Pamelor Precautions

See also the Warning of the section.

Before taking nortriptyline, said to your doctor or chemist if you are there allergic; or in other antidepressants tricyclic (such as amitriptyline); or if you have other allergies.

Before using this treatment, say or the chemist your medical history to your doctor, especially of: by sniffing problems, problems of liver, recent heart attack, urinating problems (such as because of the enlarged prostate), the hyperactive thyroid (Hyperthyroidism), some problem of eye (the glaucoma), the baby announces personal or the family matter of mental conditions / conditions of mood (such as riot of bipolar, the psychosis), the family matter of suicide, seizures, the conditions which can augment your risk of seizures (such as the other illness of the brain, the withdrawal of alcohol).

Nortriptyline can cause a condition which affects the rhythm of the heart (the extension of QT). The extension of QT can have as seldom serious (seldom fatal) result quick / irregular heartbeat and other symptoms (such as strict vertigo, by fainting) who demand immediate medical attention. The risk of extension QT can be augmented if you have some medical conditions or take other medicaments which can affect the rhythm of the heart (see also the section of reciprocal Actions of Medicament). Before using nortriptyline, said to your doctor or chemist if you have whatever following conditions: some problems of the heart (the heart failure, decelerate heartbeat, extension of QT in the electrocardiogram), the family matter of some problems of the heart (the extension of QT in electrocardiogram, sudden cardiac death).

The low levels of potassium or of magnesium in the blood can augment also your risk of extension QT. This risk can augment if you use some medicaments (such as diuretics / "the pills of water") or if you have conditions such as fact to sweat strict, diarrhoeia, or vomiting. Speak to your doctor about nortriptyline use with complete peace of mind.

This medicament can make you made drowsy either give vertigo or cause blurred vision. Do not drive, use machines, or made any activity which demands alertness or clear vision until you are sure that you can carry such activities out with complete peace of mind. Limit alcoholic beverages.

Before having the surgery, say to your doctor or dentist of all products whom you use (by including medicaments of prescription, nonmedicaments of prescription and products made with grasses).

This treatment can make you more sensitive in the sun. Avoid the extended exhibition of the sun, the tanning cabins and lamps with ultraviolet rays. Use a sunscreen and wear protective clothes when outside.

The liquid form of this treatment can contain some alcohol. Caution is recommended if you have diabetes, dependency of alcohol, illness of liver, or other condition which demands you to limit / avoid some alcohol in your regime. Ask your doctor or chemist of the use of this product with complete peace of mind.

If you have diabetes, this medicament can make it more difficult to control your levels of glycemia. Control your levels of glycemia regularly and say to your doctor of results. Your doctor must probably regulate your treatment of diabetes, programme of exercise, or regime.

Caution is recommended by using this medicament in the older adults because they can be more sensitive to its side effects, block especially fag, vertigo, confusion and urinating difficulty.

During the pregnancy, this treatment should be used only when apparently necessary. As not well-manicured depression can be a serious condition, do not give up using this treatment unless not run by your doctor. If you plan the pregnancy, become pregnant, or think that you can be pregnant, discuss immediately with your doctor advantages and risks of using this treatment during the pregnancy.

This to let through male nurse of treatment in milk of chest and effect on a baby are unknown. The feeding of the breast by using this medicament is not recommended. Consult your doctor before the feeding of the breast.