression and other psychiatric disorders. Anyone considering the use of Pamelor or any other antidepressant in a child or adolescent must balance this risk with the clinical need. Pamelor is not approved for use in children. Additionally, the progression of major depression is associated with a worsening of symptoms and/or the emergence of suicidal thinking or behavior in both adults and children, whether or not they are taking antidepressants. Individuals being treated with Pamelor and their caregivers should watch for any change in symptoms or any new symptoms that appear suddenly--especially agitation, anxiety, hostility, panic, restlessness, extreme hyperactivity, and suicidal thinking or behavior--and report them to the doctor immediately. Be especially observant at the beginning of treatment or whenever there is a change in dose. Pamelor may cause you to become drowsy or less alert; therefore, you should not drive or operate dangerous machinery or participate in any hazardous activity that requires full mental alertness until you know how Nortriptyline hydrochloride affects you. Use Pamelor with caution if you have a history of seizures, difficulty urinating, diabetes, or chronic eye conditions such as glaucoma. Be careful, also, if you have heart disease, high blood pressure, or an overactive thyroid, or are receiving thyroid medication. You should discuss all of your medical problems with your doctor before taking Nortriptyline hydrochloride. If you are being treated for a severe mental disorder (schizophrenia or manic depression), tell your doctor before taking Pamelor. Pamelor may make your skin more sensitive to sunlight. Try to stay out of the sun, wear protective clothing, and apply a sun block. Before having surgery, dental treatment, or any diagnostic procedure, tell your doctor that you are taking Pamelor. Certain drugs used during these procedures, such as anesthetics and muscle relaxants, may interact with Pamelor. Possible food and drug interactions when taking Nortriptyline hydrochlorideCombining Pamelor and MAO inhibitors can be fatal. Pamelor may intensify the effects of alcohol. Do not drink alcohol while taking Nortriptyline hydrochloride. If Pamelor is taken with certain other drugs, the effects of either can be increased, decreased, or altered. It is especially important to check with your doctor before combining Pamelor with the following: Special information if you are pregnant or breastfeedingThe effects of Pamelor during pregnancy have not been adequately studied. If you are pregnant or planning to become pregnant, inform your doctor immediately. Also consult your doctor before breastfeeding. Recommended dosageThis medication is available in tablet and liquid form. Only tablet dosages are listed. Consult your doctor if you cannot take the tablet form of Nortriptyline hydrochloride. ADULTS Your doctor will monitor your response to Nortriptyline hydrochloride carefully and will gradually increase or decrease the dose to suit your needs. The usual starting dosage is 25 milligrams, 3 or 4 times per day. Alternatively, your doctor may prescribe that the total daily dose be taken once a day. Doses above 150 milligrams per day are not recommended. Your doctor may want to perform a blood test to help in deciding the best dose you should receive. CHILDREN The safety and effectiveness of Pamelor have not been established for children and its use is not recommended. However, adolescents may be given 30 to 50 milligrams per day, either in a single dose or divided into smaller doses, as determined by your doctor. 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. OverdosageAn overdose of this type of antidepressant can be fatal. If you suspect an overdose, seek medical help immediately.
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