Nortriptyline safe? Doc said will help headaches. I looked up side effects. Fast heart rate. Low blood pressure. Hepatitis. These common side effects?

Yes, It is safe. As long as the dose is started low and gradually increased until you have pain control, there should be no problem with lightheadedness or dizziness. It is a safe medication and in fact was the most commonly prescribed antidepressant up until about 1985. I have treated hundreds of patients with it and have done research with it as well. The most common side effects in the long run are dry mouth, constipation, difficulty urinating if the doses too high especially, andblurred vision only close up reading.An occasional patient will also have G.I. Upset. Lightheadedness and dizziness is a function of dose and can be regulated by checking a blood level if necessary. If you find yourself being lightheaded or dizzy make sure that you get up slowly from a lying or sitting position and dangling legs over the side of the bed especially the middle of the night for about 30 seconds will allow the blood to move up up towards your head so you won't get lightheaded or dizzy standing. Anoccasional craving for sweets can occur with this medication and is to some degree dose dependent. Best wishes.
Relatively safe. Nortriptyline is a medication that has been used for decades, can help headaches, and generally does not have the extreme adverse effects that you have described, though fast heart rate and low blood pressure among other adverse effects could occur. As with any medicine, benefits versus risks must be considered. By starting low and increasing dose slowly, most side effects can often be avoided.

Related Questions

I have low blood pressure and slow hr at rest and a fast heart rate during exercise, what should I do?

Your MD can tell you. If you have been exercizing aerobically your rest pulse might be under 60. If not or you are dizzy or light headed see your md asap your pulse should go up with exercize. If you are young and very fit you might be able to pass 200. Since you onlyleft a little info i think you should talk to an md. He/she may reasure you or have you see an excercize physiologist or recommend a stress test. Read more...