Patient/caregiver was educated on precautions to be exercised while taking Pamelor as follows:
- Pamelor intake has the potential to increase the likelihood of seizures. Pamelor must be very cautiously administered in individuals with seizure history, compliance with recommended anti-seizure therapy observed, and response closely monitored. Pamelor can also induce a life-threatening reaction called neuroleptic malignant syndrome. Individuals taking Pamelor can present with high fever, episodes of confusion, muscle rigidity, elevated blood pressure, and rapid heart rate. Severe cases can present with muscle breakdown, elevated potassium levels in the blood due to muscle destruction, life-threatening cardiac arrhythmias due to the elevated blood potassium, and seizures. Any of these findings, while taking Pamelor, should be immediately reported to the physician, for necessary changes to be considered. Also, discuss with your physician regarding your history of seizures, if any, if you are newly started on Pamelor. If you are newly diagnosed with seizure complaint, discuss with your physician regarding your safety with continuing on Pamelor, if you have been using Pamelor for long.
- Individuals with complaint of dehydration, secondary to history of diarrhea, vomiting, or poor fluid intake, can suffer electrolyte disturbances and be more prone to develop arrhythmias with Pamelor. Electrolyte disturbances, such as, low potassium and magnesium levels, secondary to diuretic pill intake, can also act as a precipitating factor for cardiac arrhythmias with Pamelor. Observing compliance with recommended hydration measures can help prevent development of arrhythmias in these individuals. Also, observe compliance with any periodical lab draws ordered for electrolyte levels and closely follow for development of signs and symptoms of cardiac arrhythmia, such as, episodes of chest pain, rapid heart rate, palpitations, dizziness, and shortness of breath. Report any such findings to your physician immediately, so that, an alternative plan of care could be considered.
- Pamelor use can result in common general constitutional symptoms such as, nausea and vomiting. Taking dose of Pamelor with a glass of water, after having some food or a snack can help avoid having unpleasant gastrointestinal symptoms with the medication.
