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4RX Store > Medication List > Anti Depressants drugs > Order Pamelor online

Anti Depressants Medication (Pamelor)

Generic name:
Brand name:
Pamelor is one of the brand names used for a tricyclic antidepressant Nortriptyline. The medication can be bought both in a branded and generic form for the therapy of depression, neurologic pain, bedwetting in children, panic disorder, irritable bowel syndrome, and emotional lability in various mental disorders. To know how the pills should be taken, what adverse effects the medication can cause, etc., read our guide based on the FAQ.
Depression treatment, Nocturnal enuresis (bedwetting) in children, Panic disorder, Irritable bowel syndrome, Migraine, Neurological pain, Emotional incontinence in different mental disorders
Helps to eliminate the symptoms of depression and prevent its relapses
Acetexa, Allegron, Altilev, Ateben, Avantyl, Aventyl, Desitriptilina, Noramitriptyline, Noritren, Norzepine, Primox, Psychostyl, Sensaval, Vividyl
Pamelor (Generic Nortriptyline)
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Order Generic Nortriptyline Buy Pamelor 25mg


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  100 pills
$39.28 ($40.12)








  150 pills
$56.63 ($59.43)








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  Generic Medication guide:

What is Pamelor and for what purpose can it be used?

Pamelor is a brand owned by a British biopharmaceutical company named Mallinckrodt. The active agent of the formulation is Nortriptyline that is also available under other commercial names as a generic made by different pharmaceutical companies. The main ingredient used in the branded and generic medicines is a tricyclic antidepressant that influences the chemical substances balance in the brain which are in the imbalance in depression and accompanying disorders.

In different countries the medication is legally approved for various conditions:
- It is approved for depression therapy in all countries where it is sold.
- Children’s bedwetting;
- Panic disorder;
- Irritable bowel syndrome;
- Migraine;
- Neurological pain;
- Emotional incontinence in different mental disorders.

If your medical care provider appoints you to use this medicine for any of the listed-above conditions, you can buy Pamelor online in a generic version to save on the future prescriptions and the cost per pill.

Clinical data
Trade names Allegron, Aventyl, Noritren, Nortrilen, Pamelor, others
Synonyms Desitriptyline; ELF-101; E.L.F. 101; N-7048
Pregnancy category AU: C
US: D (Evidence of risk)
Routes of administration Oral
Legal status AU: S4 (Prescription only)
US: RX-only
Bioavailability 32-79
Protein binding 92%
Metabolism Hepatic
Metabolites 10-E-Hydroxynortriptyline
Elimination half-life 18-44 hours (mean 30 hours)
Excretion Urine: 40%
Feces: minor

When shouldn’t you buy Pamelor?

The contraindications for the formulation use are:
- Allergy to its components;
- Recent heart attack;
- Allergy to the medications with the similar compound or effect such as Amitriptyline, amoxapine, Doxepit, imipramine, etc. or certain anticonvulsants such as carbamazepine, oxcarbazepine, and Rufinamide;
- Therapy with MAO inhibitors and 14 days after their use cancellation;
Some of the disorders can be present without you knowing or remembering about them so it is better to consult a medical specialist who knows your health history before you buy generic Pamelor and start taking it to ensure it’s safe for you.

Besides, you should notify your medical care provider if have or had:
- Heart disease;
- Myocardial infarction;
- Seizures or any conditions that cause seizures;
- Affective disorder (Bipolar disorder; Schizophrenia, or other)
- Liver diseases;
- Thyroid gland diseases;
- Diabetes;
- Glaucoma;
- Troubled urination.

In presence of any of these disorders, it is advised to use the formulation cautiously and only if your therapist approves.

Use of Pamelor during pregnancy and lactation

The safety of Pamelor use for pregnant and lactating females and their babies isn’t comprehensively studied. Therefore, it is not encouraged to take the pills while you carry a baby or breastfeed unless your medical care provider believes that the positive effects outweigh the risks.

How to use Pamelor?

It is strongly advised to buy Nortriptyline and use it as appointed by namely your therapist as the general recommendations can be unsuitable or ineffective in your case.
The regular dosage for adults is 75-100 mg a day. The highest safe dosage is 150 mg daily but the formulation should be preferably taken in the lowest effective dosage. Besides, in the use of the dosages over 100 mg a day, the level of the medicine in the blood plasma has to be controlled and the optimal number should be from 50 to 150 nanograms per milliliter.
- The daily dose should be lowered if a patient develops even insignificant adverse effects.
- The use of the formulation must be discontinued if a patient develops severe negative effects or allergy.
Please note that several weeks can pass till you will see the improvement of your condition so you must follow your therapist’s recommendations and continue using the medicine.
If you have a planned surgery, inform your surgeon beforehand that you use the formulation. Sometimes it is required to stop the intake of the formulation for a while.
Do not discontinue the therapy abruptly or you can develop abstinence symptoms. If you want to stop the therapy, ask your therapist how to do it safely.

Dosage adjustments

The daily dosage for patients over 65 should be from 30 to 50 mg that can be taken in several or a single intake.
What should you do if you forget about an intake of the pill?
Once you remembered, take the forgotten dosage but do not take several pills at once. If it’s already time for the next intake, skip the forgotten pill and continue the therapy as before.

Overdose of Pamelor

The overdose symptoms are serotonin syndrome (agitation, anxiety, delirium, euphoria, manic syndrome, hypomania, increased susceptibility, lethargy, insomnia, hallucinations, confusion, pain in the abdomen, diarrhea, hyperthermia, etc.) and cardiac symptoms. Even the slightest overdose is dangerous so if you realize that you overdosed or started suffering from moderate to severe unusual adverse effects you must seek emergency help.

Prohibited substance combinations with Pamelor

When you buy generic Nortriptyline you should know that you must not use it with:
- MAO inhibitors and a half of month after their use discontinuation. This combination is dangerous with the intensification of possible cardiac adverse effects.
- Alcohol. This combination potentiates the medication’s effect and can contribute to the development of coma or occurrence of suicidal tendencies.
- Fluoxetine (Prozac) and five weeks after the stopping of its use.

Besides these strict contraindications, the formulation also is not recommended to be used along with:
- Any medicinal products that depress the CNS such as sleeping pills, painkillers, muscle relaxers, other antidepressants or anticonvulsants. These medications can potentiate the sedative (sleepiness-promoting) effect of Pamelor and its generics and even lead to death if the dosages are chosen incorrectly.
- Antidepressants from SSRI class inducing Citalopram,  Fluoxetine (prohibited to be used with Pamelor), Fluvoxamine, Sertralin, etc.
This list of the substances interwork is incomplete. Please consult your medical care provider and inform them about all the medicinal products that you take or plan to use.

Pamelor negative effects

Like any other medicinal product, Pamelor and its generics can induce the occurrence of certain adverse events such as:
- Dry mouth;
- Nausea;
- Headache;
- Fever;
- Itching, numbness;
- Heart symptoms;
- Sweating;
- Confusion;
- Prolonged noises in the ears;
- Diminished urination;
- Difficulty talking;
- Dizziness, fainting;
- Double vision;
- Rapid or non-regular heart rate or pulse;
- Fatigue or weakness;
- Loss of control over the balance;
- Ache in the back;
- Mood swings;
- Muscle cramps or twitching of all limbs, and others.

The most of the negative effects do not require any medical assistance and usually go away once your organism gets used to the pills. Your medical care provider can advise you on how to prevent or minimize these adverse effects. But if you have allergic reactions (skin rash, swelling, etc.) or other adverse effects that are intensely manifested, or mild to moderate manifestations that do not become less intense or fade and make you worry, inform your therapist and discontinue using the pills.

Age Range
Drug-Placebo Difference in Number of Cases of Suicidality per 1000 Patients Treated
Increases Compared to Placebo
14 additional cases
5 additional cases
Decreases Compared to Placebo
1 fewer case
6 fewer cases
Precautions for Pamelor use

You must inform your therapist about any new or old aggravation of manifestations of the disorder such as mood swings, behavioral changes, anxiety, panic attacks, sleep disturbance, irritability, agitation, hostility, suicidal thoughts, etc. If you ever had ideas about injuring or killing yourself or others, you should have a person who will be observing your condition and notify your attending doctor instead of you if any of the signs occur and you are unwilling to report them.
Pamelor or its generic can temporarily decline your thinking or reactions. Be cautious if you drive a car or do something that requires you to be alert.
When you order Pamelor and start the therapy, avoid sun exposure as the formulation can increase your skin sensitivity to light and make you get sunburn. To avoid it, it is advised to put on clothing that will protect your skin or use a sunscreen with at least 30 SPF.

Where can you buy generic Pamelor?

To enjoy the therapy with the best results at the lowest price you should order generic Pamelor pills from our online drugstore. First of all, we sell a generic version which is cheaper than the branded one. Secondly, we sell the pills without Rx. And thirdly, we offer bonus pills and discounts to our loyal customers.

Pamelor shipping

We ship Pamelor to all countries including the U.S., UK, Australia, Canada, and others via standard and express mail including free standard shipping on orders over 170 USD.

Free prescription
Our doctor prescribes online for free, and there is no doctor’s consultation fee.

Discrete packaging
All orders arrive in discrete unmarked parcels. We leave the shipment description blank.

For more answers see the FAQ section


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