Patient Leaflet Updated 26-Sep-2024 | ADVANZ Pharma
Nortriptyline 10mg, 25mg, 50mg film-coated tablets
Nortriptyline 10 mg film-coated Tablets
Nortriptyline 25 mg film-coated Tablets
Nortriptyline 50 mg film-coated Tablets
nortriptyline hydrochloride
1. What Nortriptyline tablets are and what they are used for
2. What you need to know before you take Nortriptyline tablets
3. How to take Nortriptyline tablets
4. Possible side-effects
5. How to store Nortriptyline tablets
6. Contents of the pack and other information
Nortriptyline tablets contain the active ingredient nortriptyline hydrochloride, which is a tricyclic antidepressant.
Nortriptyline tablets relieves symptoms of depression in adults.
Talk to your doctor or pharmacist before taking Nortriptyline tablets
The use of Buprenorphine together with Nortriptyline tablets can lead to serotonin syndrome, a potentially life-threatening condition (see “Other medicines and Nortriptyline tablets”).
Nortriptyline should not be used in the treatment of depression in children and adolescents under the age of 18 years.
Thoughts of suicide and worsening of your depression or anxiety disorder
If you are depressed and/or have anxiety disorders you can sometimes have thoughts of harming or killing yourself. These may be increased when first starting antidepressants, since these medicines all take time to work, usually about two weeks but sometimes longer.
You may be more likely to think like this:
If you have thoughts of harming or killing yourself at any time, contact your doctor or go to hospital straight away.
You may find it helpful to tell a relative or close friend that you are depressed or have an anxiety disorder, and ask them to read this leaflet. You might ask them to tell you if they think your depression or anxiety is getting worse, or if they are worried about changes in your behaviour.
If any of the above applies to you, tell your doctor or pharmacist.
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
The following medicines may interact with your Nortriptyline tablets:
It may still be all right for you to be given Nortriptyline tablets. Your doctor will be able to decide what is suitable for you.
The safety of nortriptyline for use during pregnancy has not been established.
Do not take Nortriptyline tablets if you are breast-feeding.
If you are pregnant, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Nortriptyline tablets may affect alertness. Use caution when driving or operating heavy machinery until you’re aware of how this drug affects you. If you feel Nortriptyline tablets affect your ability to drive or use machines, tell your doctor immediately.
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
Always take Nortriptyline tablets exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
Adults:
The recommended adult dose is 25mg three or four times daily or the dose may be given once a day, usually at night. The dose should begin at a low level, 10mg, 3-4 times daily, for example and be increased gradually as required. The maximum dose is 150mg per day.
The elderly:
The recommended dose is 30 to 50mg/day in divided doses.
Treatment may start with 10mg three times a day. 50 mg tablets are not appropriate for use in elderly patients.
Adolescent patients:
The recommended dose is 30 to 50mg/day in divided doses.
Treatment may start with 10mg three times a day. 50 mg tablets are not appropriate for use in adolescent patients.
Lower dosages are recommended for outpatients than for patients in hospital who will be under close supervision.
Following remission maintenance treatment may be needed longer term.
This should be at the lowest dose that stops the symptoms of depression coming back.
Nortriptyline should not be used in the treatment of depression in children and adolescents under the age of 18 years
Go to the nearest casualty department or contact your doctor immediately.
Take the tablet carton with you.
If you miss a dose, take one as soon as you can. If you have missed several doses, tell your doctor. Do not take a double dose to make up for a forgotten dose.
Do not stop taking the tablets or reduce the dose without telling your doctor first.
If you suddenly stop taking the tablets you may feel sick (nausea), have a headache or feel generally unwell.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them. If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
All medicines can cause allergic reactions, although serious allergic reactions are very rare.
Tell your doctor straight away if you get any sudden wheeziness, difficulty in breathing, swelling of the eyelids, face or lips, rash or itching, especially affecting your whole body.
The following side effects have been reported (Not known: frequency cannot be estimated from the available data):
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly (see details). By reporting side effects you can help provide more information on the safety of this medicine.
United Kingdom
or search for MHRA Yellow Card in the Google Play or Apple App Store.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the blister, label or carton after EXP. The expiry date refers to the last day of that month.
HDPE containers:
This medicinal product does not require any special storage conditons.
After first opening use within 5 months.
Blisters:
This medicinal product does not require any special storage conditions.
Do not use this medicine if you notice any signs of deterioration (for instance change in color)
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment
The 10mg tablets are white, round, biconvex film-coated tablets, marked “N10”, 5.5 mm in diameter.
The 25mg tablets are white, round, biconvex film-coated tablets, marked “N25”, 8.0 mm in diameter.
The 50mg tablets are white, round, biconvex film-coated tablets, marked “N50”, 10.2 mm in diameter.
Nortriptyline tablets are available in:
Not all pack sizes may be marketed.
This leaflet was last revised in July 2024
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