৳ 4/unit
Pack: ৳ 40
৳ 4/unit
Pack: ৳ 40
At a glance
Nortriptyline is a tricyclic antidepressant used for depression, panic disorder, neuropathic pain and nocturnal enuresis in children. It increases synaptic concentration of serotonin and norepinephrine to stabilize mood.
Indications
- Depression
- Panic disorder
- Neuropathic pain
- Nocturnal enuresis in children
Pharmacology
Nortriptyline blocks neuronal reuptake of norepinephrine and serotonin to increase their synaptic concentrations in the CNS, improving mood and relieving pain.
Dosage
Adult Dose (Oral):
- Depression: 75-100 mg/day in 3-4 divided doses; max 150 mg/day in severe depression
- Elderly: 30-50 mg/day in divided doses
- Neuropathic pain: 10 mg/day at night, gradually increase to 75 mg/day if needed
Pediatric Dose:
- Depression (Adolescent): 30-50 mg/day in divided doses
- Nocturnal enuresis (6-7 yr, 20-25 kg): 10 mg; (8-11 yr, 25-35 kg): 10-20 mg; (>11 yr, 35-54 kg): 25-35 mg (30 min before bedtime, max 3 months)
Side effects
Common Side Effects:
- Dry mouth
- Constipation
- Blurred vision
- Tremor
- Sedation
- Sweating
- Rashes
- Behavioral disturbances
- Increased heart rate
- Weight gain
- Difficulty in urination
- Orthostatic hypotension
Use in pregnancy
Use in Pregnancy: Nortriptyline may be unsafe during pregnancy (Category C); animal studies show evidence of fetal harm.
Pregnancy Category: C — always consult a doctor before taking during pregnancy.
Precautions & warnings
- Do not stop suddenly (withdrawal symptoms may occur)
- Caution in cardiovascular disease, heart failure or arrhythmias; monitor ECG
- High doses may produce QTc prolongation
- Inform doctor if suicidal thoughts or mood changes occur
- Caution while driving
- Avoid alcohol
Overdose effects
Overdose: Confusion, restlessness, agitation, vomiting, hyperpyrexia, muscle rigidity, hyperactive reflexes, tachycardia, shock, congestive heart failure, stupor, coma, seizures and respiratory depression; symptomatic treatment.
Storage conditions
Store in a cool and dry place, protect from light; keep out of reach of children.