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Important: The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, blogs, or WebMD Answers are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Tell your doctor if your depression worsens or you have suicidal thoughts while taking nortriptyline hydrochloride. hydroxyzine

Reviews for nortriptyline

Analgesics Opioid: CNS Depressants may enhance the CNS depressant effect of Analgesics Opioid. Management: Avoid concomitant use of opioid analgesics and benzodiazepines or other CNS depressants when possible. These agents should only be combined if alternative treatment options are inadequate. If combined, limit the dosages and duration of each drug. Children, teenagers, and young adults who take Aventyl may be at increased risk for suicidal thoughts or actions. The risk may be greater in patients who have had suicidal thoughts or actions in the past. Watch all patients who take Aventyl closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior, occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.

Before taking nortriptyline

Linezolid: May enhance the serotonergic effect of Tricyclic Antidepressants. This could result in serotonin syndrome. The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Tricyclic Antidepressants. FluvoxaMINE may increase the serum concentration of Tricyclic Antidepressants. Management: Consider alternatives to this combination when possible. Monitor for adverse effects of tricyclic antidepressants TCAs including serotonin syndrome and QT-interval prolongation, when a TCA is being used in combination with fluvoxamine.

Use of nortriptyline

If you have diabetes, this drug may make it harder to control your blood sugar levels. Monitor your blood sugar levels regularly and tell your doctor of the results. Your doctor may need to adjust your diabetes medication, exercise program, or diet. AHFS drug information 2004. McEvoy GK, ed. Tricyclic antidepressants general statement. Mirtazapine: CNS Depressants may enhance the CNS depressant effect of Mirtazapine. This medication may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear protective clothing when outdoors.



Take Aventyl by mouth with or without food

Check with your doctor before you drink alcohol or use medicines that may cause drowsiness eg, sleep aids, muscle relaxers while you are using Aventyl; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness. Frequency not defined. Some reactions listed are based on reports for other agents in this same pharmacologic class and may not be specifically reported for nortriptyline. The information on this page is 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 a drug or drug combination is safe, effective or appropriate for any given patient. Drugs. Lab tests, including blood cell counts, may be performed while you use Aventyl. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. AbobotulinumtoxinA: Anticholinergic Agents may enhance the anticholinergic effect of AbobotulinumtoxinA.



Highlights for nortriptyline

Nortriptylini hydrochloridum PH: Ph. Eur. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Has been used for the short-term management of acute depressive episodes in bipolar disorder. Orphenadrine: CNS Depressants may enhance the CNS depressant effect of Orphenadrine. CYP2D6 Inhibitors Moderate: May decrease the metabolism of CYP2D6 Substrates. Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately. Remember that your doctor has prescribed this because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication not have serious side effects. Seek emergency medical attention. Alcohol Ethyl: CNS Depressants may enhance the CNS depressant effect of Alcohol Ethyl. Blonanserin: CNS Depressants may enhance the CNS depressant effect of Blonanserin. Nabilone: May enhance the CNS depressant effect of CNS Depressants. Known hypersensitivity to nortriptyline, other dibenzazepine-derivative TCAs, or any ingredient in the formulation. Thyroid Products: May enhance the arrhythmogenic effect of Tricyclic Antidepressants. Thyroid Products may enhance the stimulatory effect of Tricyclic Antidepressants. Tricyclic Antidepressants. Sertraline may increase the serum concentration of Tricyclic Antidepressants. Management: Consider alternatives to this combination when possible. Monitor for adverse effects of tricyclic antidepressants TCAs including serotonin syndrome and QT-interval prolongation, when a TCA is being used in combination with sertraline. CNS Depressants. Specifically, sleepiness and dizziness may be enhanced. Nortriptyline chlorhydrate de PH: Ph. Eur. alfuzosin



What should i avoid while taking nortriptyline

Our nortriptyline hydrochloride Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication. Alpha1-Agonists: Tricyclic Antidepressants may enhance the vasopressor effect of Alpha1-Agonists. Tricyclic Antidepressants may diminish the vasopressor effect of Alpha1-Agonists. CYP1A2, CYP2D6, CYP3A4, CYP2C. OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional. See Boxed Warning and also see Worsening of Depression and Suicidality Risk under Cautions. Iohexol. Specifically, the risk for seizures may be increased. Management: Discontinue agents that may lower the seizure threshold 48 hours prior to intrathecal use of iohexol. Wait at least 24 hours after the procedure to resume such agents. In nonelective procedures, consider use of prophylactic anticonvulsants. During pregnancy, this medication should be used only when clearly needed. Taking MAO inhibitors with this medication may cause a serious possibly fatal drug interaction. Avoid taking MAO inhibitors isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before and after treatment with this medication. Ask your doctor when to start or stop taking this medication. See Boxed Warning and also see Pediatric Use under Cautions. This is not a complete list. Cimetropium: Anticholinergic Agents may enhance the anticholinergic effect of Cimetropium. Trimeprazine: May enhance the CNS depressant effect of CNS Depressants. Serotonin syndrome is a possibly fatal syndrome that can be caused by Aventyl. alic.info tamoxifen



General information about nortriptyline

Discontinuation of therapy: Refer to adult dosing. Barbiturates: May increase the metabolism of Tricyclic Antidepressants. May precipitate a shift to mania or hypomania in patients with bipolar disorder. Monotherapy in patients with bipolar disorder should be avoided. Patients presenting with depressive symptoms should be screened for bipolar disorder including details regarding family history of suicide, bipolar disorder, and depression. Nortriptyline is not FDA approved for the treatment of bipolar depression. Cobicistat: May increase the serum concentration of CYP2D6 Substrates. Tiotropium: Anticholinergic Agents may enhance the anticholinergic effect of Tiotropium. generic danazol at walmart



Nortriptyline consumer information

Less effective for insomnia and associated with more serious adverse reactions than conventional hypnotics. Store at room temperature away from light and moisture. not store in the bathroom. Oxatomide: May enhance the anticholinergic effect of Anticholinergic Agents. To prevent constipation, maintain a diet adequate in fiber, drink plenty of water, and exercise. If you become constipated while using this drug, consult your pharmacist for help in selecting a laxative. Tell your doctor or pharmacist if you are taking other products that cause drowsiness, including alcohol, antihistamines such as cetirizine, diphenhydramine drugs for sleep or anxiety such as alprazolam, diazepam, zolpidem muscle relaxants, and narcotic pain relievers such as codeine. Raja 2002; Watson 1998. Abiraterone Acetate: May increase the serum concentration of CYP2D6 Substrates. Management: Avoid concurrent use of abiraterone with CYP2D6 substrates that have a narrow therapeutic index whenever possible. Importance of patients understanding that it may take more than 2 weeks before the full effects are apparent. Some people may be at risk for eye problems from Aventyl. Your doctor may want you to have an eye exam to see if you are at risk for these eye problems. Call your doctor right away if you have eye pain, vision changes, or swelling or redness in or around the eye. Tell your doctor if your condition persists or worsens such as your feelings of sadness get worse, or you have thoughts of suicide. Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs, nonprescription drugs, and herbal products. These may be signs of a serious medical problem.



Seek emergency medical attention

Citalopram. Tricyclic Antidepressants may increase the serum concentration of Citalopram. Citalopram may increase the serum concentration of Tricyclic Antidepressants. Management: Consider alternatives to this combination when possible. Monitor for adverse effects of tricyclic antidepressants TCAs including serotonin syndrome and QT-interval prolongation, when a TCA is being used in combination with citalopram. Avoid doing things that may cause you to overheat, such as hard work or in hot weather, or using hot tubs. When the weather is hot, drink a lot of fluids and dress lightly. If you overheat, quickly look for a place to cool down and rest. This drug may make you drowsy or dizzy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. Associated with more frequent anticholinergic, sedative, or cardiovascular effects and weight gain than SSRIs. Increased anxiety, agitation, and hostility also may occur, particularly when administered to overactive or agitated patients. Take Aventyl by mouth with or without food. Nortriptyline was continued for approximately 12 weeks in clinical studies. Monitor for possible worsening of depression, suicidality, or unusual changes in behavior, especially at the beginning of therapy or during periods of dosage adjustments. a h i j See Worsening of Depression and Suicidality Risk under Cautions. Nitroglycerin: Anticholinergic Agents may decrease the absorption of Nitroglycerin. Specifically, anticholinergic agents may decrease the dissolution of sublingual nitroglycerin tablets, possibly impairing or slowing nitroglycerin absorption. Among the drugs of choice for the symptomatic treatment of postherpetic neuralgia. Keep all away from children and pets. Never take more of this medication than is prescribed for you. Too much mazindol could be very dangerous to your health. terbinafine buy pepco



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Valproate Products: May increase the serum concentration of Tricyclic Antidepressants. HYDROcodone: CNS Depressants may enhance the CNS depressant effect of HYDROcodone. Management: Avoid concomitant use of hydrocodone and benzodiazepines or other CNS depressants when possible. These agents should only be combined if alternative treatment options are inadequate. If combined, limit the dosages and duration of each drug. Food and Drug Administration. Class suicidality labeling language for antidepressants. Take each dose with a full glass of water. Older adults may be more sensitive to the side effects of this drug, especially dry mouth, dizziness, confusion, difficulty urinating, and QT prolongation see above. This medication may also be used to help quit smoking. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Glucagon. Specifically, the risk of gastrointestinal adverse effects may be increased. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Nortriptyline is a used to treat depression. Antiemetics 5HT3 Antagonists: May enhance the serotonergic effect of Serotonin Modulators. This could result in serotonin syndrome. CDC 1982; some data suggests that benzoate displaces bilirubin from protein binding sites Ahlfors 2001; avoid or use dosage forms containing benzyl alcohol derivative with caution in neonates. RxList is part of the WebMD Health Network. 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. 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. Oxomemazine: May enhance the CNS depressant effect of CNS Depressants. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. Ask your doctor when to start or stop taking this medication. compare generic bentyl



CNS depressants is not recommended

Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. Discuss specific use of drug and side effects with patient as it relates to treatment. HCAHPS: During this hospital stay, were you given any medicine that you had not taken before? Inhibitors of CYP2D6: Potential pharmacokinetic interaction increased nortriptyline concentrations. a Adjust nortriptyline dosage whenever a CYP2D6 inhibitor is added or discontinued. Risk of seizures; use with caution in patients with a history of seizures. Ask your doctor or pharmacist about using this product safely. Aventyl comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Aventyl refilled. Antidepressants increase the risk of suicidal thinking and behavior in children, adolescents, and young adults 18 to 24 years of age with major depressive disorder MDD and other psychiatric disorders; consider risk prior to prescribing. Please refer to the for information on shortages of one or more of these preparations. Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs. MAO inhibitor recommendations: Refer to adult dosing. Category D. f Possible cardiovascular or limb reduction anomalies. May unmask bipolar disorder. i See Activation of Mania or Hypomania under Cautions. Ask your pharmacist about using those products safely. fluoxetine



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Nortriptyline dosing information


What other drugs will affect nortriptyline

Aclidinium: May enhance the anticholinergic effect of Anticholinergic Agents. Serotonin Modulators. Specifically, the risk of serotonin syndrome or serotonin toxicity may be increased. Doxylamine: May enhance the CNS depressant effect of CNS Depressants. Check the labels on all your medicines such as allergy or cough-and-cold products because they may contain decongestants or ingredients that cause drowsiness. Ask your pharmacist about using those products safely. zocor can i order shop

How to take nortriptyline

If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss with your doctor the benefits and risks of using this medication during pregnancy. APA 2010; Bauer 2002; Haddad 2001; NCCMH 2010; Schatzberg 2006; Shelton 2001; Warner 2006. OxyCODONE: CNS Depressants may enhance the CNS depressant effect of OxyCODONE. Management: Avoid concomitant use of oxycodone and benzodiazepines or other CNS depressants when possible. These agents should only be combined if alternative treatment options are inadequate. If combined, limit the dosages and duration of each drug. Nortriptyline is not FDA approved for use in children.

CYP1A2, CYP2C, CYP2D6, CYP3A4

PREGNANCY and BREAST-FEEDING: It is not known if Aventyl can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Aventyl while you are pregnant. It is not known if this medicine is found in breast milk. Do not breast-feed while taking Aventyl. Importance of women informing their clinician if they are or plan to become pregnant or plan to breast-feed. However, suicide is a known risk of depression and certain other psychiatric disorders, and these disorders themselves are the strongest predictors of suicide. CNS depressants. No such dose change is recommended for women. Avoid use with other CNS depressants at bedtime; avoid use with alcohol.

Some MEDICINES MAY INTERACT with Aventyl

If you miss a dose of Aventyl, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. If you take 1 dose daily at bedtime, do not take the missed dose the next morning. Distributes into milk; 100 101 102 use not recommended. Food and Drug Administration. Medication guide: about using antidepressants in children or teenagers.

The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Always consult your doctor or healthcare specialist for medical advice. Mazindol is usually taken one to three times a day before meals. Mazindol can be taken with food if it upsets your stomach. Follow your doctor's instructions. Mazindol is habit forming. You can become physically and psychologically dependent on this medication, and withdrawal effects may occur if you stop taking it suddenly after several weeks of continuous use. Talk to your doctor about stopping this medication gradually.

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