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Take nortriptyline only as directedand keep this and all other drugs away from childrenteenagersand anyone for whom the drug has not been prescribed.

The liquid form of this medication may contain alcoholCaution is advised if you have diabetesalcohol dependenceliver diseaseor any other condition that requires you to limit/avoid alcohol in your dietAsk your doctor or pharmacist about using this product safely.

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This medication may impair your thinking or reactionsBe careful if you drive or do anything that requires you to be alert.

Talk to your doctor if you experience psychiatric symptoms such as suicidal thoughtsincreased depressionhyperactivityrestlessnessaggressivenessirritabilityagitationimpulsivityinsomniaincreased anxietypanic attacksor any other behavior changes.

Nortriptyline is in the class of drugs called tricyclic antidepressantsTCAsand is used for treating depressionOther drugs in the same class include:

Pamelor and Aventylnortriptylineare tricyclic antidepressants used to treat depressionIn multiple sclerosisthey are frequently used in lower doses to treat neuropathic or nerve pain in the arms and legsburning sensationspins and needlesstabbing painscaused by damage to the pain-regulating pathways of the brain and spinal cordThe drug works by changing the way nerves react to pain in the central nervous system.

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Drowsinessdizzinessdry mouthblurred visionconstipationweight gainor trouble urinating may occurIf any of these effects persist or worsennotify your doctor or pharmacist promptly.

10-25 mg PO qHSmay increase q3-5days in 10 mg increments qDay up to 160 mg qHS or divided q12hr if tolerated.

10-25 mg PO qHSmay increase q3-5days in 10 mg increments qDay up to 160 mg qHS or divided q12hr if tolerated.

Older adults may be more sensitive to the side effects of this drugespecially dry mouthdizzinessconfusiondifficulty urinatingand QT prolongationsee above

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