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Doctor insights on: Nortriptyline For Insomnia

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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


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I started nortriptyline RX for insomnia, taking it about week, tonight my heart is racing and when dose off I jump up in a panic. Give it time or quit?

I started nortriptyline RX for insomnia, taking it about week, tonight my heart is racing and when dose off I jump up in a panic. Give it time or quit?

Taper off w/ help: Don't just quit but ask Dr to advise. After only a week if dose is low - it might be ok to just stop but get approval! Otherwise get a taper off schedule. Use this experience to guide future Rx care. Always plan ahead for bad reactions and what to do about them. Seek therapy approach to sleep mgmt. It's much safer and can benefit many areas of your life. ...Read more

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Started takin trazadone for insomnia. Now supposed to take nortriptyline. Traz makes my chest tight. I was told its ok to take both same time, is it?

Started takin trazadone for insomnia. Now supposed to take nortriptyline. Traz makes my chest tight. I was told its ok to take both same time, is it?

Drug Interaction?: Even though two are prescribed by some doctors and in my experience are safe most of the time in small doses.
Having said that there is a theoretical risk of rare but serous condition, serotonin syndrome which may cause symptoms like confusion, hallucinatons and seizure, extreme chanes in bp, seizures, increase jeart rate, and others
discuss with your doctor if you have any of these symptoms. ...Read more

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Benzo and. Nortriptyline withdraw, cause head pressure? Had an MRI and bloodwork done all was ok. Still have pressure and insomnia.

Benzo and. Nortriptyline withdraw, cause head pressure? Had an MRI and bloodwork done all was ok. Still have pressure and insomnia.

Both same time?: Benzodiazepines almost always require a careful tapering down. Nortryptiline sometimes. Best not to do both at once and do each slowly. Head pressure is tough to characterize because it has so many subjective features, but insomnia may be a tip off to go more slowly. Withdra. ...Read more

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What are the CNS side effects of nortriptyline? Is it contraindicated for someone w hypersensitivities to sound, insomnia, past cns Lyme infection?

What are the CNS side effects of nortriptyline? Is it contraindicated for someone w hypersensitivities to sound, insomnia, past cns Lyme infection?

Anticholinergic: Dry mouth blurred vision constipation areost common--it's a 2nd generation antidepressant--the active ingredient of Elavil (amitriptyline) with fewer side effects--you can measure its blood level--some times the older Meds are more effective than the new ones ...Read more

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Added 10 mg nortriptyline (nummular headache) to 50 mg trazodone (insomnia) with 60 mg cymbalta (duloxetine) (migraine). Felt dizzy, drugged & weak so stopped trazodone. Feel better, but can't sleep. What to do?

Added 10 mg nortriptyline (nummular headache) to 50 mg trazodone (insomnia) with 60 mg cymbalta (duloxetine) (migraine). Felt dizzy, drugged & weak so stopped trazodone. Feel better, but can't sleep. What to do?

Insomnia: A poor sleep technic perhaps. Insomnia can occur when the environment where you sleep does not facilitate this important process. Make sure you have no distractions in the room like a tv, laptop. Ipad, smart phones, books, etc.. If still having problems may consider evaluation for restless leg syndrome or depression. Exercise during the day, not at night. Tell your physician about side effects. ...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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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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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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Should I taper 25mgs of nortriptyline? I was on it for 6 years.

Should I taper 25mgs of nortriptyline? I was on it for 6 years.

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

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Is pamelor (nortriptyline) effective?

Is pamelor (nortriptyline) effective?

Yes, for some.: It is generally thought that antidepressants are equally effective in treating depression. Pamelor or nortriptyline, is a tricyclic antidepressants thought to have a "therapeutic window". This refers to a range of blood levels below and above which the medication is not thought as effective. However, the studies were done in inpatient settings and may not relate to outpatient settings. ...Read more

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If I take pamelor/nortriptyline- (10mg)?

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

Dr. Alan Ali Dr. Ali
2 doctors agreed:
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What is pamelor (nortriptyline) used for?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
What is pamelor (nortriptyline) used for?

Pamelor (nortriptyline): Is an old tricyclic antidepressant used for depression, sleep, headache prophylaxis and some neurological ailments with pain. ...Read more

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Why does nortriptyline make you constipated?

Why does nortriptyline make you constipated?

Nortriptylene: Nortriptylene has some anticholinergic effects on your body, which can interfere with the functioning of your GI system. This may depend on dose, which can be adjusted. Please discuss with your physician. In the meantime, drink plenty of liquids (especially water) and make sure you have fiber in your diet (fresh veggies and fruits, etc). ...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

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Is pamelor (nortriptyline) a good pain medication?

Is pamelor (nortriptyline) a good pain medication?

NO!: No. Pamelor (nortriptyline) is used to treat depression but if the pain is associated with or made worse by depression, the pain may decrease if depression responds to treatment with pamelor (nortriptyline). ...Read more

Dr. Alan Ali Dr. Ali
2 doctors agreed:
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If I take pamelor and nortriptyline together, is that ok?

Dr. Alan Ali Dr. Ali
2 doctors agreed:

Pamelor (nortriptyline): They are same medicine. Pamelor is brand & nortriptyline is generic. ...Read more

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Is it okay to take Relpax (eletriptan) with nortriptyline?

Is it okay to take Relpax (eletriptan) with nortriptyline?

Should be ok: No significant drug interactions found. Make sure to check with prescribing doctor. ...Read more

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Was given nortriptyline by my pain clinic. Is it very helpful?

Was given nortriptyline by my pain clinic. Is it very helpful?

Yes: Depending on the type of pain you are having. It works well for nerve type pain. ...Read more

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Will taking apo-nortriptyline helped treat fibromyalgia symptoms?

Will taking apo-nortriptyline helped treat fibromyalgia symptoms?

Usually not: Usually not. It is better to restore sleep and to address the trigger points. ...Read more

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Is it okay to take tri-sprintec and nortriptyline 40mg together?

Little interaction: As far as I know, there is little interaction between these two. It should be ok to use them together. ...Read more

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Can it be possible for you to mix nortriptyline and sulfamethoxazole?

Can it be possible for you to mix nortriptyline and sulfamethoxazole?

Nortriptylene levels: There's possibility of heart rhythm disturbances -- specifically, qt prolongation -- with this combination. Your doctor may want to check your nortriptylene levels if this combination absolutely needs to be given. ...Read more

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Is taking pamelor nortriptyline (generic name) 10 mg at bedtime effective?

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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What is nortriptyline withdrawal symptoms and. About how long does they last?

What is nortriptyline withdrawal symptoms and. About how long does they last?

As above: Nortryptyline is tricyclics anti depressant and need to be written by physician. Discuss u question with u prescriber. ...Read more

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Can I take 40 mg of nortriptyline a day and be pregnant safely if it is necessary that I take it?

Can I take 40 mg of nortriptyline a day and be pregnant safely if it is necessary that I take it?

Generally safe: That is a low dose of nortriptyline and tricyclics are generally safe in pregnancy. There is a pregnancy infomation service at uconn, ct that keeps up to date info about the risks of meds in pregnancy. A recent study in europe found a small increased risk of miscarriage with antidepressants, but it was the same as in woman untreated who had depression/anxiety. ...Read more

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How long does nortriptyline withdrawl last? Was on it since 2012 for phn, and will I ever sleep again?

How long does nortriptyline withdrawl last? Was on it since 2012 for phn, and will I ever sleep again?

Check out these: Links. Take care! Http://m.huffpost. Com/us/entry/1072807. http://www. Well. Com/~mick/insomnia/ http://www. Christopherhobbs. Com/website/library/articles/article_files/herbs_for_insomnia. Html. Http://www. M.webmd. Com/a-to-z-guides/blissing-out-10-relaxation-techniques-reduce-stress-spot. ...Read more

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Does nortriptyline suppress pain and alarm caused by benign stimuli caught up in central sensitization?

Does nortriptyline suppress pain and alarm caused by benign stimuli caught up in central sensitization?

Basically, yes: These act by a few mechanisms. Mainly it is thought they increase stress hormone levels in the spine and this lowers how well pain symptmos get through the spine to the brain.--damping down central pain.
They also have some lidocaine like effects this works extra well when it is increased susceptibility to pain due to nerve hyperativity. ...Read more

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Can I take natural sleeping tablets containing 5-HBT with Nortriptyline? I'm on 60mg. I take my Notriptyline at night time.

Can I take natural sleeping tablets containing 5-HBT with Nortriptyline? I'm on 60mg. I take my Notriptyline at night time.

5-HTP?: 5-HTP = 5-hydroxytryptophan: Small amounts are converted to serotonin.Nortriptyline already increases serotonin between nerves in the brain. OTC 5HTP is unregulated, so one cannot predict how accurate 5-HTP label is. Because already on med that increases serotonin, doubt much effect. Recommend asking doc - med adjustment, if safe, may be all that's needed. See tips on Sleep Hygiene, Sleeping Better. ...Read more

Dr. Heidi Fowler
1,709 Doctors shared insights

Insomnia (Definition)

A sleep disorder in which you cannot fall or stay asleep. It usually accompanies another sleep, medical, or psychiatric disorder, and can lead to memory impairment, mood changes, and increased risk of ...Read more