Nortriptyline
Brand names: NORTRIPTYLINE HCI, NORTRIPTYLINE HYDROCHLORIDE, Nortriptyline HCL, Nortriptyline Hydrochloride, PAMELOR
Warnings
BOXED WARNING: "Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders," with age-stratified rates (additional cases in patients under 25, fewer cases in adults 25 and older). Additional warnings cover close monitoring for "anxiety, agitation, panic attacks, insomnia...hostility, aggressiveness, impulsivity, akathisia"; cardiovascular caution due to tachycardia/conduction effects; "potentially life-threatening serotonin syndrome" with serotonergic drugs or MAOIs; avoidance in Brugada syndrome; and angle-closure glaucoma risk from pupillary dilation.
Uses
Pamelor (nortriptyline HCl) is indicated for the relief of symptoms of depression. Endogenous depressions are more likely to be alleviated than are other depressive states." "Nortriptyline hydrochloride is not approved for use in pediatric patients.
Dosage forms & strengths
All identified pills
93 811
ORANGE;WHITE CAPSULE · Nortriptyline
NORTRIPTYLINE DAN
GREEN CAPSULE · Nortriptyline
NORTRIPTYLINE DAN
GREEN CAPSULE · Nortriptyline
NORTRIPTYLINE DAN
GREEN CAPSULE · Nortriptyline
8 manufacturers
NORTRIPTYLINE DAN
WHITE CAPSULE · Nortriptyline
14 manufacturers
NORTRIPTYLINE DAN
GREEN;WHITE CAPSULE · Nortriptyline
18 manufacturers
NORTRIPTYLINE DAN
GREEN;WHITE CAPSULE · Nortriptyline
20 manufacturers
PAMELOR 75
ORANGE CAPSULE · Nortriptyline
PAMELOR 50
WHITE CAPSULE · Nortriptyline
PAMELOR 10
ORANGE;WHITE CAPSULE · Nortriptyline
PAMELOR 25
ORANGE;WHITE CAPSULE · Nortriptyline
TARO NTP10
GREEN CAPSULE · Nortriptyline
17 manufacturers
TARO NTP75
GREEN CAPSULE · Nortriptyline
5 manufacturers
TARO NTP25
WHITE CAPSULE · Nortriptyline
20 manufacturers
TARO NTP50
GREEN;WHITE CAPSULE · Nortriptyline
14 manufacturers
TEVA 75mg
ORANGE CAPSULE · Nortriptyline
6 manufacturers
TEVA 50mg
WHITE CAPSULE · Nortriptyline
8 manufacturers
TEVA 10mg
WHITE;ORANGE CAPSULE · Nortriptyline
7 manufacturers
TEVA TEVA
WHITE;ORANGE CAPSULE · Nortriptyline
9 manufacturers
Side effects
Anticholinergic effects include "dry mouth...blurred vision...constipation, paralytic ileus; urinary retention." Cardiovascular effects include hypotension, hypertension, tachycardia, palpitations, and arrhythmias. Psychiatric effects include "confusional states (especially in the elderly) with hallucinations, disorientation, delusions; anxiety, restlessness, agitation." Also reported: numbness, tingling, tremors, seizures, "nausea and vomiting, anorexia, epigastric distress, diarrhea," weight changes, drowsiness, weakness, headache, and alopecia.