Nortriptyline - pity Because Lyrica Pregabalin and Lunesta eszopiclone have effects on the central nervous system, the effects of nortriptyline on the central nervous system may be increased. As with other medications, if you suspect that you may be pregnant, talk to your physician or pharmacist before using this medication. You are at increased risk of serotonin syndrome if you recently started taking nortriptyline or recently increased the dose Tell your doctor immediately or ring HealthLine About About Drugs. Atomoxetine Reboxetine Viloxazine. European Heart Journal. Do not use nortriptyline if you have used an MAO inhibitor in the past 14 days. IUPAC name. Nortriptyline is not approved for use in children. Nortriptyline should not be used in the acute recovery phase after myocardial infarction viz, heart attack. Skip the missed dose if it is almost time for your next scheduled dose. Be careful if you drive or do anything that requires you to be alert. You must wait at least 5 weeks after stopping fluoxetine Prozac before you can take nortriptyline. Antagonists: Adatanserin Agomelatine Atypical antipsychotics e. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. Cardiovascular disease ; chronic constipation ; diabetes ; epilepsy ; history of bipolar disorder ; history of psychosis ; hyperthyroidism risk of arrhythmias ; increased intra-ocular pressure ; patients with NNortriptyline significant risk of suicide ; phaeochromocytoma Nogtriptyline of arrhythmias ; prostatic hypertrophy ; susceptibility to angle-closure Noryriptyline ; urinary retention Cautions, further information Treatment should be stopped if the patient enters a manic phase. This could result in dangerous side effects. Your family or other caregivers should also be alert to changes in your mood or symptoms. Suicide is the 10th leading cause of death in the United States. Take nortriptyline only as directed, and keep this and all other drugs away from children, teenagers, and anyone for whom the drug has not been prescribed. What other information should I know? Save my name, email, and website in this browser for the next time I comment. FDA alerts for all medications. Take them to your local pharmacy which will dispose of them for you. Contraindications Use of Nortriptyline antidepressants along with a monoamine oxidase MAO inhibitor, linezolid, and IV methylene blue are contraindicated as it can cause an increased risk of developing serotonin syndrome. Not all possible interactions are listed in this medication guide. If you would like more information, talk with your doctor. Nortriptyline Hydrochloride slide 8 of 25, Nortriptyline Hydrochloride. Not licensed for use in neuropathic pain. Before taking nortriptyline, tell your doctor if you have used an "SSRI" antidepressant in the past 5 weekssuch as citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, or sertraline. Children younger than 18 years of age should not normally take nortriptyline, but in some cases, a doctor may decide that nortriptyline is the best medication to treat a child's condition. Interactive image. Namespaces Article Talk. Nortriptyline may also be used for purposes not listed in this medication guide. Williams Search term.
Nortriptyline is a medication used to treat depression. It's a tricyclic antidepressant. It increases the activity of certain chemicals in the brain that help elevate mood. Also it can be used for other purposes.
Dosage and directions
Take it by mouth with or without food.
Before using the medicine discuss with your doctor: if you are pregnant, planning to become pregnant, or are breast-feeding; if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement; if you have allergies to medicines, foods, or other substances if you drink alcohol-containing beverages daily or you have a history of alcohol abuse; if you take thyroid medicine or you have a history of overactive thyroid, glaucoma, heart problems, kidney or liver problems, diabetes, seizures, the blood disease porphyria, or difficulty urinating; a history of suicidal thoughts or behavior, bipolar disorder, or any other mental disorders; you are undergoing electroshock therapy; or you are scheduled to have any surgery.
Do not use Nortriptyline if you have allergy to any of its components, you have had a heart atack recently, you've taken furazolidone ormonoamine oxidase inhibitor (MAOI) (phenelzine) within the last 14 days, or you are taking astemizole, droperidol, or terfenadine.
Possible side effects
The most common side effects include: dizziness; drowsiness; dry mouth; excitement; headache; impotence; nausea; nightmares; pupil dilation; sensitivity to sunlight; sweating; tiredness; upset stomach; vomiting; weakness; weight loss or gain.
Seek medical help immediately if you have such serious side effects:allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision or other vision changes; changes in sex drive; chest pain; confusion; constipation; fainting; fast, slow, or irregular heartbeat; fever; frequent or difficult urination; hallucinations; impulsive behavior or other unusual changes in behavior; jaw, neck, or muscle spasms; mental or mood changes (increased anxiety, mood swings, agitation, irritability, nervousness, restlessness); panic attacks; ringing in the ears; seizures; severe dizziness or drowsiness; sore throat; stomach pain; suicidal thinking or behavior; swelling of the testicles; tremor; trouble sleeping; trouble walking or keeping your balance; twitching of the face or tongue; uncontrolled movements of arms and legs or stiffness; unusual bleeding or bruising; worsening of depression; yellowing of the skin or eyes.
The following medications can interact with Nortriptyline: barbiturates (phenobarbital) or phenytoin , anticholinergics (benztropine), carbamazepine, chlorpropamide, or sympathomimetics (phenylephrine), azole antifungals (fluconazole), cimetidine, duloxetine, flecainide, methylphenidate, mibefradil, phenothiazines (chlorpromazine), propafenone, quinidine, selective serotonin reuptake inhibitors (SSRIs) (fluoxetine), or terbinafine, arsenic, astemizole, droperidol, furazolidone, MAOIs (phenelzine), pimozide, quinolone antibiotics (ciprofloxacin), streptogramins (dalfopristin), terfenadine, or tramadol, clonidine, guanethidine, or guanfacine,anticholinergics (benztropine), carbamazepine, chlorpropamide, or sympathomimetics (phenylephrine).
If you miss a dose of Nortriptyline, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. If you take 1 dose daily at bedtime, do not take the missed dose the next morning.
Symptoms of overdose are agitation; bluish skin or mucous membranes; breathing problems; chest pain; coma; confusion; dry mouth; loss of consciousness; restlessness;severe drowsiness;enlarged pupils; rigid muscles; seizures; excess sweating; fainting; fast or irregular heartbeat; flushing; in-coordination; involuntary movements; shock; stupor; trouble breathing; vomiting.
Store at room temperature, between 68 and 77 degrees F (20 and 25 degrees C) away from heat, moisture, and light. Do not store in the bathroom. Keep it out of the reach of children and away from pets.
We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.