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Pamelor (Nortriptyline)

Men's Health » Anti Depressants » Pamelor (Nortriptyline)

Pamelor (Nortriptyline) is a tricyclic antidepressant used to treat depression. It may also be used to treat chronic pain and other conditions as determined by your doctor.

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About Pamelor (Nortriptyline):

Product Type: Anti Depressants

Brand name: Pamelor Generic name: Nortriptyline What is the most important information I should know about pamelor? Do not use pamelor if you have recently had a heart attack or if you have used an MAO inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) rasagiline (Azilect) selegiline (Eldepryl Emsam) or tranylcypromine (Parnate) within the past 14 days. You may have suicidal thoughts or behavior when you start taking an antidepressant especially if you are under 18 years old. You will need to be monitored for worsening symptoms of depression or suicidal thoughts. Your doctor should check you at regular visits during the first 12 weeks of treatment or whenever your dose is changed. Contact your doctor promptly if you have any of the following side effects especially if they are new symptoms or if they get worse: mood changes anxiety panic attacks trouble sleeping irritability agitation aggressiveness severe restlessness mania (mental and/or physical hyperactivity) thoughts of suicide or hurting yourself. What is pamelor? Pamelor is in a group of drugs called tricyclic antidepressants. Pamelor affects chemicals in the brain that may become unbalanced. Pamelor is used to treat symptoms of depression. Pamelor may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking pamelor? Do not use this medication if you are allergic to pamelor or if you have recently had a heart attack. Do not use pamelor if you have used an MAO inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) rasagiline (Azilect) selegiline (Eldepryl Emsam) or tranylcypromine (Parnate) within the past 14 days. Serious life-threatening side effects can occur if you take pamelor before the MAO inhibitor has cleared from your body. Before taking pamelor tell your doctor if you are allergic to any drugs or if you have: • heart disease; • a history of heart attack stroke or seizures; • bipolar disorder (manic-depression); • schizophrenia or other mental illness; • diabetes (pamelor may raise or lower blood sugar); • overactive thyroid; • glaucoma; or • problems with urination. If you have any of these conditions you may not be able to use pamelor or you may need a dosage adjustment or special tests during treatment. You may have suicidal thoughts or behavior when you first start taking an antidepressant especially if you are under 18 years old. Watch for worsening symptoms of depression or suicidal thoughts. Your doctor should check you at regular visits during the first 12 weeks of treatment or whenever your dose is changed. In addition to you watching for changes in your own symptoms your family or caregivers should be alert to changes in your mood or symptoms. Contact your doctor promptly if you have any of the following side effects especially if they are new symptoms or if they get worse: mood changes anxiety panic attacks trouble sleeping irritability agitation aggressiveness severe restlessness mania (mental and/or physical hyperactivity) thoughts of suicide or hurting yourself. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether pamelor passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Older adults may be more likely to have side effects from this medication. Do not give this medication to anyone under 18 years old without the advice of a doctor. How should I take pamelor? Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from this medication. Follow the directions on your prescription label. If you need to have any type of surgery tell the surgeon ahead of time that you are taking pamelor. You may need to stop using the medicine for a short time. Do not stop using pamelor without first talking to your doctor. You may need to use less and less before you stop the medication completely. Stopping this medication suddenly could cause you to have unpleasant side effects. It may take a few weeks of using this medicine before your symptoms improve. For best results keep using the medication as directed. Talk with your doctor if your symptoms do not improve during treatment with pamelor. Store pamelor at room temperature away from moisture and heat. What happens if I miss a dose? Take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. An overdose of pamelor can be fatal. Symptoms of a pamelor overdose may include extreme drowsiness confusion agitation hallucinations blurred vision vomiting muscle stiffness feeling hot or cold fainting seizure (convulsions) or coma. What should I avoid while taking pamelor? Avoid drinking alcohol. It can cause dangerous side effects when taken together with pamelor. Avoid using other medicines that make you sleepy (such as cold medicine pain medication muscle relaxers medicine for seizures or other antidepressants). They can add to sleepiness caused by pamelor. Grapefruit and grapefruit juice may interact with pamelor. Discuss the use of grapefruit products with your doctor before increasing or decreasing the amount of grapefruit products in your diet. Pamelor can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Pamelor can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun. What are the possible side effects of pamelor? Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. Call your doctor at once if you have any of these serious side effects: • fast pounding or uneven heart rate; • chest pain or heavy feeling pain spreading to the arm or shoulder nausea sweating general ill feeling; • sudden numbness or weakness especially on one side of the body; • sudden headache confusion problems with vision speech or balance; • confusion hallucinations or seizure (convulsions); • easy bruising or bleeding unusual weakness; • restless muscle movements in your eyes tongue jaw or neck; • tremors; • extreme thirst with headache nausea vomiting and weakness; • feeling light-headed or fainting; or • urinating less than usual or not at all. Less serious side effects may be more likely to occur such as: • nausea vomiting stomach pain loss of appetite; • constipation or diarrhea; • weight changes; • dry mouth unpleasant taste; • weakness lack of coordination; • numbness or tingly feeling; • feeling anxious or restless; • sleep problems (insomnia) nightmares; • blurred vision headache ringing in your ears; • mild skin rash; • breast swelling (in men or women); or • increased sweating. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect pamelor? Before taking pamelor tell your doctor if you have used an SSRI antidepressant in the past 5 weeks such as citalopram (Celexa) escitalopram (Lexapro) fluoxetine (Prozac Sarafem) fluvoxamine (Luvox) paroxetine (Paxil) or sertraline (Zoloft). Before taking pamelor tell your doctor if you are currently using any of the following drugs: • cimetidine (Tagamet); • guanethidine (Ismelin); • reserpine; or • heart rhythm medications such as flecainide (Tambocor) propafenone (Rhythmol) or quinidine (Cardioquin Quinidex Quinaglute). If you are using any of these drugs you may not be able to use pamelor or you may need dosage adjustments or special tests during treatment. There are many other medicines that can interact with pamelor. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you

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Men's Health: Avodart (Dutasteride) Avodart (Dutasteride) is an androgen hormone inhibitor used in men to treat benign prostatic hyperplasia (BPH) which is swelling of the prostate. This medicine works by lowering the amount of the hormone responsible for prostate growth. Dutasteride reduces urinary blockage and improves urine flow. This medicine should not be used in women and children. Buy Avodart (Dutasteride) and other Men's Health products online at Medstore. About Avodart (Dutasteride): Product Type: Men's Health Brand name: Avodart Generic name: Dutasteride What is the most important information I should know about Avodart? • Before taking Avodart tell your doctor if you have ever had an allergic reaction to this medication or to a similar medicine called finasteride (Propecia Proscar). • Avodart should never be taken by a woman or a child. Avodart can be absorbed through the skin and women or children should not be permitted to handle Avodart capsules. • Although Avodart is not for use by women this medication can cause birth defects if a woman is exposed to it during pregnancy. Avodart capsules should not be handled by a woman who is pregnant or who may become pregnant. • If a woman accidentally comes into contact with this medication from a leaking capsule wash the area with soap and water right away. • Do not donate blood while taking Avodart and for at least 6 months after your treatment ends. Avodart can be carried in the blood and could cause birth defects if a pregnant women receives a transfusion with blood that contains Avodart. What is Avodart? • Avodart prevents the conversion of testosterone to dihydrotestosterone (DHT) in the body. DHT is involved in the development of benign prostatic hyperplasia (BPH). • Avodart is used to treat benign prostatic hyperplasia (BPH) in men with an enlarged prostate. This medicine helps improve urinary flow and may also reduce your need for prostate surgery later on. • Avodart may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Avodart? • Before taking Avodart tell your doctor if you have ever had an allergic reaction to this medication or to a similar medicine called finasteride (Propecia Proscar). • Avodart should never be taken by a woman or a child. Avodart can be absorbed through the skin and women or children should not be permitted to handle Avodart capsules. • Although Avodart is not for use by women this medication can cause birth defects if a woman is exposed to it during pregnancy. Avodart capsules should not be handled by a woman who is pregnant or who may become pregnant. • If a woman accidentally comes into contact with this medication from a leaking capsule wash the area with soap and water right away. How should I take Avodart? • Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts or take it for longer than recommended by your doctor. • Take each dose with a full glass of water. • Avodart can be taken with or without food. • Swallow the Avodart capsule whole. Do not chew crush or break the capsule. • It is important to take Avodart regularly to get the most benefit. • Do not stop taking Avodart without first talking to your doctor. It may take as long as 3 to 6 months of treatment with Avodart before you notice improvement in your BPH symptoms. • To be sure this medication is helping your condition your prostate will need to be checked on a regular basis. Your PSA (prostate-specific antigen) may also be tested to help detect prostate cancer. It is important that you not miss any scheduled visits to your doctor. • Store Avodart at room temperature away from moisture and heat. Avodart capsules may become soft and leaky or they may stick together if they get too hot. Do not use any capsule that is cracked or leaking. Call your pharmacist for instructions on how to safely dispose of a leaking Avodart capsule. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? • Seek emergency medical attention if you think you have used too much of this medicine. An overdose of Avodart is not expected to produce life-threatening symptoms. What should I avoid while taking Avodart? • Do not donate blood while taking Avodart and for at least 6 months after your treatment ends. Avodart can be carried in the blood and could cause birth defects if a pregnant women receives a transfusion with blood that contains Avodart. What are the possible side effects of Avodart? • Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. • Other less serious side effects are more likely to occur such as: decreased libido (sex drive); decreased amount of semen released during sex; impotence (trouble getting or keeping an erection); or breast tenderness or enlargement. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Avodart? • Before taking Avodart tell your doctor if you are using any of the following drugs: HIV medicines such as indinavir (Crixivan) saquinavir (Invirase) lopinavir/ ritonavir (Kaletra) ritonavir (Norvir) or nelfinavir (Viracept). • If you are using any of these drugs you may not be able to use Avodart or you may need dosage adjustments or special tests during treatment. • There may be other drugs not listed that can affect Avodart. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Generic Avodart (Dutasteride) Dutas Veltride 0.5mg 120 caps 0.5mg 240 caps 0.5mg 60 caps 0.5mg 30 caps 0.5mg 90 caps Dutasteride Avodart