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Nortriptylinelike other antidepressantsis required by the FDA to carry a black-box warning because of an increased risk of suicide.

Insomnia nausea or vomiting dry mouth less urination and constipation changes in vision decreased sex drive breast swelling.

TCAsincluding nortriptylineshould not be used concurrently with a monoamine oxidase inhibitors such as tranylcypromineParnateisocarboxazidMarplanphenelzineNardiland procarbazineMatulanebecause of the possibility of hyperpyretic criseshigh feverconvulsionsand even death.

If you experience any of the following serious side effectscall your doctor immediately or seek emergency medical careSlow or difficult speech Shuffling walk Uncontrollable shaking of a part of the body Difficulty breathing or swallowing Rash Irregular heartbeat Fever Yellowing of the skin or eyesjaundiceJawneckand back muscle spasms.

Many drugs can interact with Pamelorwhich may cause unwanted or dangerous effectsThis includes prescription and over-the-counter medicinesvitaminsand herbal productsNot all possible interactions are listed in this medication guideTell your doctor about all medicines you useand those you start or stop using during your treatment with this medicineGive a list of all your medicines to any healthcare provider who treats you.

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