TREATMENT DATABASE
Nortriptyline (Pamelor) is a second-generation tricyclic antidepressants which primarily blocks the reuptake of norepinephrine, and, to a lesser degree, serotonin.
USES IN ME/CFS: Nortriptyline is helpful in treating fatigue, pain, sleep disturbance, and anxiety. Their main side effects are similar to those of other tricyclic antidepressants: dry mouth, constipation, and weight gain (due to increased appetite). Although the second-generation tricyclics are often prescribed for sleep, they often interfere with sleep onset. Other side effects experienced by people with ME/CFS include shakiness, agitation and nausea.
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