If you become constipated while using this drug, consult your pharmacist for help in selecting a laxative. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take see Drug Interactions section. Get medical help right away if you develop some of the following symptoms: Get medical help right away if you have any very serious side effects, including: A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction , including: This is not a complete list of possible side effects.
If you notice other effects not listed above, contact your doctor or pharmacist. Call your doctor for medical advice about side effects. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at List Nortriptyline HCL side effects by likelihood and severity. Before taking nortriptyline , tell your doctor or pharmacist if you are allergic to it; or to other tricyclic antidepressants such as amitriptyline ; or if you have any other allergies.
This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication , tell your doctor or pharmacist your medical history, especially of: Nortriptyline may cause a condition that affects the heart rhythm QT prolongation. The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation.
Before using nortriptyline, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. Talk to your doctor about using nortriptyline safely. This drug may make you dizzy or drowsy or blur your vision. Alcohol or marijuana can make you more dizzy or drowsy.
Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Talk to your doctor if you are using marijuana. Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs , nonprescription drugs, and herbal products. This medication may make you more sensitive to the sun. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors.
The liquid form of this medication may contain alcohol. Ask your doctor or pharmacist about using this product safely. If you have diabetes , this drug may make it harder to control your blood sugar levels. Monitor your blood sugar levels regularly and tell your doctor of the results. Your doctor may need to adjust your diabetes medication, exercise program , or diet. Older adults may be more sensitive to the side effects of this drug, especially dry mouth , dizziness, confusion, difficulty urinating, and QT prolongation see above.
During pregnancy , this medication should be used only when clearly needed. If you are planning pregnancy, become pregnant , or think you may be pregnant, immediately discuss with your doctor the benefits and risks of using this medication during pregnancy. This medication passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast -feeding. What should I know regarding pregnancy, nursing and administering Nortriptyline HCL to children or the elderly?
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug include: Taking MAO inhibitors with this medication may cause a serious possibly fatal drug interaction.
Avoid taking MAO inhibitors isocarboxazid , linezolid , methylene blue, moclobemide, phenelzine , procarbazine , rasagiline , safinamide, selegiline, tranylcypromine during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before and after treatment with this medication. Ask your doctor when to start or stop taking this medication.
Other medications can affect the removal of nortriptyline from your body, thereby affecting how nortriptyline works. This is not a complete list. Many drugs besides nortriptyline may affect the heart rhythm QT prolongation in the EKG , including amiodarone , cisapride, dofetilide , pimozide , procainamide , quinidine, sotalol , macrolide antibiotics such as erythromycin , among others.
Therefore, before using nortriptyline, report all medications you are currently using to your doctor or pharmacist. Tell your doctor or pharmacist if you are taking other products that cause drowsiness, including alcohol, marijuana , antihistamines such as cetirizine , diphenhydramine , drugs for sleep or anxiety such as alprazolam , diazepam , zolpidem , muscle relaxants, and narcotic pain relievers such as codeine.
Check the labels on all your medicines such as allergy or cough -and-cold products because they may contain decongestants or ingredients that cause drowsiness. Ask your pharmacist about using those products safely. Nortriptyline is very similar to amitriptyline. Do not use medications containing amitriptyline while using nortriptyline.
Does Nortriptyline HCL interact with other medications? If someone has overdosed and has serious symptoms such as passing out or trouble breathing , call For more information, contact the U. Take zolpidem exactly as prescribed by your doctor. Follow all directions on your prescription label. Never take zolpidem in larger amounts, or for longer than prescribed. Read all patient information, medication guides, and instruction sheets provided to you.
Ask your doctor or pharmacist if you have any questions. Zolpidem may be habit-forming. Never share zolpidem with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law. Never take Ambien, Edluar, or Zolpimist if you do not have a full 7 to 8 hours to sleep before being active again.
Do not take Intermezzo for middle-of-the-night insomnia unless you have 4 hours of sleep time left before being active. Zolpidem is for short-term use only. Tell your doctor if your insomnia symptoms do not improve, or if they get worse after using this medication for 7 to 10 nights in a row. Do not take zolpidem for longer than 4 or 5 weeks without your doctor's advice. Do not stop using zolpidem suddenly after long-term use, or you could have unpleasant withdrawal symptoms.
Ask your doctor how to avoid withdrawal symptoms when you stop using this medicine. Insomnia symptoms may also return after you stop taking zolpidem. These symptoms may seem to be even worse than before you started taking the medicine. Call your doctor if you still have worsened insomnia after the first few nights without taking zolpidem. Do not swallow the Edluar or Intermezzo tablet whole. Place the tablet under your tongue and allow it to dissolve in your mouth without water.
Spray Zolpimist directly into your mouth over your tongue. Prime the spray before the first use by pumping 5 test sprays into the air, away from your face. Prime the spray with 1 test spray if it has not been used for longer than 14 days. Store at room temperature away from moisture and heat. Keep the Zolpimist bottle upright when not in use. Dosage Information in more detail. Seek emergency medical attention or call the Poison Help line at An overdose of zolpidem can be fatal, especially when it is taken together with other medications that can cause drowsiness.
Overdose symptoms may include sleepiness, confusion, shallow breathing, feeling light-headed, fainting, or coma. You may still feel sleepy the morning after taking zolpidem, especially if you take the extended-release tablet, or if you are a woman. Wait until you are fully awake before you drive, operate machinery, pilot an airplane, or do anything that requires you to be awake and alert. Avoid taking zolpidem during travel, such as to sleep on an airplane.
You may be awakened before the effects of the medicine have worn off. Amnesia forgetfulness is more common if you do not get a full 7 to 8 hours of sleep after taking zolpidem. Stop taking this medicine and get emergency medical help if you have signs of an allergic reaction to zolpidem: Report any new or worsening symptoms to your doctor, such as: This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.
Side effects in more detail. Use the lowest dose possible to minimize the risk of next day impairment of activities that require full alertness. For the short-term treatment of insomnia characterized by difficulties with sleep initiation: For use as needed for the treatment of insomnia when a middle-of-the-night awakening is followed by difficulty returning to sleep if the patient has at least 4 hours of bedtime remaining before the planned time of waking: Recommended and maximum dose: Place under the tongue and allow to disintegrate completely before swallowing.