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Common side effectsĭoses of nortriptyline for pain are lower than the doses for depression. Some of the common side effects of nortriptyline will gradually improve as your body gets used to the medicine.

Like all medicines, nortriptyline can cause side effects in some people, but many people have no side effects or only minor ones. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine. If you often forget doses, it may help to set an alarm to remind you. Never take 2 doses at the same time to make up for a forgotten dose. In this case, just leave out the missed dose and take your next dose at the usual time. If you forget a dose, take it as soon as you remember, unless it's nearly time for your next dose. It can be increased to a maximum dose of 150mg a day if a specialist prescribes it.įor depression in teenagers (12 to 17 years), the dose is usually increased gradually to 30mg to 50mg a day, but higher doses may be needed. The maximum dose of nortriptyline for treating pain is 75mg a day, but this is only under the supervision of a pain specialist.įor depression in adults, the dose is increased gradually to between 75mg and 100mg a day. The usual dose to treat nerve pain in adults is 10mg a day. Nortriptyline tablets come in 3 different strengths, 10mg, 25mg or 50mg. Swallow the tablets whole, with a drink of water. This medicine does not usually upset your stomach. If you find that it's affecting your sleep, you could try taking it earlier in the evening. If you take it once a day, it's best to take it before you go to bed as it can make you feel sleepy. You'll usually take nortriptyline once a day. Talk to your diabetes nurse or doctor if the reading is high or low If you usually test your blood sugar level, you may have to do this more often for the first few weeks of treatment. have type 1 or type 2 diabetes – if you have diabetes, nortriptyline may affect your blood sugar levels.

have thoughts about harming yourself or ending your life.

have glaucoma – nortriptyline can increase the pressure in your eye.

are pregnant, trying to get pregnant or breastfeeding.

have ever taken any medicines for depression – some antidepressants can affect the way nortriptyline works, even after you've stopped taking them.

have epilepsy or are having electroconvulsive treatment (ECT) – nortriptyline can increase your risk of seizures or fits.

have a heart problem – nortriptyline can make some heart problems worse.

have ever had an allergic reaction to nortriptyline or any other medicine.

Check with your doctor before starting to take nortriptyline if you: Nortriptyline is not suitable for some people. Teenagers aged 12 to 17 years can take it for depression.Ĭhildren aged 6 to 17 years old can also take it for bedwetting but other medicines are used first which have less side effects.