Nortriptyline

Therapeutic Group

Anti-depressants

Indication Dosage

Nortriptyline is a medication that is commonly used to help treat depression. It can also be prescribed by doctors to relieve nerve pain. So, in simple terms, Nortriptyline is used to make people feel better when they are sad or to reduce pain caused by nerves.

Depressive Illness: 

  • Adult: To Be Initiated At A Low Dose, Then Increased If Necessary To 75-100 Mg Daily In Divided Doses, Alternatively Increased If Necessary To 75-100 Mg Once Daily; Maximum 150 Mg Per Day 
  • Elderly: To Be Initiated At A Low Dose, Then Increased If Necessary To 30-50 Mg Daily In Divided Doses 
  • Children 12-18 Yr: Low Dose Initially Increased As Necessary To 30-50 Mg Daily In Divided Doses Or As A Single Dose, Max 150 Mg Daily. 

Neuropathic Pain: 

  • Adult: Initially 10 Mg Once Daily At Night, Increased If Necessary To 75 Mg Daily, Dose To Be Increased Gradually; Higher Doses To Be Given Under Specialist Supervision

Content

  • Tab 10mg /25mg /75mg: Nortriptyline (as Hci) 10mg /25mg /75mg.

Pregnancy

Avoid Unless Potential Benefit Outweighs Risk

Stability

  • Tricyclic Antidepressant (toad)

Contra Indications

  • Acute Porphyrias, Severe Hepatic Impairment, Arrhythmias, During The Manic Phase Of Bipolar Disorder, Heart Block, Immediate Recovery Period After Myocardial Infarction

Precautions

  • Acute Porphyrias, Severe Hepatic Impairment, Arrhythmias, During The Manic Phase Of Bipolar Disorder, Heart Block, Immediate Recovery Period After Myocardial Infarction

Lactation

  • Contraindicated, Avoid

Side Effects

  • Abdominal Pain
  • Agitation
  • Alopecia
  • Anorexia
  • Anxiety
  • Arrhythmia
  • Blurred Vision
  • Fatigue
  • Hypertension
  • Mydriasis
  • Restlessness
  • Confusion
  • Convulsions
  • Delusions
  • Dizziness
  • Drowsiness
  • Dry Mouth
  • Dysarthria
  • Ecg Changes
  • Flushing
  • Galactorrhoea
  • Gynaecomastia
  • Haematological Reactions
  • Hallucinations
  • Heart Block
  • Hepatic Reactions
  • Hypomania
  • Hyponatraemia
  • Irritability
  • Mania
  • Oedema
  • Paraesthesia
  • Photosensitivity
  • Postural Hypotension
  • Pruritus
  • Rash
  • Sexual Dysfunction
  • Sleep Disturbances
  • Stomatitis
  • Sudden Death Of Patients With Cardiac Disease
  • Suicidal Behavior
  • Sweating
  • Tachycardia
  • Taste Disturbance
  • Tinnitus
  • Tremor
  • Urinary Retention
  • Urticaria
  • Vomiting
  • Weight Changes.
  • Rare: Extrapyramidal Symptoms
  • Paralytic Ileus

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