nortriptyline

Adult
Uses
  • depression
  • chronic peripheral neuropathic pain
Contraindications,
drug interactions
or cautions
Contraindications
  • monoamine oxidase inhibitors (MAOIs), acute myocardial infarction recovery phase
Drug interactions
  • selective serotonin reuptake inhibitors(SSRIs), cimetidine
Cautions
  • increases suicidal ideation in children and adolescents
Adverse Effects
(common and severe)
  • myocardial infacrtion
  • stroke
  • seizure
  • paralytic ileus
  • urinary retention
  • constipation
  • blurred vision
  • hyperpyrexia
  • rash
  • bone marrow depression
  • testicular swelling
  • gynecomastia
  • alopecia
  • edema
Instructions and dose
(initial; typical)
25-50mg daily
Monitoring
  • monitor lithium levels every 2 months
Source of Suggestion
Suggestion from clinicians (Added on August, 2015)