Pamelor (nortriptyline) Coupons, Discounts & Cost
Nortriptyline belongs to the group of tricyclic antidepressants. One way to save money on the Pamelor retail cost regardless of income and insurance status is to use Pamelor coupons or discount cards from RXCoupons. Use this Nortriptyline coupon at this online pharmacy and receive up to 75% off the sale price.
Pamelor pharmacologic effect
Nortriptyline belongs to the group of tricyclic antidepressants. This component is similar to amitriptyline. Nortriptyline has mild stimulant effect. It helps improve mood with minimal sedation. It is successfully used when hypochondriacal states occur. The antidepressant effect can be achieved within the first two weeks of therapy.
Pamelor indications
Pamelor (nortriptyline) should be used in the following cases:
- Treatment of manic-depressive psychosis (depressive phase);
- Treatment of depression, mixed emotional disorders and behavioral disorders;
- Treatment of psychogenic anorexia;
- Depressive syndromes associated with cerebral arteriosclerosis;
- Treatment of depression associated with reserpine (in combination with amitriptyline);
- Treatment of depression associated with the treatment of schizophrenic psychosis (the drug can be used in conjunction with neuroleptics).
What should I know about Pamelor contraindications?
The drug is not used in patients with myocardial infarction, acute alcohol intoxication, acute intoxication with hypnotics, analgesic and psychotropic drugs. It is not recommended in case of angle-closure glaucoma, pregnancy and lactation, children up to 12 years of age.
Pamelor instructions for use
The dosage should be adjusted individually depending on the patient's reaction to the drug. At the same time, older patients should take lower doses of nortriptyline. Typically, this antidepressant should be taken 3-4 times a day, with the daily average dose of 75-100 mg. In emergency situations, the dosage may be increased up to 150 mg per day. It is not recommended to exceed this dosage. It makes sense to reduce the dose when remission occurs.
Pamelor as an antidepressant in children from 6 to 12 years: 10-30 mg per day (up to 100 mg per day).
What should I know about Pamelor side effects?
Pamelor possible side effects: dry mouth, urinary retention, constipation, intestinal obstruction, impaired vision, paresis of accommodation, increased intraocular pressure, increased sweating, agitation, tachycardia and cardiac arrhythmias.
Nervous system: headache, dizziness, ataxia, fatigue, weakness, irritability, confusion, hallucinations, tinnitus, drowsiness, insomnia, nightmares, psychomotor agitation, tremor, paresthesia, peripheral neuropathy, impaired concentration, dysarthria.
Cardiovascular system: tachycardia, orthostatic hypotension, arrhythmia, labile blood pressure, symptoms of heart failure, agranulocytosis, leukopenia, eosinophilia, thrombocytopenia.
Digestive tract: nausea, vomiting, heartburn, anorexia, epigastric discomfort, gastralgia, stomatitis, taste disturbance.
Metabolism: galactorrhea, hyperglycemia, impaired glucose tolerance.
Genitourinary system: changes in libido, testicular swelling, glycosuria, pollakiuria.
Allergic reactions: skin rash, pruritus, angioedema, urticaria.
Other reactions: hair loss, swollen lymph nodes, photosensitivity, increased body weight (in case of long-term use), withdrawal symptoms (headache, nausea, vomiting, diarrhea, irritability, sleep disturbances, unusual dreams, irritability).
Important information
Nortriptyline may increase the effect of other antidepressants. Pamelor reduces hypotensive and anticonvulsant activity of other drugs. Cimetidine may lower the metabolism of the drug. Nortriptyline enhances the effects of alcohol, barbiturates and other CNS depressants. Disulfiram may cause delirium, anticholinergics or neuroleptics may cause hyperpyrexia.
It is not recommended to combine nortriptyline with MAO inhibitors. Elderly patients and children should use reduced doses of this drug. Nortriptyline should not be given to patients with mania. Due to the possibility of suicide attempts, depressed patients need regular monitoring (especially in the first week of treatment).
The lowest possible doses should be used to reduce the risk of overdose. It is necessary to reconsider the tactics of treatment in the absence of improvement within 3-4 weeks. Patients should avoid alcohol during treatment.