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The biggest disadvantage of Pamelor is that it can cause suicidal thoughts in people who take itPatients are also advised not to drink alcohol while taking the medicationSide effects including insomnianauseadry mouthchanges in visionand decreased sex drive are also a potential disadvantage.

Common side effects of nortriptyline may include gastric disordersmouth painunusual tasteblack tongueappetite or weight changesurinating less than usualitching or rashbreast swellingin men or womendecreased sex driveimpotenceor difficulty having an orgasm.

You should tell your doctor about all prescriptionnon-prescriptionillegalrecreationalherbalnutritionalor dietary drugs you are takingespecially:

Pamelor and Aventylnortriptylineare tricyclic antidepressants used to treat depressionIn multiple sclerosisthey are frequently used in lower doses to treat neuropathic or nerve pain in the arms and legsburning sensationspins and needlesstabbing painscaused by damage to the pain-regulating pathways of the brain and spinal cordThe drug works by changing the way nerves react to pain in the central nervous system.

Antidepressants increased the risk of suicidal thinking and behavior in short-term studies in children and adolescents with depression and other psychiatric disordersAnyone considering the use of nortriptyline or any other antidepressant in a child or adolescent must balance this risk with the clinical needPatients who are started on therapy should be closely observed for clinical worseningsuicidal thinking or behaviorand unusual changes in behavior.

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