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20.06.2015
Nortriptyline is sometimes also used to treat panic disorders and a condition known as post-herpetic neuralgia (burning pains that persist after a shingles infection). It may also be used to help people quit smoking and to treat attention deficit hyperactivity disorder (ADHD). This medicine works by increasing amounts of neurotransmitters (natural substances in the brain). Nortriptyline, like other antidepressants, is required by the FDA to carry a black-box warning because of an increased risk of suicide. In clinical studies, a small number of children, teenagers, and young adults who took antidepressants such as nortriptyline became suicidal. Children who are younger than 18 should not typically take nortriptyline, but a doctor may decide that this medication is the best choice for a child's condition. Your mental health may change in unexpected ways while taking nortriptyline and you may become suicidal, even if you are an adult. Your doctor will likely start you on a low dose of nortriptyline and gradually increase your dose. If you suddenly stop taking nortriptyline, you may experience withdrawal symptoms such as nausea, headache, and weakness. Also tell your doctor if you are taking a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate). You should also alert your physician if you have stopped taking an MAOI within the past 14 days.
Trying to get a high from nortriptyline or any prescription medication is dangerous and could lead to severe side effects or a life-threatening overdose. 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.
There is not enough data available to show that nortriptyline is safe to take while pregnant or breastfeeding.
However, a doctor may prescribe this medication to a pregnant woman if the benefits outweigh the risks. If you are pregnant, might become pregnant, or are breastfeeding, talk with your doctor about the benefits and risks of using nortriptyline. Additionally, avoid unnecessary or prolonged exposure to the sun while taking nortriptyline, as it may make your skin more sensitive to sunlight. You should not take nortriptyline if you have recently had a heart attack or if you are being treated with methylene blue injection.


Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. It is not known whether nortriptyline passes into breast milk or if it could harm a nursing baby.
Do not stop using nortriptyline suddenly, or you could have unpleasant withdrawal symptoms. Grapefruit and grapefruit juice may interact with nortriptyline and lead to unwanted side effects.
25 to 150 mg per day orally in divided doses or alternatively, the total daily dosage may be given once a day. The safety and efficacy of nortriptyline in children <13 years have not been established.
Before taking nortriptyline, tell your doctor if you have used an "SSRI" antidepressant in the past 5 weeks, such as citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, or sertraline. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. WebMD User Reviews should not be considered as medical advice and are not a substitute for professional medical advice, diagnosis, or treatment. If you stop taking nortriptyline, you should wait 14 days or longer before you start taking an MAOI. You should not drive a car or operate machinery until you know how this drug will affect you. Your doctor will need to check your progress at regular visits while you are using nortriptyline. You should not take nortriptyline if you are allergic to it or to similar antidepressants (amitriptyline, amoxapine, clomipramine, desipramine, doxepin, imipramine, protriptyline, trimipramine). Tell your doctor if you are pregnant or plan to become pregnant while using this medication.
Keep using the medication as directed and tell your doctor if your symptoms do not improve during treatment.
Ask your doctor before taking nortriptyline with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.


You must wait at least 5 weeks after stopping fluoxetine (Prozac) before you can take nortriptyline. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.
The opinions expressed in the WebMD User Reviews are solely those of the User, who may or may not have medical or scientific training, and do not represent the opinions of WebMD.
Never delay or disregard seeking professional medical advice from your physician or other qualified healthcare provider because of something you have read on WebMD. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. MAO inhibitors include furazolidone, isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. These member reviews have not been reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other purpose except for compliance with our Terms and Conditions. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment.
Tell your doctor about all medicines you use, and those you start or stop using during your treatment with this medicine. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise.
WebMD understands that reading individual, real-life experiences may be a helpful health information resource but they are never a substitute for professional medical advice from a qualified healthcare provider. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient.
Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.



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Comments Nortriptyline side effects tinnitus 2014

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