Call your doctor or the emergency department right away if you have a fast, pounding, or uneven heartbeat, unexplained fainting, lightheadedness, or troubled breathing after using this medicine. Check with your doctor first before using any other medicines with nortriptyline. Do not start using nortriptyline during the 2 weeks after you stop a MAO inhibitor. Introductory Limited Time Offer for New Customers! Despite this huge amount of medication her blood pressure was very unstable and was spiking to dangerously high levels. Nortriptyline may cause a serious condition called serotonin syndrome if taken together with certain medicines. My doc has been trying to lower my blood pressure to no avail. Do not use nortriptyline with buspirone (Buspar®), fentanyl (Abstral®, Duragesic®), lithium (Eskalith®, Lithobid®), tryptophan, St. John's wort, or some pain or migraine medicines (eg, sumatriptan, tramadol, Frova®, Maxalt®, Relpax®, Zomig®). Weight Gain Drowsiness 3. Check with your doctor right away if you are having chest pain or discomfort, nausea or vomiting, pain or discomfort in the arms, jaw, back, or neck, trouble breathing, slurred speech, or weakness. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.Mayo Clinic does not endorse companies or products. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Report any unusual thoughts or behaviors that trouble you, especially if they are new or get worse quickly. All rights reserved. Do not take other medicines unless they have been discussed with your doctor.

Do not use nortriptyline with a monoamine oxidase (MAO) inhibitor (eg, isocarboxazid [Marplan®], linezolid (Zyvox®), methylene blue, phenelzine [Nardil®], selegiline [Eldepryl®], tranylcypromine [Parnate®]). The most unpleasant and distressing symptoms for this poor woman were the effect these drugs were having on her brain function. 25 mg orally 3 to 4 times per day -Maximum dose: 150 mg/day Comments: -The total daily dosage may be given once a day. Tell your doctor right away if you start to feel more depressed and have thoughts about hurting yourself. For the best experience on our site, be sure to turn on Javascript in your browser. -When doses above 100 mg per day are given, plasma levels should be monitored and maintained in the optimum range of 50 to 150 ng/mL. It may help increase feelings of well being and improve mood. Your doctor may want you to gradually reduce the amount you are using before stopping it completely.

It comes as an oral capsule and an oral solution. Head Pain 5. This medicine may cause some people to become drowsy. Dizzy 2. Wait 2 weeks after stopping nortriptyline before you start using a MAO inhibitor. She could not think straight and was unable to remember the simplest things.Her fatty liver was not coping with the workload of breaking down (metabolizing) these drugs and the interaction of all these drugs on her brain chemistry was causing cognitive impairment; indeed she felt as though she was developing dementia. This medicine may increase your risk of having a heart attack or stroke. Portions of this document last updated: Sept. 01, 2020Copyright © 2020 IBM Watson Health. Your doctor may prescribe this medicine for other conditions as well. Nortriptyline is not approved for use in children. Use: Relief of symptoms of depression This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. Advertising revenue supports our not-for-profit mission.Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. I know what i need to do now.So are calcium channel blocker's dad for cognition? Increased Hunger 6. Taking nortriptyline together with medicines used during surgery may increase the risk of side effects. I asked her to stop grazing (eating or picking all the time) and to eat three meals a day. Liver Disease 'Shrunk' By Blood-pressure Drug Date: June 2, 2009 Source: Newcastle University Summary: Researchers have shown that a blood-pressure medicine has … This medication works by increasing the levels of serotonin in the brain, a chemical that affects one’s mood. She was able to think clearly and her memory had returned.Over many years of obesity and sugar addiction this woman had developed an imbalance in her metabolic hormones – namely she had become resistant to the hormones insulin and leptin and when I measured these hormones in her blood they were abnormally high. Breastfeeding Studies in women suggest that this medication poses minimal risk to …