Hydrochloride
Treatment of major depressive disorder (MDD)
Treatment of chronic pain conditions (e.g., neuropathic pain)
Treatment of enuresis (bedwetting) in children (offlabel use, usually only if other treatments have failed)
Treatment of panic disorder (sometimes used in conjunction with other medications)
Nortimer 75mg Tab (Nortriptyline) is a tricyclic antidepressant (TCA). It works primarily by blocking the reuptake of norepinephrine and serotonin in the brain. This increases the levels of these neurotransmitters, which are involved in mood regulation and pain perception, leading to improved mood and reduced pain sensations.
Store at room temperature, away from moisture and direct sunlight. Keep out of reach of children and pets. Discard any unused medication after the expiration date.
Dosage is determined by your doctor and will vary depending on your individual needs and response to treatment.
It's typically started at a low dose and gradually increased as needed.
It's usually taken once daily at bedtime to minimize daytime drowsiness.
Do not abruptly stop taking nortriptyline without consulting your doctor, as this can lead to withdrawal symptoms.
Cardiac effects (rare but serious, including arrhythmias)
Drowsiness or sedation
Dry mouth
Constipation
Blurred vision
Orthostatic hypotension (dizziness upon standing)
Weight gain
Increased appetite
Anticholinergic effects (e.g., urinary retention, confusion)
Alcohol should be avoided or consumed in moderation as it can potentiate the sedative effects of nortriptyline.
Avoid driving or operating machinery until you know how nortriptyline affects you. Drowsiness is a common side effect.
Use during pregnancy and breastfeeding should only be considered if the potential benefits outweigh the risks. Consult your doctor immediately.
Use in children is typically only considered for enuresis, and only after other treatments have failed. Careful monitoring is essential.
Dosage adjustment may be necessary for patients with impaired kidney function.
Dosage adjustment may be necessary for patients with impaired liver function.
Your doctor or pharmacist
The medication's package insert
Reputable medical websites (e.g., Mayo Clinic, NHS)
