nortriptyline

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 infarction
• 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
Suggestions for Clinicians
(Added on August, 2015)