Prescription onlyLower-cost generic available

Pamelor Alternatives

(Nortriptyline)

Prescription onlyLower-cost generic available
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Compare Pamelor (Nortriptyline) to alternatives

These medications are comparable to Pamelor (Nortriptyline) or used for similar purposes.

Pamelor
(Nortriptyline)

Elavil
(Amitriptyline)

Tofranil
(Imipramine Hydrochloride)

Zoloft
(Sertraline)

Prozac
(Fluoxetine)

Cymbalta
(Duloxetine)

Viibryd
(Vilazodone)

Improves your mood. Pamelor (Nortriptyline) is a good option for treating depression, especially for people who also have problems with persistent nerve pain.Improves mood and relieves certain kinds of pain. Elavil (Amitriptyline) is an older antidepressant that's sometimes used to treat pain and sleep problems, but it can have more side effects than similar medications.Coming soon.Improves mood and helps you relax. Zoloft (Sertraline) is good for treating depression and anxiety. It's more likely to cause insomnia and diarrhea than other antidepressants.Improves mood and helps you relax. Prozac (Fluoxetine) is good for treating depression and anxiety. It's more energizing than other antidepressants, but may not be the best choice for people who have trouble sleeping.Improves mood and relieves certain kinds of pain. Cymbalta (Duloxetine) is good for treating depression and anxiety, and may help with chronic pain. More likely than other antidepressants to cause problems if you drink or have high blood pressure.Treats depression. Viibryd (Vilazodone) is a good option to treat depression, but it often causes stomach and intestinal problems, including diarrhea.
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Reviews & ratings
Filter group. All currently selected
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Not enough reviews for this drug. Help someone out, leave a review!

Have you used Pamelor (Nortriptyline)?
Worth itNot sureNot worth it
Reviews for Elavil (Amitriptyline)
52%
25% vs. Pamelor (Nortriptyline)
34%
43% vs. Pamelor (Nortriptyline)
23%
8% vs. Pamelor (Nortriptyline)
118 reviews
Have you used Elavil (Amitriptyline)?
Worth itNot sureNot worth it

Not enough reviews for this drug. Help someone out, leave a review!

Have you used Tofranil (Imipramine Hydrochloride)?
Worth itNot sureNot worth it
Reviews for Zoloft (Sertraline)
59%
18% vs. Pamelor (Nortriptyline)
40%
37% vs. Pamelor (Nortriptyline)
15%
Same vs. Pamelor (Nortriptyline)
1299 reviews
Have you used Zoloft (Sertraline)?
Worth itNot sureNot worth it
Reviews for Prozac (Fluoxetine)
61%
16% vs. Pamelor (Nortriptyline)
40%
37% vs. Pamelor (Nortriptyline)
16%
1% vs. Pamelor (Nortriptyline)
1200 reviews
Have you used Prozac (Fluoxetine)?
Worth itNot sureNot worth it
Reviews for Cymbalta (Duloxetine)
59%
18% vs. Pamelor (Nortriptyline)
49%
28% vs. Pamelor (Nortriptyline)
24%
9% vs. Pamelor (Nortriptyline)
411 reviews
Have you used Cymbalta (Duloxetine)?
Worth itNot sureNot worth it
Reviews for Viibryd (Vilazodone)
67%
10% vs. Pamelor (Nortriptyline)
59%
18% vs. Pamelor (Nortriptyline)
13%
+2% vs. Pamelor (Nortriptyline)
Have you used Viibryd (Vilazodone)?
Worth itNot sureNot worth it
Side effects
PamelorElavilTofranilZoloftProzacCymbaltaViibryd

We haven’t found good data for Pamelor side effects.

FDA side effect reports for Pamelor »

The Elavil FDA package insert doesn’t have numbers about how common side effects are.

More about Elavil side effects »

We haven’t found good data for Tofranil side effects.

FDA side effect reports for Tofranil »
  • Nausea 19%
  • Ejaculation failure 18%
  • Sleep difficulty 16%
  • Diarrhea/loose stools 14%
  • Fatigue 9%
  • Loss of appetite 9%
  • Lower sex drive 9%
  • Sweating increased 9%
  • Dizziness 8%
  • Indigestion 8%
More Zoloft side effects »
  • Rash 57%
  • Sleep difficulty 20%
  • Nausea 18%
  • Muscle weakness 12%
  • Drowsiness 10%
  • Tremor 9%
  • Dry mouth 9%
  • Lower sex drive 9%
  • Loss of appetite 7%
  • Anxiety 7%
More Prozac side effects »
  • Nausea 15%
  • Dry mouth 8%
  • Drowsiness 8%
  • Constipation 7%
  • Somnolencee 7%
  • Decreased appetite 7%
  • Fatigued 6%
  • Sleep difficulty 5%
  • Dizziness 4%
  • Fatigue 4%
More Cymbalta side effects »
  • Diarrhea 19%
  • Nausea 18%
  • Vomiting 4%
  • Dizziness 4%
  • Sleep difficulty 4%
  • Dry mouth 3%
  • Abnormal dreams 3%
  • Tingling sensation 2%
  • Fatigue 1%
  • Impotence 1%
More Viibryd side effects »
How it works
PamelorElavilTofranilZoloftProzacCymbaltaViibryd
Pamelor (Nortriptyline) is a tricyclic antidepressant (TCA). It helps improve your mood by altering the levels of serotonin, norepinephrine, and other similar chemicals in your brain.Elavil (Amitriptyline) is a tricyclic antidepressant (TCA). Researchers don't know exactly how it works. It may change serotonin and norepinephrine activity in the brain, which regulates mood and pain perception. It also has sedative effects.Coming soon.Zoloft (Sertraline) is a selective serotonin reuptake inhibitor (SSRI) antidepressant. It increases the activity of serotonin in the brain, which regulates mood.Prozac (Fluoxetine) is a selective serotonin reuptake inhibitor (SSRI) antidepressant. It increases serotonin activity in the brain, which regulates mood.Cymbalta (Duloxetine) is a serotonin and norepinephrine reuptake inhibitor (SNRI) antidepressant. It increases serotonin and norepinephrine activity in the brain, which regulates mood.Viibryd (Vilazodone) is an antidepressant that is both a selective serotonin reuptake inhibitor (SSRI) and a serotonin receptor agonist. It treats depression by adjusting the levels of serotonin in your brain.
Type of medication
PamelorElavilTofranilZoloftProzacCymbaltaViibryd
Antidepressant
Tricyclic antidepressant (TCA)
Prescription only
Antidepressant
Tricyclic antidepressant (TCA)
Prescription only
Coming soon.
Antidepressant
Selective serotonin reuptake inhibitor (SSRI)
Prescription only
Antidepressant
Selective serotonin reuptake inhibitor (SSRI)
Prescription only
Antidepressant
Serotonin-norepinephrine reuptake inhibitor (SNRI)
Prescription only
Antidepressant
Partial serotonin receptor agonist
Prescription only
Available as
PamelorElavilTofranilZoloftProzacCymbaltaViibryd
  • Pill
  • Liquid
  • Pill
  • Pill
  • Pill
  • Liquid
  • Pill
  • Delayed release capsule
  • Liquid
  • Extended release
  • Pill
Used for (click to learn more)
PamelorElavilTofranilZoloftProzacCymbaltaViibryd
  • Depression Nocturnal enuresis
Risk factors for serious side effects
PamelorElavilTofranilZoloftProzacCymbaltaViibryd
  • Age 24 years or younger
  • Age 65 years or older
  • Stopping Pamelor (Nortriptyline) suddenly
  • Using other medications that affect serotonin
  • History of heart disease
  • Older age
  • Electrolyte imbalance
Detailed Pamelor (Nortriptyline) risks & warnings »
  • Age 24 years or younger
  • History of bipolar disorder
  • At risk for bipolar disorder
  • History of cardiovascular disease
  • Age 65 years or older
  • Age 65 years or older
Detailed Elavil (Amitriptyline) risks & warnings »
Coming soon.
  • Under 24 years old
  • Interactions with other medications
      • Stopping Zoloft (Sertraline) suddenly
      • Taking with blood-thinning drugs
      • Elderly
      • Taking with diuretic medications
      Detailed Zoloft (Sertraline) risks & warnings »
      • Age 24 years or younger
      • Using other medications that affect serotonin
      • Stopping Prozac (Fluoxetine) suddenly
      • History of heart problems
      • History of liver problems
      • Drug interactions
      • Taking other blood-thinning drugs
        • History of bipolar disorder
        • At risk for bipolar disorder
        Detailed Prozac (Fluoxetine) risks & warnings »
        • Age 24 years or younger
        • Using other medications that affect serotonin
        • Stopping Cymbalta (Duloxetine) suddenly
        • History of high blood pressure
        • Taking other blood-thinning drugs
          • History of bipolar disorder
          • At risk for bipolar disorder
          Detailed Cymbalta (Duloxetine) risks & warnings »
          • Age 18 years or younger
          • Taking Viibryd (Vilazodone) with MAOIs
          • Taking Viibryd (Vilazodone) with Zyvox or methylene blue
          • Taking Viibryd (Vilazodone) with other drugs that increase serotonin
          • Taking Viibryd (Vilazodone) with NSAIDs, warfarin, aspirin, or other drugs that affect clotting
          • Women of childbearing age
          • History of glaucoma
          • History of bipolar disorder (mixed/mania)
          Detailed Viibryd (Vilazodone) risks & warnings »
          Pregnancy

          The FDA hasn’t classified this medicine’s effects on unborn babies. Talk with your doctor about this medicine if you’re pregnant or planning on it.

          Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

          The FDA hasn’t classified this medicine’s effects on unborn babies. Talk with your doctor about this medicine if you’re pregnant or planning on it.

          Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

          Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

          Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

          Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

          Interactions
          PamelorElavilTofranilZoloftProzacCymbaltaViibryd
          No interactions related info.No interactions related info.No interactions related info.
          • It interacts with St. John's Wort and Tryptophan.
          No interactions related info.No interactions related info.No interactions related info.
          Alcohol
          PamelorElavilTofranilZoloftProzacCymbaltaViibryd
          No alcohol related info.No alcohol related info.No alcohol related info.No alcohol related info.No alcohol related info.No alcohol related info.
          • Need to avoid drinking alcohol while taking Viibryd (Vilazodone).
          Food
          PamelorElavilTofranilZoloftProzacCymbaltaViibryd
          • Take it with food and/or at bedtime to decrease the potential side effects.
          No food related info.No food related info.No food related info.
          • Take in the morning with food to avoid side effects.
          • Take with food to avoid upset stomach.
          • Take Viibryd (Vilazodone) with food at the same time every day.
          Kidneys and liver
          PamelorElavilTofranilZoloftProzacCymbaltaViibryd
          No kidneys and liver related info.No kidneys and liver related info.No kidneys and liver related info.No kidneys and liver related info.No kidneys and liver related info.
          • Not a good option if you're a heavy drinker, or if you have liver or kidney problems.
          • The dose of Viibryd (Vilazodone) doesn’t need to be changed if you have severe kidney disease.
          Pain
          PamelorElavilTofranilZoloftProzacCymbaltaViibryd
          No pain related info.
          • Low doses work well to treat certain kinds of chronic pain. It can take 2 weeks to feel the full effects of the medication.
          No pain related info.No pain related info.No pain related info.
          • Full effects in 8 to 12 weeks for mood, 2 weeks for pain.
          No pain related info.
          Sex
          PamelorElavilTofranilZoloftProzacCymbaltaViibryd
          No sex related info.No sex related info.No sex related info.
          • Can cause sexual side effects like low libido and an inability to orgasm or ejaculate.
          • Can cause sexual side effects like low libido and an inability to orgasm or ejaculate.
          No sex related info.No sex related info.
          Sleep
          PamelorElavilTofranilZoloftProzacCymbaltaViibryd
          No sleep related info.
          • Can cause dizziness, drowsiness, constipation, and weight gain.
          No sleep related info.
          • Causes less drowsiness than other antidepressants.
          • Zoloft (Sertraline) may increase the risk of low sodium levels in the blood (hyponatremia). Watch out for symptoms including headache, difficulty concentrating, memory problems, confusion, weakness, and unsteadiness, which may lead to falls. Talk to a doctor right away before developing more serious symptoms, such as hallucination, fainting, coma, and death.
          No sleep related info.No sleep related info.No sleep related info.
          Weight
          PamelorElavilTofranilZoloftProzacCymbaltaViibryd
          No weight related info.
          • It's more likely to cause sleepiness, nausea, constipation, diarrhea, and weight gain (1 to 5 pounds) than other antidepressants.
          No weight related info.No weight related info.No weight related info.No weight related info.No weight related info.
          Upsides and benefits
          PamelorElavilTofranilZoloftProzacCymbaltaViibryd
          • Helpful with treating certain types of pain, like migraines or nerve-related pain.
          • Generally well tolerated and has fewer side effects than other medicines in the same class of drugs.
          • Low doses work well to treat certain kinds of chronic pain. It can take 2 weeks to feel the full effects of the medication.
          • Low doses of Elavil (Amitriptyline) start working in 45 minutes to help you sleep better.
          • Six out of every ten people who use an antidepressant for the first time find that it works for them.
          Coming soon
          • Effective at lowering symptoms and relapse rates of depression and anxiety disorders.
          • Causes less drowsiness than other antidepressants.
          • Six out of ten people who use an antidepressant for the first time find that it works for them.
          • Lowers relapse rates of depression and bulimia nervosa.
          • Causes less sleepiness than other antidepressants.
          • It's more energizing than other antidepressants, so it's good for people who have low energy.
          • It has been used to treat depression for a long time, so there's a lot of information available about how it works and how safe it is.
          • Effective at relieving depression and anxiety symptoms.
          • Six out of ten people who use an antidepressant for the first time find that it works for them.
          • Lowers relapse rates for depression.
          • Can relieve some types of chronic pain. Might be particularly good at pain relief for people who are also depressed.
          • Effective at relieving depression and anxiety symptoms.
          • Six out of ten people who use an antidepressant for the first time find that it works for them.
          • Viibryd (Vilazodone) improves depressive symptoms in people with major depressive disorder.
          • The dose of Viibryd (Vilazodone) doesn’t need to be changed if you have severe kidney disease.
          • Compared to other antidepressants, it has a lower risk of weight gain and causing problems with sexual function.
          Downsides and risks
          PamelorElavilTofranilZoloftProzacCymbaltaViibryd
          • Side effects are usually manageable, but can be annoying.
          • Increases the risk of falls, especially when used in the elderly.
          • There's an increased chance of it causing heart problems, especially in people with a history of heart problems.
          • When used for depression, Elavil (Amitriptyline) causes more side effects and has a higher risk of overdose than other antidepressants. It's usually used when other medications haven't worked.
          • It's more likely to cause sleepiness, nausea, constipation, diarrhea, and weight gain (1 to 5 pounds) than other antidepressants.
          • People age 65 and older have a higher risk for this medication's side effects.
          • Like most antidepressants, it can cause a higher risk of suicidal thoughts and behavior for people age 24 and younger.
          • The first antidepressant you try doesn't always work or it can cause side effects you really don't like. You might need to try a few different medications until you find one that works for you.
          Coming soon
          • More likely to cause diarrhea than other antidepressants.
          • Can cause sexual side effects like low libido and an inability to orgasm or ejaculate.
          • Like most antidepressants, it can cause a higher risk of suicidal thoughts and behavior for people younger than 24.
          • The first antidepressant you try doesn't always work or it can cause side effects you really don't like. You might need to try a few different medications until you find one that works for you.
          • Can increase feelings of anxiety or cause headaches during the first few weeks of taking it. These effects should go away over time.
          • More likely than other antidepressants to interact with other medications you're taking.
          • Can cause sexual side effects like low libido and an inability to orgasm or ejaculate.
          • Like most antidepressants, it can cause a higher risk of suicidal thoughts and behavior for people younger than 24.
          • The first antidepressant you try doesn't always work or it can cause side effects you really don't like. You might need to try a few different medications until you find one that works for you.
          • Not a good option if you're a heavy drinker, or if you have liver or kidney problems.
          • Not the best option for people with high blood pressure.
          • Like most antidepressants, can cause higher risk of suicidal thoughts and behavior for people age 24 and younger.
          • The first antidepressant you try doesn't always work or it can cause side effects you really don't like. You might need to try a few different medications until you find one that works for you.
          • You shouldn’t take Viibryd (Vilazodone) if you have severe liver problems.
          • Can’t take Viibryd (Vilazodone) with drugs called monoamine oxidase inhibitors (MAOIs).
          • Need to avoid drinking alcohol while taking Viibryd (Vilazodone).
          Tips from our pharmacists for people taking the medication
          PamelorElavilTofranilZoloftProzacCymbaltaViibryd
          • Needs to be taken every day for 1 to 2 weeks to start feeling better, and for 6 to 8 weeks to see the full effect of the medication.
          • It's important to keep taking Pamelor (Nortriptyline) even when you feel your symptoms are getting better.
          • Take it with food and/or at bedtime to decrease the potential side effects.
          • If you decide to stop taking Pamelor (Nortriptyline), work with your doctor to slowly get off this medicine to avoid getting withdrawal symptoms.
          • Tell your doctor if you notice sudden mood changes or unusual thoughts.
          • Take at bedtime to avoid some of its side effects.
          • Can cause dizziness, drowsiness, constipation, and weight gain.
          • Stop taking it slowly to avoid getting withdrawal symptoms.
          • Tell your doctor if you notice sudden mood changes or unusual thoughts.
          Coming soon
          • It interacts with St. John's Wort and Tryptophan.
          • Takes about 8 to 12 weeks to see the medication's full effects on your mood.
          • Stop taking it slowly to avoid getting withdrawal symptoms.
          • Tell your doctor if you notice sudden mood changes or unusual thoughts.
          • Take in the morning with food to avoid side effects.
          • Takes about 8 to 12 weeks to see the medication's full effects on your mood.
          • Stop taking it slowly to avoid getting withdrawal symptoms.
          • Tell your doctor if you notice sudden mood changes or unusual thoughts.
          • Take with food to avoid upset stomach.
          • Full effects in 8 to 12 weeks for mood, 2 weeks for pain.
          • Stop taking slowly to avoid withdrawal symptoms.
          • Tell your doctor if you notice sudden mood changes or unusual thoughts.
          • Take Viibryd (Vilazodone) with food at the same time every day.
          • Your dose will need to be increased slowly over the first 3 weeks to reduce feelings of upset stomach.
          • It can take 4 to 6 weeks to see the full effects, so continue taking it even if you start to feel better.
          • Stopping Viibryd (Vilazodone) suddenly can cause withdrawal symptoms, including anxiety, irritability, headache, and dizziness. Gradually lower your dose over a 1 to 2 week period before stopping it completely.
          • Call your doctor right away if you notice new or worsening symptoms of aggressive or violent behavior, panic attacks, or other unusual changes in behavior or mood.
          Learn more
          More about PamelorSide effectsReviews & ratingsAlternativesFDA package insert
          Have you used Pamelor (Nortriptyline)?
          Worth itNot sureNot worth it
          More about ElavilSide effectsReviews & ratingsFDA package insert
          Have you used Elavil (Amitriptyline)?
          Worth itNot sureNot worth it
          More about TofranilSide effectsFDA package insert
          Have you used Tofranil (Imipramine Hydrochloride)?
          Worth itNot sureNot worth it
          More about ZoloftSide effectsReviews & ratingsFDA package insert
          Have you used Zoloft (Sertraline)?
          Worth itNot sureNot worth it
          More about ProzacSide effectsReviews & ratingsFDA package insert
          Have you used Prozac (Fluoxetine)?
          Worth itNot sureNot worth it
          More about CymbaltaSide effectsReviews & ratingsFDA package insert
          Have you used Cymbalta (Duloxetine)?
          Worth itNot sureNot worth it
          More about ViibrydSide effectsReviews & ratingsFDA package insert
          Have you used Viibryd (Vilazodone)?
          Worth itNot sureNot worth it