Tell the doctor immediately if you notice any of these side effects of Pamelor, especially worsening of depression or other psychiatric conditions.
Pamelor is administered orally in the form of capsules or liquid. Lower than usual dosages are recommended for elderly patients and adolescents.
What Drugs, Substances, or Supplements Interact with Pamelor?
Pamelor may interact with other drugs that make you sleepy or slow your breathing (sleeping pills, narcotic pain medicines, muscle relaxers, or medicines for anxiety, depression, or seizures), bupropion, cimetidine, reserpine, St. John's wort, terbinafine, other antidepressants or medication to treat mental illness, bladder or urinary medicines, bronchodilators, cold or allergy medicines that contain an antihistamine, medications for Parkinson's disease; medications to treat excess stomach acid, stomach ulcer, motion sickness, or irritable bowel syndrome; decongestants, diet pills, stimulants, or heart rhythm medications. Tell your doctor all medications and supplements you use.
Pamelor During Pregnancy and Breastfeeding
Tell your doctor if you are pregnant or plan to become pregnant while using Pamelor; it is unknown if it will harm a fetus. It is unknown if Pamelor passes into breast milk or if it could harm a nursing baby. Consult your doctor before breastfeeding.
Additional Information
Our Pamelor Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.
Pamelor Consumer Information
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.
Call your doctor at once if you have:
blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights;
restless muscle movements in your eyes, tongue, jaw, or neck;
a light-headed feeling, like you might pass out;
seizure (convulsions);
new or worsening chest pain, pounding heartbeats or fluttering in your chest;
sudden numbness or weakness, problems with vision, speech, or balance;
Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.
Common side effects may include:
increased blood pressure;
numbness or tingling in your hands or feet;
dry mouth, nausea, vomiting, loss of appetite;
blurred vision;
rash, itching; or
breast swelling (in men or women).
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Included in the following list are a few adverse reactions that have not been reported with this
specific drug. However, the pharmacologic similarities among the tricyclic antidepressant drugs
require that each of the reactions be considered when nortriptyline is administered.
Confusional states (especially in the elderly) with hallucinations, disorientation, delusions;
anxiety, restlessness, agitation; insomnia, panic, nightmares; hypomania; exacerbation of psychosis.
Neurologic
Numbness, tingling, paresthesias of extremities; incoordination, ataxia, tremors; peripheral
neuropathy; extrapyramidal symptoms; seizures, alteration in EEG patterns; tinnitus.
Skin rash, petechiae, urticaria, itching, photosensitization (avoid excessive exposure to
sunlight); edema (general or of face and tongue), drug fever, cross-sensitivity with other tricyclic
drugs.
Gynecomastia in the male, breast enlargement and galactorrhea in the female; increased or
decreased libido, impotence; testicular swelling; elevation or depression of blood sugar levels;
syndrome of inappropriate ADH (antidiuretic hormone) secretion.
Though these are not indicative of addiction, abrupt cessation of treatment after
prolonged therapy may produce nausea, headache, and malaise.
Postmarketing Experience
The following adverse drug reaction has been reported during post-approval use of Pamelor. Because
this reaction is reported voluntarily from a population of uncertain size, it is not always possible to
reliably estimate frequency.
&Copy; Pamelor Patient Information is supplied by Cerner Multum, Inc. and Pamelor Consumer information is supplied by First Databank, Inc., used under license and subject to their respective copyrights.
