Generic Nortriptyline (Nortriptyline Hydrochloride)
Nortriptyline
Nortriptyline is a medication used to treat depression.
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25 mg x 60 pills
$46.99
$0.78
$0.00
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25 mg x 90 pills
$59.99
$0.67
$9.90
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25 mg x 120 pills
$72.99
$0.61
$20.40
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25 mg x 180 pills
$99.99
$0.56
$39.60
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25 mg x 360 pills
$181.99
$0.51
$97.20
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Product Description
Common use

Nortriptyline is a medication used to treat depression. It's a tricyclic antidepressant. It increases the activity of certain chemicals in the brain that help elevate mood. Also it can be used for other purposes.



Dosage and directions

Take it by mouth with or without food.



Precautions

Before using the medicine discuss with your doctor: if you are pregnant, planning to become pregnant, or are breast-feeding; if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement; if you have allergies to medicines, foods, or other substances if you drink alcohol-containing beverages daily or you have a history of alcohol abuse; if you take thyroid medicine or you have a history of overactive thyroid, glaucoma, heart problems, kidney or liver problems, diabetes, seizures, the blood disease porphyria, or difficulty urinating; a history of suicidal thoughts or behavior, bipolar disorder, or any other mental disorders; you are undergoing electroshock therapy; or you are scheduled to have any surgery.



Contraidications

Do not use Nortriptyline if you have allergy to any of its components, you have had a heart atack recently, you've taken furazolidone ormonoamine oxidase inhibitor (MAOI) (phenelzine) within the last 14 days, or you are taking astemizole, droperidol, or terfenadine.



Possible side effects

The most common side effects include: dizziness; drowsiness; dry mouth; excitement; headache; impotence; nausea; nightmares; pupil dilation; sensitivity to sunlight; sweating; tiredness; upset stomach; vomiting; weakness; weight loss or gain.

Seek medical help immediately if you have such serious side effects:allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision or other vision changes; changes in sex drive; chest pain; confusion; constipation; fainting; fast, slow, or irregular heartbeat; fever; frequent or difficult urination; hallucinations; impulsive behavior or other unusual changes in behavior; jaw, neck, or muscle spasms; mental or mood changes (increased anxiety, mood swings, agitation, irritability, nervousness, restlessness); panic attacks; ringing in the ears; seizures; severe dizziness or drowsiness; sore throat; stomach pain; suicidal thinking or behavior; swelling of the testicles; tremor; trouble sleeping; trouble walking or keeping your balance; twitching of the face or tongue; uncontrolled movements of arms and legs or stiffness; unusual bleeding or bruising; worsening of depression; yellowing of the skin or eyes.



Drug interactions

The following medications can interact with Nortriptyline: barbiturates (phenobarbital) or phenytoin , anticholinergics (benztropine), carbamazepine, chlorpropamide, or sympathomimetics (phenylephrine), azole antifungals (fluconazole), cimetidine, duloxetine, flecainide, methylphenidate, mibefradil, phenothiazines (chlorpromazine), propafenone, quinidine, selective serotonin reuptake inhibitors (SSRIs) (fluoxetine), or terbinafine, arsenic, astemizole, droperidol, furazolidone, MAOIs (phenelzine), pimozide, quinolone antibiotics (ciprofloxacin), streptogramins (dalfopristin), terfenadine, or tramadol, clonidine, guanethidine, or guanfacine,anticholinergics (benztropine), carbamazepine, chlorpropamide, or sympathomimetics (phenylephrine).



Missed dose

If you miss a dose of Nortriptyline, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. If you take 1 dose daily at bedtime, do not take the missed dose the next morning.



Overdose

Symptoms of overdose are agitation; bluish skin or mucous membranes; breathing problems; chest pain; coma; confusion; dry mouth; loss of consciousness; restlessness;severe drowsiness;enlarged pupils; rigid muscles; seizures; excess sweating; fainting; fast or irregular heartbeat; flushing; in-coordination; involuntary movements; shock; stupor; trouble breathing; vomiting.



Storage

Store at room temperature, between 68 and 77 degrees F (20 and 25 degrees C) away from heat, moisture, and light. Do not store in the bathroom. Keep it out of the reach of children and away from pets.



Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

Accutane

Other names used:

  • Roaccutane®

Active Ingredients:

  • Isotretionin

How does Accutane work and what pharmaceutical group does it belong to?

Isotretionin the active ingredient of Accutane belongs to a group of drugs called retinoids, which are used mainly in treatment of skin disorders. The exact mechanism of Accutane is not currently known however it is clinically determined that the drug exerts dose-dependent suppressive effect on the sebaceous glands activity and decreases their size. The drug also expresses anti-inflammatory effect on skin as well as inhibits the formation of comedones. The effects of the drug are temporary however the acne remissions may be controlled.

Which conditions are treated with Isotretinoin?

The drug is indicated in treatment of:

  • Severe cystic acne vulgaris
  • Acne rosacea
  • Hidradenitis suppurativa

What should a patient know before using Accutane?

The Isotretinoin should not be used in cases of:

  • Known hypersensitivity to any components of the preparation or to other retinoids
  • Pregnancy
  • Liver or renal failure
  • Vitamin A hypervitaminosis
  • Severe hyperlipidemia

Tell your doctor about the following if any apply to you:

  • You have relatives with increased levels of lipids in blood and are predisposed to hyperlipidemia
  • You or your relatives suffer from diabetes
  • You are suffering from Alcoholism
  • You are treating a depression

Which adverse effects may manifest when using the medication?

The side effects of Accutane include:

  • Vitamin A hypervitaminosis manifested in the following: dry skin and mucous membranes, haemorrhage in the nasal cavity, hoarseness, conjunctivitis and etc.
  • Skin problems: rash, itching, facial dermatitis, sweatiness, hyperpigmentation, reversible allopecia and etc.
  • Locomotor system: muscle pain, joint pain, hyperostosis, tendonitis
  • CNS: behavior changes, depression, headache, increased intracranial pressure, seizures
  • Sensory organs: decreased vision acuity, photosensibilisation, cataract, decreased hearing , keratitis
  • Gastrointestinal tract: nausea, colitis, GI hemorrhage, rarely hepatitis.
  • Respiratory organs: bronchospasm
  • Haemopoietic system: decreased leukocyte and erythrocyte levels, increase or decrease of thrombocyte levels
  • Immune system: local or systemic infections caused be gram-positive bacteria
  • Other: Hematuria, pancreatitis, vasculitis, lymphadenopathy

It is not necessary that the side effects will manifest in an individual but the possibility still exist. For more information please consult your health care provider.

Which groups of drugs or specific preparations may interact with Isotretinoin?

The drug is affected by the following:

  • Vitamin A supplements
  • Corticosteroids
  • Tetracycline antibiotics
  • Epilepsy treatment
  • Oral contraceptives
  • St.John's worth

Tell your doctor about all the herbal preparations as well as prescription drugs that you are currently taking even if they are not on the list.

Important information for the patient: Accutane is supplied for individual use. Do not use it to treat other conditions not listed in the leaflet. Keep the product out of children reach. Do not reuse any disposable materials if supplied with the preparation.