DESCRIPTION
NORTRIPTYLINE HYDROCHLORIDE TABLET
WHAT IS THIS MEDICINE?
NORTRIPTYLINE is used to treat depression.

WHAT SHOULD I TELL MY HEALTH CARE PROVIDER BEFORE I TAKE THIS MEDICINE?
They need to know if you have any of these conditions:

an alcohol problem
bipolar disorder or schizophrenia
difficulty passing urine, prostate trouble
glaucoma
heart disease or recent heart attack
liver disease
over active thyroid
seizures
thoughts or plans of suicide or a previous suicide attempt or family history of suicide attempt
an unusual or allergic reaction to nortriptyline, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
HOW SHOULD I USE THIS MEDICINE?
Take this medicine by mouth with a glass of water. Take your doses at regular intervals. Do not take it more often than directed. If you have been taking this medicine regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose or you may get severe side effects. Ask your doctor or health care professional for advice. Even after you stop taking this medicine it can still affect your body for several days.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

WHAT IF I MISS A DOSE?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

WHAT MAY INTERACT WITH THIS MEDICINE?
Do not take this medicine with any of the following:

arsenic trioxide
certain medicines used to regulate abnormal heartbeat or to treat other heart conditions
cisapride
halofantrine
MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
other medicines for mental depression
phenothiazines like perphenazine, thioridazine and chlorpromazine
pimozide
probucol
procarbazine
sparfloxacin
St. John’s Wort
ziprasidone
This medicine may also interact with any of the following:

atropine and related drugs like hyoscyamine, scopolamine, tolterodine and others
barbiturate medicines for inducing sleep or treating seizures, such as phenobarbital
cimetidine
medicines for diabetes
reserpine
seizure or epilepsy medicine such as carbamazepine or phenytoin
thyroid medicine
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

WHAT SHOULD I WATCH FOR WHILE USING THIS MEDICINE?
Visit your doctor or health care professional for regular checks on your progress. It can take several days before you feel the full effect of this medicine.

Patients and their families should watch out for worsening depression or thoughts of suicide. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of antidepressant treatment or after a change in dose, call your health care professional.

WHAT TO KNOW?
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may increase dizziness and drowsiness. Avoid alcoholic drinks.

Do not treat yourself for coughs, colds, or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

This medicine may cause dry eyes and blurred vision. If you wear contact lenses you may feel some discomfort. Lubricating drops may help. See your eye doctor if the problem does not go away or is severe.

This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.

If you are diabetic, check your blood sugar more often than usual, especially during the first few weeks of treatment with this medicine. This medicine can affect blood sugar levels. Call your doctor or health care professional for advice if you notice a change in the results of blood or urine glucose tests.

WHAT SIDE EFFECTS MAY I NOTICE FROM THIS MEDICINE?
Side effects that you should report to your doctor or health care professional as soon as possible:

allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
abnormal production of milk in females
breast enlargement in both males and females
breathing problems
confusion, hallucinations
fever with increased sweating
irregular or fast, pounding heartbeat
muscle stiffness, or spasms
pain or difficulty passing urine, loss of bladder control
seizures
suicidal thoughts or other mood changes
swelling of the testicles
tingling, pain, or numbness in the feet or hands
yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

change in sex drive or performance
diarrhea
nausea, vomiting
weight gain or loss
This list may not describe all possible side effects.

WHERE SHOULD I KEEP MY MEDICINE?
Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date.