Pronunciation: nor TRIP ti leen
Brand: Pamelor
10 mg, capsule, orange/white, imprinted with TEVA, 10 mg 0810
25 mg, capsule, orange/white, imprinted with TEVA, 0811 25mg
50 mg, capsule, white, imprinted with TEVA, 50mg 0812
75 mg, capsule, orange, imprinted with TEVA, 75mg 0813
25 mg, capsule, orange/white, imprinted with PAMELOR 25 mg, M
10 mg, capsule, green, imprinted with TARO, NTP 10
50 mg, capsule, green/white, imprinted with TARO, NTP 50
25 mg, capsule, orange/white, imprinted with TEVA, 0811 25mg
10 mg, capsule, red, imprinted with MYLAN 1410
10 mg, capsule, green/white, imprinted with NORTIPTYLINE, DAN 10 mg
25 mg, capsule, ivory, imprinted with TARO, NTP 25
25 mg, white, imprinted with GG 566
25 mg, capsule, orange, imprinted with MYLAN 2325
25 mg, capsule, orange/white, imprinted with TEVA, 0811 25mg
25 mg, capsule, green/white, imprinted with NORTRIPTYLINE, DAN 25 mg
50 mg, white, imprinted with GG 567
50 mg, capsule, orange/yellow, imprinted with MYLAN 3250
50 mg, capsule, white, imprinted with NORTRIPTYLINE, DAN 50 mg
75 mg, capsule, green, imprinted with TARO, NTP 75
75 mg, capsule, green, imprinted with NORTRIPTYLINE, DAN 75 mg
75 mg, capsule, brown/orange, imprinted with MYLAN 4175
75 mg, orange, imprinted with 93 813
75 mg, capsule, green, imprinted with NORTRIPTYLINE, DAN 75 mg
10 mg, capsule, orange/yellow, imprinted with PAMELOR 10 mg, SANDOZ
25 mg, orange/white, imprinted with PAMELOR 25 mg, SANDOZ
You should not use this medicine if:
Do not use nortriptyline if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, tranylcypromine, and others.
Tell your doctor if you have used an "SSRI" antidepressant in the past 5 weeks, such as citalopram, escitalopram, fluoxetine (Prozac), fluvoxamine, paroxetine, sertraline (Zoloft), trazodone, or vilazodone.
Tell your doctor if you also take stimulant medicine, opioid medicine, herbal products, or medicine for depression, mental illness, Parkinson's disease, migraine headaches, serious infections, or prevention of nausea and vomiting. An interaction with nortriptyline could cause a serious condition called serotonin syndrome.
Tell your doctor if you have ever had:
Some young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.
Tell your doctor if you are pregnant or breastfeeding.
Not approved for use by anyone younger than 18 years old.
Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.
Measure liquid medicine with the supplied syringe or a dose-measuring device (not a kitchen spoon).
Tell your doctor if you have a planned surgery.
You may have withdrawal symptoms if you stop using nortriptyline suddenly. Ask your doctor before stopping the medicine.
Your symptoms may not improve for a few weeks.
Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can be fatal.
Overdose symptoms may include irregular heartbeats, severe drowsiness, vision problems, confusion, hallucinations, agitation, stiff muscles, overactive reflexes, vomiting, feeling hot or cold, feeling like you might pass out, seizures, or coma.
Do not drink alcohol. Dangerous side effects or death could occur.
Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.
Nortriptyline could make you sunburn more easily. Avoid sunlight or tanning beds. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors.
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
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.
Call your doctor at once if you have:
Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.
Common side effects may include:
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Using nortriptyline with other drugs that make you drowsy can worsen this effect. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.
Tell your doctor about all your other medicines, especially:
This list is not complete. Other drugs may affect nortriptyline, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.
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.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. 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. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. 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.
Copyright 1996-2022 Cerner Multum, Inc. Version: 12.02. Revision date: 6/14/2021.
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