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It is believed that nortriptyline either inhibits the reuptake of the neurotransmitter serotonin at the neuronal membrane or acts at beta-adrenergic receptors. Tricyclic antidepressants do not inhibit monoamine oxidase nor do they affect dopamine reuptake.
Identification Code Light orange opaque cap printed with "PAMELOR 25 mg" in black and white opaque body printed "M" in the box in black. Both nortriptyline and SSRI antidepressants affect serotonin, and toxicity can occur if they are both taken. At least two weeks should elapse between taking nortriptyline and either a MAOI or SSRI antidepressant. Nortriptyline should not be taken if you have had a recent heart attack or stroke or if you have glaucoma.
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The elimination half life of nortriptyline is between 16 and 90 hours. It takes 5.5 elimination half life's for a drug to be cleared from ones system. So it could take a maximum of 495 hours i.e. 8.25 days (5.5 x 90 hours) for nortriptyline to be cleared from ones body.
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