Pamelor (Nortriptyline) belongs to the group of tricyclic antidepressant and is similar in its chemical structure to Amitriptyline. But compared to the last one, Pamelor has a moderate stimulatory and mood improving action with the most minimal sedative effect. It successfully fights hypochondriac syndrome. The antidepressive effect of the drug comes fast, in the first two weeks of treatment.
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The drug intake is strictly forbidden to the patients with myocardial infarction and depressions with suiide attempts. Besides, the drug can be taken together with thymeretics. The interval between the courses of treatment with thymeretics and Nortriptyline should be at least 2 weeks.
The dose must be prescribed as individually as possible, based on the reaction of the patient’s body to the drug. At that the elderly patients must take the reduced dose of Nortriptyline. Usually, the antidepressant is taken 3-4 times a day, while an average daily dose is 75-100 mg. In case of acute need, the dose can be increased to 150 mg a day. It is unadvisable to exceed this dose. Once the remission starts, it is reasonable to reduce the dose to the minimal supportive one.
The most common side effects: constipation, dry mouth, accommodation and urination disorder, agitation, tachycardia and heart rate disorder.
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