Pamelor

Use Pamelor with caution if you have a history of seizures, difficulty urinating, diabetes, or chronic eye conditions such as glaucoma. Be careful, also, if you have heart disease, high blood pressure, or an overactive thyroid, or are receiving thyroid medication. You should discuss all of your medical problems with your doctor before taking this medication.

If you are being treated for a severe mental disorder (schizophrenia or manic depression), tell your doctor before taking Pamelor.

Pamelor may make your skin more sensitive to sunlight. Try to stay out of the sun, wear protective clothing, and apply a sun block.

Before having surgery, dental treatment, or any diagnostic procedure, tell your doctor that you are taking Pamelor. Certain drugs used during these procedures, such as anesthetics and muscle relaxants, may interact with Pamelor.

Possible food and drug interactions when taking Pamelor

Combining Pamelor and MAO inhibitors can be fatal.

Pamelor may intensify the effects of alcohol. Do not drink alcohol while taking this medication.

If Pamelor is taken with certain other drugs, the effects of either can be increased, decreased, or altered. It is especially important to check with your doctor before combining Pamelor with the following:

• Airway-opening drugs such as albuterol
• Antidepressants such as bupropion and trazodone
• Antidepressants that act on serotonin, such as fluoxetine, paroxetine, and sertraline
• Blood pressure medications such as clonidine and guanethidine
• Cimetidine
• Chlorpropamide
• Drugs for heart irregularities, such as flecainide and propafenone
• Drugs that control spasms, such as dicyclomine
• Levodopa
• Major tranquilizers such as chlorpromazine and thioridazine
• Quinidine
• Reserpine
• Stimulants such as dextroamphetamine
• Thyroid medication such as levothyroxine
• Warfarin

Special information if you are pregnant or breastfeeding

The effects of Pamelor during pregnancy have not been adequately studied. If you are pregnant or planning to become pregnant, inform your doctor immediately. Also consult your doctor before breastfeeding.