Nortriptyline is an antidepressant drug that is not a MAO inhibitor. It is mostly used to treat depression, migraine, and nocturnal enuresis in children. Nortriptyline works by balancing the natural substances in the brain to keep its processes normal. It is marketed worldwide under the trade names Aventyl, Notrilen, and Pamelor.
Tricyclic antidepressants such as Nortriptyline are carefully used in those who are 24 years old and below. Young children, teenagers, and even adults may develop suicidal tendencies while under Nortriptyline treatment. The use of mood elevators such as this one needs to be closely monitored by a doctor, especially during the early part of the treatment. Any move in the dosage requirement may also cause difference in the patient’s behavior.
The use of other tricyclic antidepressants, especially those with MAO inhibitor is contraindicated to a Nortriptyline treatment. Your system must be clear with a MAO inhibitor for at least two weeks before use of Nortriptyline may be directed.
Nortriptyline is also contraindicated to patients who are allergic to the drug and its components. Allergies to other drugs and the use of other drugs (prescription and non-prescription) must also be noted by your doctor to ensure your safety. The doctor would also need to know if you have any of the following conditions: heart attack, schizophrenia, seizures, bipolar disorder, diabetes, glaucoma, and urination problems. Nortriptyline prescription may either be adjusted or totally aborted for anyone with such health concerns.
Nortriptyline is an oral medicine. It comes in tablet and liquid form to be taken one to four times every day. Doctors usually start their patients on a low dose, which is gradually increased over time. If you stop taking Nortriptyline abruptly, you may experience withdrawal symptoms such as headache, weakness, and nausea. It is highly recommended that you stick to your doctor’s prescription, even if you feel better earlier. Do not make any move or alteration without talking to a doctor first.
To remember taking Nortriptyline regularly, take it at around the same time each day. Try not to skip a dose. If you miss it, take it as soon as you remember it. If it is too close to your next dosing schedule, however, it is better that you skip the missed dose than risk doubling your dose.
As mentioned earlier, Nortriptyline may cause some reactions from your system, especially during the start of treatment. Symptoms of drowsiness, weakness, anxiety, dry mouth, constipation, and blurred vision are just about normal. They usually go away after a while, when your body becomes fully adjusted to Nortriptyline. If your symptoms of side effects persist or worsen, you must make an appointment with your doctor immediately. The health benefits of Nortriptyline must be measured against its disadvantages. If the latter overpowers the former, your doctor might resort to another medicine that provides similar relief.
Patients under Nortriptyline treatment are usually advised to stay away from alcoholic drinks. Alcohol intake can make the feeling of being drowsy worse. Also, Nortriptyline makes your skin extra sensitive to sunlight. Be sure to wear protective outdoor gears to keep your skin safe from harm.
Nortriptyline has the following structural formula:
• Molecular formula of nortriptyline is C19H21N
• Chemical IUPAC Name is 3-(10,11-dihydro-5H-dibenzo[a,d]cyclohepten-5-ylidene)-N-methyl-1-propanamine
• Molecular weight is 263.377 g/mol
• Nortriptyline available : 10mg capsules, 25mg capsules, 50mg capsules, 75mg capsules, 10mg/5ml solution
Brand name(s): Acetexa, Allegron, Altilev, Ateben, Avantyl, Aventyl, Demethylamitriptylene, Demethylamitriptyline, Desitriptilina, Lumbeck, Noramitriptyline, Noritren, Nortrilen, Nortryptiline, Norzepine, Psychostyl, Sensaval, Sensival Ventyl, Sesaval, Vividyl
Review published on: 04 July 2008
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