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Why is Nortriptyline prescribed?
Nortriptyline is prescribed for the relief of symptoms of depression. It is one of the drugs known as tricyclic antidepressants.
Some doctors also prescribe Nortriptyline to treat chronic hives, premenstrual depression, attention deficit hyperactivity disorder in children, and bedwetting.
Where can I order Nortriptyline from? Can I buy Nortriptyline
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Most important fact about Nortriptyline
Nortriptyline must be taken regularly to be effective and it may be several weeks before you begin to feel better. Do not skip doses, even if they seem to make no difference.
How should you take Nortriptyline?
Take Nortriptyline exactly as prescribed. Nortriptyline may make your mouth dry. Sucking on hard candy, chewing gum, or melting ice chips in your mouth can provide relief. --If you miss a dose...Take it as soon as you remember. If it is almost time for the next dose, skip the one you missed and go back to your regular schedule. If you take Nortriptyline once a day at bedtime and you miss a dose, do not take it in the morning, since disturbing side effects could occur. Never take 2 doses at once. --Storage instructions...
Keep Nortriptyline in the container it came in, tightly closed and away from light. Be sure to keep this drug out of reach of children; an overdose is particularly dangerous in the young. Store at room temperature.
What side effects may occur with Nortriptyline?
Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Nortriptyline.
Side effects may include:
Abdominal cramps, agitation, anxiety, black tongue, blurred vision, breast development in males, breast enlargement, confusion, constipation, delusions, diarrhea, dilation of pupils, disorientation, dizziness, drowsiness, dry mouth, excessive or spontaneous flow of milk, excessive urination at night, fatigue, fever, fluid retention, flushing, frequent urination, hair loss, hallucinations, headache, heart attack, high or low blood pressure, high or low blood sugar, hives, impotence, inability to sleep, inability to urinate, increased or decreased sex drive, inflammation of the mouth, intestinal blockage, itching, loss of appetite, loss of coordination, nausea, nightmares, numbness, panic, perspiration, pins and needles in the arms and legs, rapid, fluttery, or irregular heartbeat, rash, reddish or purplish spots on skin, restlessness, ringing in the ears, seizures, sensitivity to light, stomach upset, strange taste, stroke, swelling of the testicles, swollen glands, tingling, tremors, vision problems, vomiting, weakness, weight gain or loss, yellow eyes and skin
Side effects due to rapid decrease or abrupt withdrawal from Nortriptyline after a long term of treatment include:
Headache, nausea, vague feeling of bodily discomfort
These side effects do not indicate addiction to this drug.
Possible food and drug interactions when taking Nortriptyline
Combining Nortriptyline and MAO inhibitors can be fatal. Nortriptyline may intensify the effects of alcohol. Do not drink alcohol while taking this medication.
If Nortriptyline is taken with certain other drugs, the effects of either can be increased, decreased, or altered. It is especially important to check with your doctor before combining Nortriptyline with the following:
Airway-opening drugs such as Ventolin and Proventil
Antidepressants such as Wellbutrin and Desyrel
Antidepressants that act on serotonin, such as Prozac, Paxil, and Zoloft
Blood pressure medications such as Catapres and Esimil
Cimetidine (Tagamet)
Chlorpropamide (Diabinese)
Drugs for heart irregularities, such as Tambocor and Rythmol
Drugs that control spasms, such as Donnatal and Bentyl
Levodopa (Larodopa)
Major tranquilizers such as Thorazine and Mellaril
Quinidine (Quinidex)
Reserpine (Diupres)
Stimulants such as Dexedrine
Thyroid medication such as Synthroid
Warfarin (Coumadin)
Special information if you are pregnant or breastfeeding when taking Nortriptyline
The effects of Nortriptyline during pregnancy have not been adequately studied. If you are pregnant or planning to become pregnant, inform your doctor immediately. Also consult your doctor before breastfeeding.
Recommended Nortriptyline dosage
This medication is available in tablet and liquid form. Only tablet dosages are listed. Consult your doctor if you cannot take the tablet form of this medication.
ADULTS Your doctor will monitor your response to this medication carefully and will gradually increase or decrease the dose to suit your needs.
The usual starting dosage is 25 milligrams, 3 or 4 times per day. Alternatively, your doctor may prescribe that the total daily dose be taken once a day. Doses above 150 milligrams per day are not recommended. Your doctor may want to perform a blood test to help in deciding the best dose you should receive.
CHILDREN The safety and effectiveness of Nortriptyline have not been established for children and its use is not recommended. However, adolescents may be given 30 to 50 milligrams per day, either in a single dose or divided into smaller doses, as determined by your doctor.
OLDER ADULTS The usual dose is 30 to 50 milligrams taken in a single dose or divided into smaller doses, as determined by your doctor.
Adventyl Overdosage
An overdose of this type of antidepressant can be fatal. If you suspect an overdose, seek medical help immediately.
Symptoms of Nortriptyline overdose may include:
Agitation, coma, confusion, congestive heart failure, convulsions, dilated pupils, disturbed concentration, drowsiness, excessive reflexes, extremely high fever, fluid in the lungs, hallucinations, irregular heartbeat, low body temperature, restlessness, rigid muscles, severely low blood pressure, shock, stupor, vomiting.
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