Doctor insights on:
Nortriptyline For 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
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
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
My doc wants to put me on low dose aventyl (nortriptyline) for migraine 'aura' and anxiety, but I hear it has some nasty side effects. Any medication that is safer?
Medicines similar to aventyl are amitriptyline and nortriptyline. They have been around longer, and they are often used to prevent migraines, but they may not be as effective for mood.
If you do not have a migraine aura often (2x/wk) you do not need a preventer. There are many other options for anxiety if you do not fancy this medicine. ...Read more
Could taking 5mg amitriptyline at night and 5mg Nortriptyline in the morning help me sleep yet still work on the anxiety? Is it safe?
Psychiatrist: Please discuss with your psychiatrist or professional who prescribed your medications. This is individualized therapy that is best when tailored to your special needs. Make sure that all your providers are aware of all medications prescibed that you are taking. ...Read more
Just upped my dose of nortriptyline from 5mg to 10mg and experiencing some increased anxiety from it. Racing heart, jittery, nervousness. Is this normal? I had no side effects intially and it has helped my migraines. Wondering if it will go away.
Wait: This is not unusual to experience some physical symptoms when a dose change is made. If the symptoms don't go away in 3-4 weeks you will have to go back to the original dose. ...Read more
My doctor wants to put me on a low dose of Aventyl (nortriptyline) (10mg) for migraines and severe anxiety. Is this wise? Can this med kill me
Clomipramine vs nortriptyline witch better depression and general anxiety and can help me to delayed ejaculation?
Clomipramine likely will be more potent than nortriptyline. Either one will help with depression but not as effectively as the SSRI or SNRI's.
It will help with anxiety.
Almost all the anti anxiety/depression meds have the side effect of delayed ejaculation which I think you are looking for. ...Read more
Is nortryptyline a good medicine for derealization caused by migraines and also anxiety? How long do I have to be on it to know whether it helps?
Anxiety: It has a good chance of helping with anxiety. If your derealization is related to your anxiety, it has a good chance of helping with that as well. But it is dose dependent. You may need to be on it for a few weeks to know -- again, dose dependent. It is possible that yoo will get no significant side effects, but discuss this with your prescriber. ...Read more
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
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
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
Very rare: Amitriptyline and nortriptyline are tricyclic antidepressant, that have been associated with very rare but severe incidences of hepatotoxicity in patients. The cause is not known but likely is related to an allergic type reaction to a breakdown product. Chances are low that you will get this chemical hepatitis is low, but it seems prudent to check liver function tests while on the drug. ...Read more
Yes: Yes. Not a simple answer, keep seeing your doctor. ...Read more
Talk w/psychiatrist: Before making this decision, please discuss it with the doctor who prescribed it for you (hopefully a psychiatrist). Together you need to review the initial problems you were having, and see where you are with them now. Otherwise these could return when the nortriptylene is tapered or stopped. ...Read more
Withdrawal symptoms: Although nortriptyline is not necessarily addictive, some patients may experience physical symptoms of withdrawal including headache and nausea. Discuss with your physician before making any changes to the medication dose. Http://www. Nlm. Nih. Gov/medlineplus/druginfo/meds/a682620.html ...Read more
Nortriptyline for headaches. Will this affect the way you think also? Moods? Wat is a normal dose
40mg nortriptyline for headaches. I don't have them all day anymore. But still get them. Do I need higher dose?
Consult Your Doctor: You are asking a very good question, but medication management should be done with your prescribing doctor. ...Read more
When taking nortriptyline should you take it same time every night? Like what if you can't sleep when you usually take it
If Nortriptyline: Is preventing you from sleeping when you take it at night - talk to your doctor about changing the timing of taking it. ...Read more
I have been taking Nortriptyline for a month and have had nightmares almost every night. Could this med be the cause? 50 mg
Tell your provider: Whatever new experiences you have after beginning a new treatment may be reactions that you need to tell your provider about. Sleep disturbances are known side effects. I did not hear about nightmares, but they'd count - right? In any case - tell your provider and ask for explanations of what to expect and what might do better for you. Therapy may help your depression w/out side effects. ...Read more
How long does it take for nortriptyline. 25 mg a night for 6years to get out of your system? Can you stop them cold turkey?
Yes: 25 mg is the minimum dose. Even if you have been taking it for many years, the only negative effect would be trouble sleeping since that is what you were taking it for in the first place. ...Read more
How long does it take for nortriptyline to get out your system completely after taking the last pill? What side effects do I look for?
A few days: The full therapeutic effects of this kind of antidepressant takes about 6 weeks. But the chemical changes occur rather quickly, within about 36 hours. So it should be out of your system in about a week, depending on your metabolism. ...Read more
I think nortriptyline makes me feel better & keeps me up at night. Taking for headaches. Can I switch to mornings? Currently taking 40mg
Nortriptylene: Dosing and timing of medications like nortriptylene is best discussed with the physician prescribing them, rather than online doctors who don't know you. However, changing to morning dosing seems like a sensible option if it's keeping you up at night. ...Read more
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
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
Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more