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Pamelor is a medicine used to treat depression. Pamelor is available in capsules and an oral suspension.
How does this medication work?
Pamelor is thought to work by increasing the activity of certain chemicals in your brain, thereby helping to improve your symptoms of depression.
What are the beneficial effects of this medication and when should I begin to have results?
What: Pamelor may help to relieve symptoms of depression.
When: Everyone responds differently to treatment, so try to be patient and follow your healthcare provider's directions. It is important that you take Pamelor exactly as your healthcare provider has prescribed.
How do I know it is working?
Your healthcare provider may ask you a series of questions from time to time that will help assess how well your symptoms are controlled with treatment.
The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.
Pamelor can increase the risk of suicidal thoughts and behavior in children, teenagers, and young adults. Your healthcare provider will monitor you closely for clinical worsening and suicidal or unusual behavior after you start taking Pamelor or start a new dose of Pamelor. Tell your healthcare provider right away if you experience anxiety, hostility, sleeplessness, restlessness, impulsive or dangerous behavior, or thoughts about suicide or dying; or if you have new symptoms or seem to be feeling worse.
More common side effects may include: low or high blood pressure, confusion, numbness, tingling, dry mouth, rash, nausea, vomiting, dizziness.
Less common side effects may include:
Serotonin syndrome (a potentially life-threatening drug reaction that causes the body to have too much serotonin, a chemical produced by the nerve cells) with symptoms such as mental status changes (such as agitation or hallucinations), a fast heartbeat, sweating or fever, coordination problems or muscle twitching, muscle stiffness, nausea, vomiting, or diarrhea.
Manic episodes with symptoms such as greatly increased energy, severe trouble sleeping, racing thoughts, reckless behavior, excessive happiness or irritability, or talking more or faster than usual.
Pamelor may also cause seizures or high or low blood sugar levels.
Visual problems with symptoms such as eye pain, changes in vision, swelling or redness in or around the eye.
Do not take Pamelor if you are allergic to it, any of its ingredients, or to other similar medicines (such as amitriptyline).
Do not take Pamelor if you take another medicine called a monoamine oxidase inhibitor (MAOI) (such as phenelzine, selegiline, or linezolid), a class of medications used to treat depression and other conditions. Do not start taking Pamelor if you stopped taking an MAOI in the last 2 weeks, unless directed to do so by your healthcare provider.
Do not take Pamelor if you recently had a heart attack.
Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Pamelor. Also, talk to your healthcare provider about your complete medical history, especially if you have heart or thyroid problems, bipolar disorder or mania, seizures, glaucoma (high pressure in the eye), urinary retention (an inability to urinate normally), or if you are scheduled for surgery.
The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.
Adults: The usual dose is 25 milligrams (mg) three or four times a day. Your healthcare provider may prescribe a different dose that is taken once a day.
Adolescents and elderly patients: The usual dose is 30 mg to 50 mg once a day or in divided doses, as directed by your healthcare provider.
Your healthcare provider may increase your dose as needed, until the desired effect is achieved.
It is important that you do not stop taking this medication abruptly. If you need to change or stop taking this medication, it is important that you only do this with the guidance of your healthcare provider.
Take Pamelor exactly as prescribed by your healthcare provider. Do not change your dose or stop taking Pamelor without first talking to your healthcare provider.
Do not drive, operate heavy machinery, or do other dangerous activities until you know how Pamelor affects you.
Do not drink alcohol while you are taking Pamelor.
If Pamelor is taken with certain other drugs, the effects of either could be increased, decreased, or altered. Pamelor may interact with numerous medications. Therefore, it is very important that you tell your healthcare provider about any other medications you are taking.
The effects of Pamelor during pregnancy and breastfeeding are unknown. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.
If you miss a dose of Pamelor, take it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.
Store at room temperature.
In the event of a medical emergency call your doctor or 9-1-1 immediately. In the event of overdose, call your doctor or poison control for further instructions.
National Poison Control#: Call 1-800-222-1222
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