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Doctor insights on: Nortriptyline 10mg Cap

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Dr. Ravi Chand
247 doctors shared insights

Nortriptyline (Definition)

Classified as a tricyclic antidepressant, and considered of modest benefit these days due to significant anti-cholinergic side effects (drowsiness, dizziness, dryness of mouth, blurring, and perhaps effect on bladder). Confusion may occur in older folks. Had some value in migraine prevention at one point. Used rarely these days as ...Read more


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Would taking 10mg diazepam, 30mg remeron 10mg tyrptizol and 300mg lyrica (pregabalin) at night cause a hangover the following day. Thanks?

Would taking 10mg diazepam, 30mg remeron 10mg tyrptizol and 300mg lyrica (pregabalin) at night cause a hangover the following day. Thanks?

Am concerned: Is this being prescribed by one doctor? It may be dangerous polypharmacy. All of these drugs are sedating, and have many potential harmful interactions. They certainly could make someone feel hung-over, groggy and sedated in the morning. The dose of amitryptaline is pretty low, but the other drugs are in full dose and could be too much for you. Talk to your doctor and pharmacist. ...Read more

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Is it ok to take propanolol 10mg while withdrawing from celexa (citalopram) 10mg?

Is it ok to take propanolol 10mg while withdrawing from celexa (citalopram) 10mg?

Okay: It is okay to take propanolol if this has been prescribed for you. It's not likely to help with anything connected to celexa, (citalopram) though. ...Read more

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Is it ok to take 10mg paxil, (paroxetine) 1mg klonopin, 25mg atenlol?

Is it ok to take 10mg paxil, (paroxetine) 1mg klonopin, 25mg atenlol?

Probably OK: The question is whether they interact metabolically or have additive side effects. Paroxetine (Paxil) inhibits enzyme 3A4, the metabolism (break down)path of clonazepam (Klonopin) WEAKLY, insignificant unless you have rare genetic limitation of 3A4. But each of these meds may cause drowsiness--be careful--test them before you try driving, and don't become sleep deprived. ...Read more

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Is it Safe to take day quill while on 10mg celexa (citalopram) 100mg gabapentin and 150 mg of ranitidine?

Is it Safe to take day quill while on 10mg celexa (citalopram) 100mg gabapentin and 150 mg of ranitidine?

Yes, but ...: I would recommend treating cold symptoms more conservatively. The active ingredients of DayQuil are acetaminophen (Tylenol), dextromethorphan (a cough suppressant) and phenylephrine (a decongestant). If anxiety is part of the reason you take Celexa and gabapentin, phenylephrine could make you more anxious. You would do better to use a nasal spray like Afrin to avoid the systemic effects. ...Read more

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Could 20mg Lexapro, (escitalopram) 30mg Remeron and 10mg Diazepam be causing a nagging headache each day. Thanks?

Could 20mg Lexapro, (escitalopram) 30mg Remeron and 10mg Diazepam be causing a nagging headache each day. Thanks?

Seems likely: Headache can have many causes. But your combination of antidepressants certainly is a plausible cause. Remeron enhances the release of serotonin while Lexapro (escitalopram) interferes with serotonin clearance. You possibly have quite a lot of extracellular serotonin. If that is the case, then headache and elevated blood pressure can follow. ...Read more

Dr. Alan Ali Dr. Ali
1 doctor agreed:
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My neurologist put me on Depakote 1, 000mg @ bedtime klonopin (clonazepam) 1mg 2-3x's day.3rd 1 is as needed, sound like proper tx 4 mylconus?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
My neurologist put me on Depakote 1, 000mg @ bedtime klonopin (clonazepam) 1mg 2-3x's day.3rd 1 is as needed, sound like proper tx 4 mylconus?

Myoclonus: Yes. Follow your neurologist recommendations and inform him/her if u experience any side-effects. ...Read more

Dr. Rick Koch Dr. Koch
2 doctors agreed:
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Quit taking 12.5mg toperlol 3 weeks ago. Heart rate still slow 55-60 bpm, what could be cause? Take 10mg ramipril, 10mg lexaproand7.5 mg Buspar (buspirone) 2x dai

Dr. Rick Koch Dr. Koch
2 doctors agreed:
Quit taking 12.5mg toperlol 3 weeks ago. Heart rate still slow 55-60 bpm, what could be cause? Take 10mg ramipril, 10mg lexaproand7.5 mg Buspar (buspirone) 2x dai

Not due to other: Medications...Either you are very fit or have underlying conduction system disease that most frequently occurs with aging. ...Read more

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I'm on 100mg trazodone, 100mg Zoloft (sertraline) 1000mg Depakote 2mg risperal & seroquel XR 150mg at night. I feel high 30minutes later should this be happening?

I'm on 100mg trazodone, 100mg Zoloft (sertraline) 1000mg Depakote 2mg risperal & seroquel XR 150mg at night. I feel high 30minutes later should this be happening?

No: No, you should not feel "high" after taking your medications. Hopefully you're not adding recreational drugs to this combination. Please call your psychiatrist today about this. It could be the zoloft, (sertraline) which in people with bipolar disorder can trigger mania -- experienced by some as a "high.". ...Read more

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Anxiety bad switching 100 to 50mg of zoloft (sertraline). Amitriptiline 10mg substitute b/ headaches at 100mg of zoloft (sertraline). What is best balance = to 100 zoloft (sertraline). ?

Anxiety bad switching 100 to 50mg of zoloft (sertraline). Amitriptiline 10mg substitute b/ headaches at 100mg of zoloft (sertraline). What is best balance = to 100 zoloft (sertraline). ?

Be careful: This is a mix of a tricyclic antidepressant and a selective serotonin reputable inhibitor. The most important principle is very cautious introduction and very slow escalation in dose. The potential for qtc prolongation is elevated in this scenario and an ekg might be a precaution in dose adjustments. I would be surprised if you need more than 10 mg, 20 mg or 25 mg of amitriptyline. Talk to your md. ...Read more

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50mg amitrip , 400mg tramadol , 10mg cyclobenzaprine and .1 clonidine dailey . Is this too much or safe ?

50mg  amitrip ,  400mg tramadol , 10mg cyclobenzaprine  and  .1 clonidine  dailey .  Is this too much or safe ?

Daily doses: These are all within the daily recommended doses but you will need to discuss with your prescribing physician. ...Read more

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Off cymbalta 1 month, off Abilify (aripiprazole) 1 week. On 10mg Adderall twice daily, .5 mg klonipin as needed at bedtime. Is it safe for me to try 5htp yet?

Off cymbalta 1 month, off Abilify (aripiprazole) 1 week. On 10mg Adderall twice daily, .5 mg klonipin as needed at bedtime. Is it safe for me to try 5htp yet?

Yes, but why?: There is no substantive evidence that orally administered 5htp is effective for depression. But there are verified reports of severe reactions to it. It makes no sense to think that ingested tryptophan will increase brain serotonin any more if taken in pills than in food. This is an example of "a little knowledge is a dangerous thing." i wouldn't waste money on this treatment. ...Read more

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Is it ok to take 200mg of ibprofen while on 10mg celexa (citalopram) & 150mg ranitidine?

Is it ok to take 200mg of ibprofen while on 10mg celexa (citalopram) & 150mg ranitidine?

Probably: That is a relatively safe dose of Ibuprofen for most people, and should be ok to take with the medications you mentioned, but any medication can have side effects, and especially in combination with other medications. So take it with food and watch for any unusual side effects (especially unusual gruising or bleeding), contact your doctor if any new symptoms develop. ...Read more

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How much time should be inbetween a dose of 100mg gabapentin and: 5/325 hydrocodone, 10mg cyclobenzaprine, or 1mg xanax (alprazolam)? Gabapentin scares me.

How much time should be inbetween a dose of 100mg gabapentin and: 5/325 hydrocodone, 10mg cyclobenzaprine, or 1mg xanax (alprazolam)? Gabapentin scares me.

Gabapentin scares U?: Really? Because the hydrocodone and its pharmacology would worry me more. I have seen people get side effects on small doses of gabapentin for sure. But I've never seen them have trouble stopping compared to Hydrocodone. You should not take all those drugs together. I think that's a lot (especially if you happen to be petite?). Check with your doctor for rationale dosing schedule to following. ...Read more

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Is 20mg Lexapro (escitalopram) and 10mg Elavil safe for G A D?

Is 20mg Lexapro (escitalopram) and 10mg Elavil safe for G A D?

Caution: While the 10 mg dose of Elavil is low, combining with Lexapro (escitalopram) increases the risk for serotonin syndrome and irregular heart rhythm. Also you are taking two antidepressants. If Lexapro (escitalopram) is not working, discuss with prescribing doctor to consider trying Elavil alone or another class of antidepressant. Be sure you have careful medical supervision while on these meds. I hope this helps. ...Read more

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I take 300mg lamictal, 900mg lithium, 50mg Luvox (fluvoxamine) and 1 mg klonopin every day. Is there something odd about this? PMHNP said Luvox (fluvoxamine) n lithium don't mix

I take 300mg lamictal, 900mg lithium, 50mg Luvox (fluvoxamine) and 1 mg klonopin every day. Is there something odd about this? PMHNP said Luvox (fluvoxamine) n lithium don't mix

Drug interaction: Lithium and Luvox (fluvoxamine) together can increase the chances of serotonin syndrome( and NMS)...which are rare but dangerous conditions. Your healthcare professional should monitor you regularly. Also lithium with klonopin can increase sedation ( tiredness), so you should be careful driving , operating machinery etc ...Read more

Dr. Alan Ali Dr. Ali
4 doctors agreed:
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Is taking pamelor nortriptyline (generic name) 10 mg at bedtime effective?

Dr. Alan Ali Dr. Ali
4 doctors agreed:
Is taking pamelor nortriptyline (generic name) 10 mg at bedtime effective?

Pamelor (nortriptyline): At that low dose, not effective for depression, although other conditions ncan be helped, such as neurogenic pain and sleep. ...Read more

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Take cymbalta (duloxetine) 60, lamictal 100, tegretol 600, klonopin 2.5 for OCD and mood..Is this a safe combination..And is 60 the usual dose for cymbalta (duloxetine)?

Take cymbalta (duloxetine) 60, lamictal 100, tegretol 600, klonopin 2.5 for OCD and mood..Is this a safe combination..And is 60 the usual dose for cymbalta (duloxetine)?

Seems fine: These dosages seem to be workable although it is an intense combination of mood stabilizers. The dose of duloxetine at 60 mg is at the usual amount for the treatment of a mood disorder although higher dosages are thought to be potentially helpful for the treatment of chronic pain. Stay safe! ...Read more

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I have been taking nortriptyline for 4 days (10mg). If i stop how long would it take to get out of my system?

I have been taking nortriptyline for 4 days (10mg).  If i stop how long would it take to get out of my system?

9 days : The elimination half life of nortriptyline is about 20 to 90 hours. It takes almost 6 elimination half life's for a drug to be cleared from the human body. Well... It could take a maximum of 540 hours or 8.25 days (6 x 90 hours) for nortriptyline to be completely eliminated. In any case do not discontinue abruptly. Taper down 5mg q3 days. Rec.: consult with your prescribing physician. ...Read more

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Are there any major side affects on nortriptyline? Start 10mg for week. Then so on & so on till reach 50mg. Wats the updose do? Any mental change?

Not usually major: Nortriptyline is a tricyclic antidepressant (tca) that has been used for decades. Tcas commonly cause dry mouth, constipation, and momentary dizziness upon standing, but rarely anything major. The dose is increased gradually to minimize these side-effects as your body gets used to the medication. Most patients feel better (less depressed) after taking nortriptyline for a few weeks. ...Read more

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Dr. Alan Ali Dr. Ali
1 doctor agreed:
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If I take pamelor/nortriptyline-(10mg)?

Dr. Alan Ali Dr. Ali
1 doctor agreed:

Pamelor (nortriptyline): Please clarify. What is it prescribed for?. ...Read more

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Nortriptyline 10mg and drowsiness, is this normal?

Nortriptyline 10mg and drowsiness, is this normal?

Yes: This is a common side effect and this dose is often used for sleep medication. ...Read more

Dr. Alan Ali Dr. Ali
5 doctors agreed:
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How common is nortriptyline used now?

Dr. Alan Ali Dr. Ali
5 doctors agreed:
How common is nortriptyline used now?

Nortriptyline: Most tricyclic antidepressants' use in psychiatry has declined since ssris and snris were introduced, with fewer side effects at therapeutic doses to treat depression. ...Read more

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Could nortriptyline be ruining my life?

Could nortriptyline be ruining my life?

Nortriptylene: Generally a doctor would prescribe an antidepressant like nortriptylene to help someone's life, not ruin it. Depression itself can ruin a life! but this medicine can also bring side effects like rapid heart rate, dry mouth, constipation, and sexual problems. If you're having symptoms you think may be related to this medicine, it's time to discuss it with your doctor. Other options are available. ...Read more

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Nortriptyline how do you stop taking it?

Nortriptyline how do you stop taking it?

Not advised: Please do not stop your antidepressant without checking with the prescribing physician. Many conditions that nortriptyline (pamelor) are used to treat tend to recur, especially if the medication is stopped too quickly. Abrupt discontuation of nortriptyline can result in nausea, headache and insomnia and uncommonly even delirium/psychosis. The taper would depend on dose and duration of treatment. ...Read more

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What is the half life of nortriptyline 50mg?

What is the half life of nortriptyline 50mg?

Long time: Half life is a huge range....roughly 16-90 hrs. Could therefore, take as long as 8-10 days for the body to clear an entirely fully dose from the a person. ...Read more

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Please describe the medication: nortriptyline?

Please describe the medication: nortriptyline?

Older antidepressant: Classified as a tricyclic antidepressant, and considered of modest benefit these days due to significant anti-cholinergic side effects (drowsiness, dizziness, dryness of mouth, blurring, and perhaps effect on bladder). Confusion may occur in older folks. Had some value in migraine prevention at one point. Used rarely these days as better meds are available. ...Read more

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Nortriptyline and weight problems, what to do?

Nortriptyline and weight problems, what to do?

Let your prescribing: physician/ psychiatrist know if you are gaining weight on Nortriptyline. Ensure that you are eating healthfully, physically active and hydrating well. Depending on what you are taking the nortriptyline for - there are likely other medication alternatives as well. Take care. ...Read more

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What happens when I stop taking nortriptyline?

What happens when I stop taking nortriptyline?

Do not stop suddenly: Nortriptyline is a tricyclic antidepressant, available only by prescription. It can make you dizzy or drowsy. Your doctor should monitor your use regularly. Do not stop use suddenly, your doctor will need to decrease you dose gradually before you stop it completely. You may need to stop using it several days before you have surgery. Let any doctor or dentist who treats you know about it. ...Read more

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Interested to know how does nortriptyline make you feel?

Interested to know how does nortriptyline make you feel?

Nortriptylene: If prescribed this medication for depression, the goal is to normalize mood. So within a few weeks of starting nortriptylene, the intent is that you'll feel better. Some side effects may be dry mouth, heart palpitations, and sweating, though. ...Read more

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How long should it take for nortriptyline to take effect?

Time to effect: It will take app. 1-2 weeks to start working. ...Read more

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Are there any weight problems associated with Nortriptyline?

Are there any weight problems associated with Nortriptyline?

Yes: Weight gain is a factor with this entire class of anti-depressants, and with Depression itself. In some cases the relief from depression makes people hungrier, and in other cases the sedation effect from the medicine reduces movement. Very important to manage your diet, exercise, and level of response to the medicine with your doctor. So important that you do not become sedentary. ...Read more

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How long does it take to get nortriptyline out of the system?

How long does it take to get nortriptyline out of the system?

7-10 days : Median half life for nortryptiline is about 25-30 hours. So i average to get out of your system roughly, its about 7-10 days. That's of course is a rough estimate, as there are a lot of variables that van affect the elimination half life. Thanks. ...Read more

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What would you consider a too high of a dose of nortriptyline?

What would you consider a too high of a dose of nortriptyline?

Side effects persist: Established blood level measuring and therapeutic ranges are available to guide dosing and provide feedback if doses threaten safety for example cardiac. Most abandon meds that provide significant side effects. They can be unpleasant but can cause various medical problems in their own right..Weight gain, dry eyes/mouth, urinary hesitancy, sedation, memory problems. All are reversible. ...Read more

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Can you tell me if you've seen anyone who been on nortriptyline?

Yes, many: Yes, I have seen many people who are taking nortriptylene. What is your question? ...Read more

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Nortriptyline - how long does it take to notice that it is helping?

Depends : Depending on the dose. I have had some patients respond after the first dose and some respond after a few days. ...Read more