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Doctor insights on: Nortriptyline Dosage For Nerve Pain

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Is Nortriptyline used for neuropathy or nerve pain?

Is Nortriptyline used for neuropathy or nerve pain?

Of course: Combinations of nortriptyline with another psychoactive drug are frequently prescribed for treatment of continuous neuropathic pain. ...Read more

Nerve (Definition)

The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more


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Currently on nortriptyline but it has been making me have nightmares and hasn't been helping with my nerve pain. Can I just stop taking it?

Currently on nortriptyline but it has been making me have nightmares and hasn't been helping with my nerve pain. Can I just stop taking it?

Discuss with your Dr: You should not stop it abruptly, but do make the call to your doctor and put them on the same page and they can assist you getting off the medicine. ...Read more

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Are there any alternatives for pregablin, neurotin and nortriptyline for nerve pain headaches?

Are there any alternatives for pregablin, neurotin and nortriptyline for nerve pain headaches?

Depends.: Carbamazepine, topirimate, NSAIDS, steroids? You should discuss this with your neurologist who will know your condition and will be able to provide an integrated approach. ...Read more

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How long does it take nortryptiline to work for nerve pain?

Few Weeks: I would wait at least a few weeks before determining the effectiveness of most medications used to help treat nerve related pain issues. ...Read more

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Can I take 500mg methocarbamol with my usual 20mg nortriptyline for an unusually bad attack of trigeminal neuralgia? I have a dr appmt in 6 days

Can I take 500mg methocarbamol with my usual 20mg nortriptyline for an unusually bad attack of trigeminal neuralgia? I have a dr appmt in 6 days

Not advised: Because both drugs are nervous system depressants, there is a potential for at least an additive effect. Spacing out the medications and avoiding activities like driving or operating machinery would be a start. ...Read more

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Is 300mg of Amitriptyline daily (100MG 3X A DAY) a safe starting dosage for me for nerve pain? I read online the maximum dose is half this amount.

Is 300mg of Amitriptyline daily (100MG 3X A DAY) a safe starting dosage for me for nerve pain? I read online the maximum dose is half this amount.

Not safe: No. In my opinion, that is unsafe, with mutip;le risks, some potentially very serious. A starting dose would be 10 to 50 mg total daily. To go higher should involve increments, but for nerve pain, it is unusual to need more than 50 to 100 mg total per day. 300 mg per day is rarely needed for depression. ...Read more

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I've been on gabapentin at an increasing dosage for 2yrs. At 3200mg/day for nerve pain. Stopped cold turkey. Would this cause nausea? Other affects?

I've been on gabapentin at an increasing dosage for 2yrs. At 3200mg/day for nerve pain. Stopped cold turkey. Would this cause nausea? Other affects?

Don't!: Gabapentin is an anti-seizure medication and is used for nerve pain. At 3200mg/day, you are at higher dose for gabapentin. You need to be weaned off Gabapentin if desired. If you stop abruptly, you might develop seizure. Please see your doctor before making any change. ...Read more

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Dosing of Gabapentin for epic Migraines, tinnitus, nerve pain. Is 1500mg or above a reasonable dosage? I don't want to press my doc, but 900mg is fine, and 1200mg is a bit better, but still not efficaceous enough. I've read that for nerve pain people g

Dosing of Gabapentin for epic Migraines, tinnitus, nerve pain. Is 1500mg or above a reasonable dosage? I don't want to press my doc, but 900mg is fine, and 1200mg is a bit better, but still not efficaceous enough. I've read that for nerve pain people g

That is reasonable: Often times when treating people with nerve pain the dose of gabapentin needs to be titrated up until the effective dose is reached (since the effective dose is different for each individual). The maximum recommended dose is 3600mg per day, so 1500mg is well within a safe range. ...Read more

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Is 20mg tyrptizol a large dose for nerve pain and anxiety, Thanks?

Is 20mg tyrptizol a large dose for nerve pain and anxiety, Thanks?

No: Tyrotizole or amitriptylene is dosed at much higher doses for treating depression but 10 to 25 mg is typical for nerve pain. It is a small dose. ...Read more

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What are mental conditions with reducing from large dose of methadone, currently exp facial nerve pain, etc?

What are mental conditions with reducing from large dose of methadone, currently exp facial nerve pain, etc?

2 intertwined issues: First need proper diagnosis & definitive treatment for the "facial nerve pain". Certain injections can be effective and neurosurgical procedures may provide definitive cure. At the same time, need to taper with goal of getting off methadone. Can add anticonvusants or tricyclics. Getting off hi dose Methadone and getting your pain properly treated can only improve your mental condition. ...Read more

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Just prescribed elavil (amitriptyline) for IBS and cronic ruq nerve pain. It is to strong even at lowest dose. Can I cut it in half? Only been taking 3 days at bed.

Just prescribed elavil (amitriptyline) for IBS and cronic ruq nerve pain. It is to strong even at lowest dose. Can I cut it in half? Only been taking 3 days at bed.

Elavil (amitriptyline): Please call your doctor about your difficulties with elavil, since you haven't shared how much you're taking. The lowest dose made is 10mg, and I don't know any that are scored (making them easier to cut in half) anyway. You may end up with a crumbled pill. Your doctor will want to understand what you mean by "too strong, " so s/he can adjust or change. Another option might be low-dose sinequan (doxepin). ...Read more

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Is nortriptyline good for anxiety? What's a dose that would be affective

Is nortriptyline good for anxiety? What's a dose that would be affective

Go to PCP first: Nortriptyline is an antidepressant under the class called tricyclics that can help depression and anxiety. The dose depends on you age, the degree of depression and anxiety, weight and whether you have medical conditions that preclude the use of this drug or if you have other drugs you are taking. See your pcp for an appropriate referral. ...Read more

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50mg nortriptyline for headaches. Will it help my mood as well. Or will higher dose be needed? Feel sad a lot. No emotions. Like this before put on it

See a specialist: Antidepressant dose is typically 75mg+ (up to ~150mg). Many patients experience intolerable side effects, which is why this type of med is not often used for depr anymore. You should also know that only a small % of patients respond to antidepressant meds (beyond a placebo effect). Psychotherapy should be part of the plan. You have a serious problem-- definitely see a mental health professional. ...Read more

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Nortriptyline for headaches. Will this affect the way you think also? Moods? Wat is a normal dose

Nortriptyline for headaches. Will this affect the way you think also? Moods? Wat is a normal dose

Usually low doses of: Nortriptyline are used for migraine or other headaches.10mg at bedtime is often used as a starting dose and it may be worked up until a dose of 150mg/ day. Very low doses of nortriptyline will usually not be therapeutic for depression but higher doses can be. ...Read more

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What is a lethal dose of nortriptyline for someone who weighs 65 kg? She has a lot of tablets at home and I'm worried that she might try to overdose.

What is a lethal dose of nortriptyline for someone who weighs 65 kg? She has a lot of tablets at home and I'm worried that she might try to overdose.

OD concerns: There is no exact answer as metabolism depends on multiple factors. Nortriptyline is a tricyclic antidepressant and has many different side effects. It is safe at prescribed doses but it is a VERY dangerous drug to take as an overdose. If you have ANY concerns that some is stockpiling or has suicidal idealizations please urge them to seek professional help or call the paramedics or police. ...Read more

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Missed my dose of nortriptyline. Usually take around 11:30pm. I took it when I woke up at 6am. Is it ok if I take it at my normal time tonight. 11:30?

Yes: It is important to maintain your schedule for your medications, but if you do miss a dose try and take it as soon as you remember unless your next dose is due soon. If you have any questions/concerns it's always a good idea to talk to your doctor. ...Read more

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What dose of anafranil (clomipramine) is equivalent to 150 mg of nortriptyline, thank you?

What dose of anafranil (clomipramine) is equivalent to 150 mg of nortriptyline, thank you?

300 mg of anafranil (clomipramine): 150 mg if Nortryptyline equals to 300 mg of Anafranil (clomipramine). ...Read more

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Does a 10mg does of aventyl (nortriptyline) have side effects or is it fairly safe? I have been told this dose is very mild.

Does a 10mg does of aventyl (nortriptyline) have side effects or is it fairly safe? I have been told this dose is very mild.

Nortriptyline: Hi, yes it is very small dose but you might still develop some side effects like dry mouth, constipation, nausea, drowsiness in first couple of weeks but those will go away. ...Read more

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Would nortriptyline be helpful for neuropathy and tremors in the body from nerves?

Would nortriptyline be helpful for neuropathy and tremors in the body from nerves?

Yes, NO: It is often helpful for neuropathic pain, from neuropathy. But it is of no help for tremor, and may actually cause or worsen tremor (but it may not, as well). ...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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How do you know that your nerve problems are getting worse and what can I do to help it? On nortriptyline to help but so far it's not.

Call med prescriber.: If you are not feeling better on nortriptyline from the perspective of mood, sleep, appetite, and energy, then your depression may not be responding to this particular medication. I recommend that you talk with the prescriber of the nortriptyline about other potentially beneficial approaches that you have not yet tried and that may be different in how they treat depression. ...Read more

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On nortriptyline 10mg for chronic headache. I've been feeling very anxious & occasionally suicidal. Could such a low dose be making me feel like this?

On nortriptyline 10mg for chronic headache. I've been feeling very anxious & occasionally suicidal. Could such a low dose be making me feel like this?

Usual warning: Unfortunately tricycle antidepressants have been an uncommon triggers of suicidal ideation. Sometimes headaches and other somatic complaints can be related to depression, and a diagnosis is necessary. It would be a good idea to consult with your doctor so that he can apply some screening questionnaires to rule out an underlying depressive disorder. ...Read more

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I've taken pamelor (nortriptyline) for anxiety/panic for 5 weeks. Felt great on 50mg, few days on 75mgs but feel more anxious. Does an increased dose = less anxiety?

I've taken pamelor (nortriptyline) for anxiety/panic for 5 weeks. Felt great on 50mg, few days on 75mgs but feel more anxious. Does an increased dose = less anxiety?

Not necessarily: Adjusting medication doses is individual, and your doctor will appreciate knowing what you're experiencing. The 50mg dose may be just right for you, but might not have been recognized until the additional 25 mg was added (and you got more anxious). Please work with your physician on this. ...Read more

Dr. Ravi Chand
246 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


Dr. Jeffrey Cohen
1,922 Doctors shared insights

Neuralgia (Definition)

Can also be described as neuropathic pain or "nerve pain" which can occur anywhere in the body. It can also be due to many disorders such as direct nerve damage, diabetes, ...Read more