What is Nortriptyline: How to use, Side effects, Dosage

What is Nortriptyline: How to use, Side effects, Dosage

What is Nortriptyline

It is used to treat mental / psychological problems, such as depression. This may help to improve the spirits and feelings of well-being, relieve anxiety and tension and increase your energy level. This drug belongs to a group of drugs called tricyclic antidepressants. This is done by affecting the balance of some natural chemicals (neurotransmitters) in the brain.

Nortriptyline is a three-ring anti-depressant. These chemicals affect the brain, which may be unbalanced in people with depression.

Nortriptyline is used to treat depression symptoms.

Nortriptyline may also not be used for the purposes of this medication guide.

Please if you have any questions about Nortriptyline, you can ask us by commenting below this text, we'll answer you as soon as possible.

How to use Nortriptyline?

Ask your doctor how to stop this medicine safely.

Take this medicine with your mouth, usually 1 to 4 times a day, or as a doctor. If you use a liquid form, measure precision using a special measuring device / spoon. Do not use a spoon because you may not have a proper dose.

It may take a few weeks to improve your symptoms. If your symptoms do not heal, do not take this medication and tell your doctor.

Dosage of Nortriptyline

The dosage is based on your medical situation and response to treatment. To reduce your risk of side effects (such as dry mouth, dizziness), your doctor may direct you to start this drug at a low dose and gradually increase your dose. Follow your doctor's instructions carefully.

Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same time(s) each day. Do not increase your dose or use this drug more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase.

Usual Adult Dose for Depression:

25 mg orally three or four times per day

Maximum dose: 150 mg orally per day

Use: Relief of symptoms of depression

Symptoms of over dose 

Over-consumption of nortriptyline can be fatal. Overdosing with these types of medications may be a problem. The use of multiple drugs (including alcohol) is commonly used for overdose of three-way antidepressants. As complex management is changing, it is recommended that the doctor contact a venous control center for current information about the treatment. Symptoms of toxicity have been rising rapidly since the administration of three-year antidepressants, so hospital monitoring is urgently needed.


Side effects of Nortriptyline

Drowsiness, dizziness, dry mouth, blurred vision, constipation, weight gain, or urine problems may occur. If any of these effects persists or worsens, tell your doctor or pharmacist promptly.

To reduce the risk of dizziness and dizziness, get up slowly when rising from sitting or lie.

To relieve dry mouth, drink or mushroom ice candy (sugarless) gum (sugarless), drinking water or use a saliva substitute break. In the event that:

Dark vision, tunnel vision, eye pain or swelling, or viewing aura around the lights;

Motionless muscle movements in your eyes, tongue, jaw, or neck;

A feeling of dizziness, like you, may disappear;


Chest pain or worsening, heartbeat and shaking your chest;

Numbness or sudden weakness, vision problems, speech or balance;

Fever, sore throat, easy bruising, unusual bleeding;

Jaundice (yellow skin or eyes);

Painful and difficult urine or

High levels of serotonin in the body - irritation, hallucinations, fever, heart rate, hyperactivity reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting.

Elderly adults may be more likely to have side effects.

Common side effects of Nortriptyline may include:

Nausea, vomiting, loss of appetite;

Anxiety, sleep problems (insomnia);

Dry mouth, unusual taste;

Slightly or without urination


Vision changes

Swelling of the breasts (in men or women); or

Decreased libido, impotence, or having an orgasm problem.

This list is not the full list of side effects and others may occur.

Drugs that may interact with Nortriptyline

Before taking nortriptyline, tell your doctor if you have used an "SSRI" antidepressant in the past 5 weeks, such as escitalopram, citalopram, fluoxetine, fluvoxamine, paroxetine, or sertraline. You must wait at least 5 weeks after stopping fluoxetine (Prozac) before you can use this medicine.

Some products that may interact with this drug include: arbutamine, "blood thinners" (such as warfarin), disulfiram, thyroid supplements, anticholinergic drugs (such as benztropine, belladonna alkaloids), certain drugs for high blood pressure (drugs that work in the brain such as clonidine, guanabenz).

Many drugs can interact with nortriptyline, which may cause unwanted or dangerous effects.

For whom Nortriptyline might not be safe

Talk to your doctor or pharmacist before taking nortriptyline, or if you are allergic to it, or to other tricyclic antidepressants (such as amitriptyline); or if you have an allergy. This product may contain inactive material that can cause allergic reactions and other problems. Talk to your pharmacist for more information.

Tell your doctor or pharmacist before using this medication. Your medical history, especially respiratory problems, liver problems, recent heart attack, problems with urination (such as prostate enlargement), hyperthyroidism (hyperthyroidism), history Familial family or family history of glaucoma (angular closure), personal or family history of mental / psychological conditions (such as bipolar disorder, psychiatry), family history of suicide, seizure, conditions that may increase the risk of seizures (such as other cerebrovascular diseases, Exit alcohol).

You should not use Nortriptyline if you are allergic or if:

You have a heart attack recently

You are allergic to the similar antidepressants (amitriptyline, amoxicillin, clomipherin, disparin, doxepin, imipermin, propyriptyline, trimamparamine). Or

You are allergic to certain seizure medications (carbamazepine, olaracapine, ekskrobazpine, rufamidine).

Do not use noritriptyline if you have been taking MAO inhibitors for 14 days. Dangerous drug interactions may occur. MAO inhibitors include: Isocarboccide, Linzolide, Methylene blue infusion, Phenzelin, Razgali, Selegiline, tranylcypromine and others.

Tell your doctor if you are unsure whether Nortriptyline is safe for you.

Heart disease, history of heart attack, stroke or seizure.

Bipolar disorder (manic depression);

Schizophrenia or other mental illnesses;

Liver disease;

Diabetes (Nortriptyline may increase or decrease your blood glucose);

Thyroid disorder;

Angular glaucoma; or

Problems with urination

Some young people will commit suicide when they develop antidepressants. While you are using nortriptyline, your doctor should check your progress on regular visits. Your family or other carers should also consider changes in mood or signs.

If you have diabetes, this medicine may make your blood glucose control harder. Monitor your blood glucose levels regularly and get your doctor results. Your doctor may need to adjust your diabetes medication, exercise program, or diet.

Elderly adults may be more susceptible to side effects, especially dry mouth, dizziness, confusion, urinary problems, and prolonged QT (see above).

Nortriptyline while pregnancy

During pregnancy, this medication should only be used when needed. Do not stop taking this medicine unless it's prescribed by your doctor, since psychiatric / mood problems without treatment (such as depression, anxiety, panic disorder) can be a serious condition. If you are planning to become pregnant, become pregnant or think you may be pregnant, talk to your doctor immediately about the benefits and risks of using this medication during pregnancy.

Warnings of Nortriptyline

This medicine may cause dizziness or drowsiness or disrupt your vision. Alcohol or marijuana can cause your dizziness or sleepiness. Do not drive, use machines, or do anything that requires calm or sight until you can safely do it. Limit alcohol drinks. Talk to your doctor if you use marijuana.

Before your surgery, tell your doctor or dentist all the products you are using (including prescription drugs, over-the-counter prescriptions, and herbal products).

This drug may make you more sensitive to the sun. Limit your time of being in front of the sun. Avoid tanning booths and solar bulbs. Use sunscreen and remove protective clothing. Tell your doctor if you have sunburns or red caviar skin.


Please if you have any questions about Nortriptyline, you can ask us by commenting below this text, we'll answer you as soon as possible.

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