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Nortriptylin - instructions, dosage, side effects, analogs

13 Nov 2019

Antidepressant: Nortriptylin

Active ingredient: Nortriptylin (nortriptylin)

Analogs: Anafranil, Saroten, Doxepin, Melipramine, Novo-Tryptin, Pamelor, Aventil, Northrilen.

Nortriptylin belongs to the group of tricyclic antidepressants and is close to amitriptyline by its chemical structure. However, compared with the latter, Nortriptylin has a moderate stimulating, as well as mood-enhancing effect. Gives the most minimal sedative effect. Successfully fights against hypochondriacal states. The antidepressant effect of the drug comes quickly, already in the first two weeks of admission.

Indications for use:

- Treatment of all forms of endogenous depressions (neurotic and reactive);
- Treatment of a depressive state in manic-depressive psychosis;
- Treatment of involutional depressions;
- Treatment of depressive-apathic syndromes developed on the background of cerebral arteriosclerosis;
- It can be used in combination with amitriptyline for the treatment of depressions, which have appeared after treatment with reserpine;
- It can be used in combination with neuroleptics to treat depressions that resulted from the therapy of schizophrenic psychosis.

Contraindications: It is strictly forbidden to take the drug to patients with myocardial infarction, as well as people suffering from depression with suicide attempts. In addition, you can not take the drug at the same time as tyrametics. Between courses of treatment with tyrametics and nortriptylin should maintain an interval of at least two weeks.

Dosage and administration: The dosage should be selected as individually as possible, focusing on the patient's response to the drug. In this case, elderly patients should take a reduced amount of nortriptyline. Typically, the antidepressant is taken 3-4 times a day, with an average daily dose of 75-100 mg. In case of acute need, the dosage can be changed upwards, up to 150 mg / day. Exceed this dosage is highly not recommended. As soon as a remission occurs, it makes sense to reduce the dose to a minimum maintenance level.

Side effects: The most frequent: constipation, dry mouth, disruption of accommodation, delayed urination, agitation, tachycardia and heart rhythm disturbance.

Conditions of selling from pharmacies: It is released without a prescription.

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