|(nor TRIP ti
Antidepressant, Tricyclic (Secondary Amine)|
|Reasons not to take this medicine|
- If you have an allergy to another tricyclic antidepressant,
nortriptyline, or any other part of the medicine.
- If you have had a recent heart attack.
- If you have taken a monoamine oxidase inhibitor (tranylcypromine,
isocarboxazid, phenelzine) in the past 14
|What is this medicine used for?|
- This medicine is used for the treatment of depression and chronic pain
|How does it work?|
- Nortriptyline increases chemicals in the brain. Sleep and appetite may
improve quickly. Other depressive symptoms may take up to 4-6 weeks to
|How is it best taken?|
- Take with or without food. Take with food if this medicine causes an
- A liquid (solution) is available if you cannot swallow pills. Those
who have feeding tubes can also use the liquid. Flush the feeding tube before
and after medicine is given.
- Do not suddenly stop using this medicine if you have been taking it
for a long time. Medicine should be slowly decreased.
- May take at bedtime if it causes too much
|What do I do if I miss a dose?|
- Take a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to
your regular schedule.
- Do not take a double dose or extra
|What are the precautions when taking this
- If you are 65 or older, you may have more side effects. There are
other choices if this medicine is too strong for you.
- You may not be alert. Avoid driving, doing other tasks or activities
until you see how this medicine affects you.
- Avoid alcohol (includes wine, beer, and liquor) and other medicines
and herbs that slow your actions and reactions. This includes sedatives,
tranquilizers, mood stabilizers, or pain medicine. Talk with healthcare
- Make sure to get good dental care. You may have a higher risk for
- Tell healthcare provider if you are allergic to any medicine. Make
sure to tell about the allergy and how it affected you. This includes telling
about rash; hives; itching; shortness of breath; wheezing; cough; swelling of
face, lips, tongue, throat; or any other symptoms involved.
- Do not use in pregnancy and do not get pregnant. Use birth control
that you can trust while taking this medicine.
- Do not use if you are
|What are the common side effects of this
- Feeling sleepy, lightheaded, or having blurred vision. Avoid driving,
doing other tasks or activities that require you to be alert until you see how
this medicine affects you.
- Dizziness is common. Rise slowly over several minutes from sitting or
lying position. Be careful climbing stairs.
- Dry mouth. Frequent mouth care, sucking hard candy, or chewing gum may
- Constipation. More liquids, regular exercise, or a fiber-containing
diet may help. Talk with healthcare provider about a stool softener or laxative.
- Unable to pass urine. Go to the bathroom before taking medicine. Talk
with healthcare provider if it becomes a
|What should I monitor?|
- Follow up with healthcare
|Reasons to call healthcare provider
- Signs of a life-threatening reaction. These include wheezing;
tightness in the chest; fever; itching; bad cough; blue skin color; fits;
swelling of face, lips, tongue, or throat.
- Changes in thinking clearly and logically.
- Too tired or sleepy.
- Passing out, fainting, dizziness, or lightheadedness.
- Any rash.
- No improvement in condition or feeling
|How should I store this medicine?|
- Store in a tight, light-resistant container at room
- Do not share your medicine with others and do not take anyone else's
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant).
- Talk with healthcare provider before starting any new medicine,
including over-the-counter or natural products (herbs,
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