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Amitriptyline vs. Pamelor

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Amitriptyline

 

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Nortriptyline

(Pamelor)

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Summary for Amitriptyline

Prescription only

Amitriptyline is also known by the old brand name Elavil. It's a tricyclic antidepressant (TCA) that's approved to treat depression. But it's not used as often today for depression because it can cause a lot of side effects, like sleepiness and weight gain. It also has many drug interactions. Even so, amitriptyline is often used off label for other reasons, like nerve pain from diabetes and to help prevent migraines. Amitriptyline comes as a generic tablet that you take by mouth. The brand name Elavil is no longer available.

Indications for Amitriptyline

Pros and Cons for Amitriptyline

Pros

  • Can start to work within 2 to 4 weeks
  • Can take with or without food

Cons

  • Has many unpleasant side effects, like dry mouth and sleepiness, and drug interactions
  • Not the best choice for people with heart problems, trouble urinating, or glaucoma or older adults

Common Side Effects for Amitriptyline

  • Sleepiness
  • Dizziness
  • Weakness
  • Fatigue
  • Headache
  • Dry mouth
  • Nausea
  • Vomiting
  • Constipation
  • Weight gain

Warnings for Amitriptyline

  • Worsening depression or suicidal thoughts and behavior
  • Serotonin syndrome
  • Not for use alone for bipolar disorder
  • Risk of heart problems, heart attack, or stroke
  • Low sodium levels
  • Risk of seizure
  • Angle-closure glaucoma in certain people

Summary for Pamelor

Prescription only

Nortriptyline (Pamelor) is a tricyclic antidepressant (TCA). It's approved to treat depression in adults. This medication is also often prescribed off-label to treat certain types of nerve pain. Nortriptyline (Pamelor) is available as a capsule and liquid that are taken by mouth. Side effects include dry mouth, dizziness, and possible weight gain. This medication is available under the brand name Pamelor and as a generic.

Indications for Pamelor

Pros and Cons for Pamelor

Pros

  • Available as a capsule and liquid
  • Taken by mouth once per day, or split into smaller doses throughout the day

Cons

Common Side Effects for Pamelor

  • Blurred vision
  • Dry mouth
  • Nausea
  • Vomiting
  • Stomach upset
  • Loss of appetite
  • Numbness in the hands or feet
  • Rash
  • Itching
  • Changes in blood pressure

Warnings for Pamelor

  • Worsening depression and risk for suicidal thoughts and unusual behavior
  • Not for use alone in bipolar disorder
  • Dizziness and drowsiness
  • Risk of heart problems, heart attack, or stroke
  • Glaucoma

Prices with our coupons for Amitriptyline vs. Pamelor

Price Card Drug Icon
Amitriptyline30 tablets / 25mg
$4.00$4.00
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Price Card Drug Icon
Nortriptyline30 capsules / 10mg
$4.00$4.00
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