Nortriptyline HydrochlorideGeneric Alternative to Pamelor
What is a generic medication?
Generic medications are significantly discounted copies of brand name medication that have the same active ingredients, intended use, dosage, side effects, effects, and route of administration as the original brand name medication. In other words, generic medications have the same pharmacological effects as their brand-name counterparts. Over half of all prescribed medications are for generic medications.
Nortriptyline Hydrochloride Drug Information
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How Long Does It Take to Receive My Nortriptyline Hydrochloride Order?
You can easily place an order on our website in under 5 minutes. First you need to set up an account with us, create a payment method, and send us your prescriptions. Alternatively, you can order by downloading our order form or by placing an order over the phone. Delivery can take approximately 2 weeks to North America, and 4 weeks to other countries.
Nortriptyline Hydrochloride Overview
Nortriptyline Hydrochloride is used to treat mental/mood problems such as depression. It may help improve mood and feelings of well-being, relieve anxiety and tension, and increase your energy level. Nortriptyline Hydrochloride belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters) in the brain.
Nortriptyline Hydrochloride Warnings
Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially people younger than 25) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for people younger than 25), even if treatment is not for a mental/mood condition. Tell the doctor right away if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.
How to Use Nortriptyline Hydrochloride
Read the Medication Guide provided by your pharmacist before you start taking nortriptyline and each time you get a refill. If you have any questions, consult your doctor or pharmacist. Take Nortriptyline Hydrochloride by mouth, usually 1 to 4 times daily or as directed by your doctor. If you are using the liquid form, measure the dose carefully using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose. The Dosage of Nortriptyline Hydrochloride is based on your medical condition and response to treatment. To reduce your risk of side effects (such as dry mouth, dizziness), your doctor may direct you to start Nortriptyline Hydrochloride at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Take Nortriptyline Hydrochloride regularly in order to get the most benefit from it. To help you remember, take it at the same time(s) each day. Do not increase your dose or use Nortriptyline Hydrochloride more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. It is important to continue taking Nortriptyline Hydrochloride even if you feel well. Do not stop taking Nortriptyline Hydrochloride without consulting your doctor. Some conditions may become worse when Nortriptyline Hydrochloride is suddenly stopped. Also, you may experience symptoms such as mood swings, headache, tiredness, and sleep change. To prevent these symptoms while you are stopping treatment with Nortriptyline Hydrochloride, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for more details. Report any new or worsening symptoms right away. Nortriptyline Hydrochloride may not work right away. You may see some benefit within a week. However, it may take up to 4 weeks before you feel the full effect. Tell your doctor if your condition persists or worsens (such as your feelings of sadness get worse, or you have thoughts of suicide).
Nortriptyline Hydrochloride Precautions
Before taking nortriptyline, tell your doctor or pharmacist if you are allergic to it; or to other tricyclic antidepressants (such as amitriptyline); or if you have any other allergies. Nortriptyline Hydrochloride may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using Nortriptyline Hydrochloride, tell your doctor or pharmacist your medical history,breathing problems, liver problems, recent heart attack, problems urinating (such as due to enlarged prostate), overactive thyroid (hyperthyroidism), personal or family history of glaucoma (angle-closure type), personal or family history of mental/mood conditions (such as bipolar disorder, psychosis), family history of suicide, seizures, conditions that may increase your risk of seizures (such as other brain disease, alcohol withdrawal). Nortriptyline may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away. The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using nortriptyline,certain heart problems (heart failure, slow heartbeat, Brugada syndrome, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death). Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using nortriptyline safely. Nortriptyline Hydrochloride may make you dizzy or drowsy or blur your vision. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis). Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Nortriptyline Hydrochloride may make you more sensitive to the sun. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors. Tell your doctor right away if you get sunburned or have skin blisters/redness. The liquid form of Nortriptyline Hydrochloride may contain alcohol. Caution is advised if you have diabetes, alcohol dependence, liver disease, or any other condition that requires you to limit/avoid alcohol in your diet. Ask your doctor or pharmacist about using Nortriptyline Hydrochloride safely. If you have diabetes, Nortriptyline Hydrochloride 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. Older adults may be more sensitive to the side effects of Nortriptyline Hydrochloride, especially dry mouth, dizziness, confusion, difficulty urinating, and QT prolongation (see above). During pregnancy, Nortriptyline Hydrochloride should be used only when clearly needed. Since untreated mental/mood problems (such as depression, anxiety, panic disorder) can be a serious condition, do not stop using Nortriptyline Hydrochloride unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss with your doctor the benefits and risks of using Nortriptyline Hydrochloride during pregnancy. Nortriptyline Hydrochloride passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.
Nortriptyline Hydrochloride Misdose
If you miss a dose of Nortriptyline Hydrochloride, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.
Nortriptyline Hydrochloride Interactions
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.arbutamine, "blood thinners" (such as warfarin), disulfiram, thyroid supplements, anticholinergic drugs (such as belladonna alkaloids), certain drugs for high blood pressure (drugs that work in the brain such as clonidine, guanabenz). Taking MAO inhibitors with Nortriptyline Hydrochloride may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with Nortriptyline Hydrochloride. Most MAO inhibitors should also not be taken for two weeks before and after treatment with Nortriptyline Hydrochloride. Ask your doctor when to start or stop taking Nortriptyline Hydrochloride. The risk of serotonin syndrome/toxicity increases if you are also taking other drugs that increase serotonin. Examples include street drugs such as MDMA/"ecstasy," St. John's wort, certain antidepressants (including SSRIs such as fluoxetine/paroxetine, SNRIs such as duloxetine/venlafaxine), among others. The risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs. Other medications can affect the removal of nortriptyline from your body, thereby affecting how nortriptyline works. These drugs include cimetidine, terbinafine, drugs to treat irregular heart rate (such as quinidine/propafenone/flecainide). This is not a complete list. Many drugs besides nortriptyline may affect the heart rhythm (QT prolongation in the EKG), including amiodarone, cisapride, dofetilide, pimozide, procainamide, quinidine, sotalol, macrolide antibiotics (such as erythromycin), among others. Therefore, before using nortriptyline, report all medications you are currently using to your doctor or pharmacist. Tell your doctor or pharmacist if you are taking other products that cause drowsiness, including alcohol, marijuana (cannabis), antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants, and opioid pain relievers (such as codeine). 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. Nortriptyline is very similar to amitriptyline. Do not use medications containing amitriptyline while using nortriptyline.
Nortriptyline Hydrochloride Side Effects
What are Nortriptyline Hydrochloride side effects?
Side effects are physical, mental or emotional symptoms which occur in addition to or outside of the desired effect of a therapeutic treatment such as an over-the-counter or prescribed drug or medication. Side effects from Nortriptyline Hydrochloride may occur at the beginning or at the end of treatment and may also depend on the length of time an individual remains on the treatment. Side effects, also known as adverse effects, are generally more likely to occur when starting treatment. Individuals may also experience side effects from Nortriptyline Hydrochloride as a result of an interaction with other medications.
Side Effects of Nortriptyline Hydrochloride
The side effects of Nortriptyline Hydrochloride may vary in number and intensity for many different reasons. Factors such as age, weight, gender and ethnicity may influence the side effects of Nortriptyline Hydrochloride. Also, an individual’s state of general physical health and seriousness of the disease or illness as well as an increase or decrease in dosage may lead to side effects. Further, side effects from Nortriptyline Hydrochloride may also occur as a result of an interaction with certain herbal supplements, foods or drinks.
Prescription drug side effects can be serious and may cause patients to stop the treatment. However, when side effects from the use of a prescription drug, such as Nortriptyline Hydrochloride, do occur a patient should consult their physician. A physician may prescribe an additional treatment in order to control the symptoms or an adjustment in the dosage may be made. In addition, changes to diet, exercise or other lifestyle activities may help to lessen the side effects of Nortriptyline Hydrochloride.
By understanding side effects and the factors which may influence the occurrence of side effects patients are empowered to take an active role in their care. Patients who have specific questions about the side effects of Nortriptyline Hydrochloride, or any other medication, should contact their physician. General information about Nortriptyline Hydrochloride and the side effects associated with Nortriptyline Hydrochloride are described in the following:
Common Nortriptyline Hydrochloride Side Effects
- weight gain
- increased appetite
- headache disorder
Less Frequent Nortriptyline Hydrochloride Side Effects
- acute confusion
- abnormal sexual function
- blurred vision
- cardiac arrhythmia
- erectile dysfunction
- libido changes
Rare or Very Rare Nortriptyline Hydrochloride Side Effects
- SIADH syndrome
- blood dyscrasias
- suicidal ideation
- testicular swelling
- galactorrhea not associated with childbirth
- skin photosensitivity
- allergic dermatitis
- pruritus of skin
- seizure disorder
- skin rash
- secondary angle-closure glaucoma
- prolonged QT interval
- abnormal ECG
- cerebrovascular accident
- acute myocardial infarction
- heart block
- serotonin syndrome
- abnormal hepatic function tests
- panic disorder
- ventricular tachycardia
- ventricular fibrillation
- drug-induced psychosis
- accidental fall
- neutropenic disorder
- symptoms of anxiety
- hypoglycemic disorder
- delusional disorder
- facial edema
- aggressive behavior
- impulse control disorder
- manic disorder
Nortriptyline Hydrochloride Storage
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard Nortriptyline Hydrochloride when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
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