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Missed dose. Never take more than prescribed dose, even if you missed the one. Try to take it as soon as possible. Or, if it's too late, just skip it and take your usually dose next day in the same regularly time. But if you take 1 dose daily at bedtime, never take the missed dose the next morning.
The mechanism of mood elevation by tricyclic antidepressants is at present unknown. Nortriptyline hydrochloride is not a monoamine oxidase inhibitor. Nortriptyline hydrochloride is a tricyclic antidepressant used to relieve the symptoms of depression. Nortriptyline hydrochloride is available in generic form. Nortriptyline is a second-generation tricyclic antidepressant (TCA) marketed as the hydrochloride salt under the trade names Sensoval, Aventyl, Pamelor, Norpress, Allegron, Noritren and Nortrilen. It is used in the treatment of major depression and childhood nocturnal enuresis (bedwetting).
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.
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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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