Do not use Pamelor (nortriptyline)
This product should not be used by those who are allergic to nortriptyline or similar antidepressants (amitriptyline, amoxapine, clomipramine, desipramine, doxepin, imipramine, protriptyline, trimipramine), if you have recently had a heart attack, or if you allergic to certain seizure medicines (carbamazepine, eslicarbazepine, oxcarbazepine, rufinamide).
You should not use this product if you have used an MAO inhibitor in the past 2 weeks
(14 days). A drug interaction could occur and is likely to be dangerous.
Dose adjustment or special precautions may be required
In order for your doctor to determine if this product is safe for you, tell your doctor if you have heart disease, or a history of heart attack, stroke, or seizures, bipolar disorder, schizophrenia or other mental illness, liver disease, a thyroid disorder, diabetes, narrow-angle glaucoma, or problems with urination.
Risks
Some younger patients have reported suicidal thoughts when first taking an antidepressant. Your doctor may want to check up on you to monitor you for any warning signs. Your family or caregivers should also be monitoring you for any changes in behavior or mood.
It has not been established if this medication will harm an unborn baby. If you are pregnant, ensure you speak with your doctor about the risks and benefits of this drug during pregnancy.
It has not been established if this medication passes into breast milk or if it will harm a nursing infant. If you are breast feeding, ensure you speak with your doctor about the possible risks and benefits of breasting feeding during this drug treatment.
This drug can sometimes cause a condition that affects the heart rhythm called long QT syndrome. This condition can sometimes be fatal and can cause serious (rarely fatal) fast or irregular heartbeats, dizziness and fainting and may require medical attention.