and cannot Aventyl (Oral) Generic Name: nortriptyline (Oral route) nor-TRIP-ti-leen Overview Side Effects Dosage Interactions Pregnancy More Breastfeeding Warnings User Reviews Support Group Q & A Oral route(Capsule;Solution) Antidepressants can increase the risk of suicidal thinking and behavior in children, adolescents, and young adults with major depressive disorder and other psychiatric disorders. This risk must be balanced with the clinical need, as nortriptyline is not approved for use in pediatric patients. Closely monitor patients of all ages for clinical worsening, suicidality, or unusual changes in behavior; not approved for use in pediatric patients . Commonly used brand name(s) In the U.S. Aventyl Pamelor Available Dosage Forms: Tablet Capsule Solution Therapeutic Class: Antidepressant Pharmacologic Class: Antidepressant, Tricyclic Slideshow A Friend In Need: Getting Smart With Mental Illness Uses For Aventyl Nortriptyline is used to treat depression. It is thought to work by increasing the activity of serotonin in the brain. Nortriptyline is a tricyclic antidepressant. This medicine is available only with your doctor's prescription. Before Using Aventyl In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: Allergies Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Pediatric Appropriate studies have not been performed on the relationship of age to the effects of nortriptyline in the pediatric population. Safety and efficacy have not been established. Geriatric Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of nortriptyline in the elderly. However, elderly patients are more likely to have age-related heart or liver problems, which may require an adjustment in the dose for patients receiving nortriptyline. Breast Feeding Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding. Interactions with Medicines Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Bromopride Dronedarone Furazolidone Grepafloxacin Iproniazid Isocarboxazid Levomethadyl Linezolid Methylene Blue Metoclopramide Moclobemide Pargyline Phenelzine Procarbazine Ranolazine Rasagiline Safinamide Selegiline Tranylcypromine Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Acecainide Aceclofenac Acemetacin Albuterol Alfentanil Alfuzosin Almotriptan Amitriptyline Amoxapine Amphetamine Amtolmetin Guacil Apomorphine Aprindine Arsenic Trioxide Asenapine Aspirin Astemizole Azimilide Azithromycin Benzphetamine Bretylium Bromfenac Bufexamac Buprenorphine Bupropion Butorphanol Celecoxib Chloral Hydrate Chloroquine Chlorpromazine Choline Salicylate Ciprofloxacin Citalopram Clarithromycin Clomipramine Clonidine Clonixin Codeine Crizotinib Cyclobenzaprine Darunavir Dasatinib Desipramine Desmopressin Desvenlafaxine Dexibuprofen Dexketoprofen Dextroamphetamine Dextromethorphan Diclofenac Diflunisal Dihydrocodeine Dipyrone Disopyramide Dofetilide Dolasetron Domperidone Donepezil Droperidol Droxicam Enflurane Epinephrine Erythromycin Etilefrine Etodolac Etofenamate Etoricoxib Felbinac Fenoprofen Fentanyl Fepradinol Feprazone Fingolimod Flecainide Floctafenine Fluconazole Flufenamic Acid Fluoxetine Flurbiprofen Foscarnet Frovatriptan Gatifloxacin Gemifloxacin Granisetron Halofantrine Haloperidol Halothane Hydrocodone Hydromorphone Hydroxytryptophan Ibuprofen Ibutilide Iloperidone Imipramine Indomethacin Iobenguane I 123 Isoflurane Isradipine Ketoprofen Ketorolac Lapatinib Levalbuterol Levomilnacipran Levorphanol Levothyroxine Lidoflazine Lisdexamfetamine Lopinavir Lorcainide Lorcaserin Lornoxicam Loxoprofen Lumefantrine Lumiracoxib Meclofenamate Mefenamic Acid Mefloquine Meloxicam Meperidine Methadone Methamphetamine Methoxamine Midodrine Mifepristone Mirtazapine Moricizine Morniflumate Morphine Morphine Sulfate Liposome Nabumetone Nalbuphine Naproxen Naratriptan Nefopam Nepafenac Niflumic Acid Nilotinib Nimesulide Nimesulide Beta Cyclodextrin Norepinephrine Norfloxacin Octreotide Ofloxacin Ondansetron Oxaprozin Oxilofrine Oxycodone Oxymetazoline Oxymorphone Oxyphenbutazone Paliperidone Palonosetron Parecoxib Paroxetine Pazopanib Peginterferon Alfa-2b Pentamidine Pentazocine Phenylbutazone Phenylephrine Piketoprofen Piroxicam Pranoprofen Procainamide Prochlorperazine Proglumetacin Promethazine Propafenone Propyphenazone Proquazone Protriptyline Quinidine Quinine Remifentanil Risperidone Rofecoxib Salicylic Acid Salsalate Sematilide Sertindole Sertraline Sodium Phosphate Sodium Phosphate, Dibasic Sodium Phosphate, Monobasic Sodium Salicylate Solifenacin Sorafenib Sotalol Spiramycin Sufentanil Sulfamethoxazole Sulindac Sultopride Sumatriptan Sunitinib Tapentadol Tedisamil Telavancin Telithromycin Tenoxicam Tetrabenazine Tiaprofenic Acid Tiotropium Tolfenamic Acid Tolmetin Toremifene Tramadol Trazodone Trifluoperazine Trimethoprim Trimipramine Valdecoxib Vardenafil Vasopressin Venlafaxine Vilanterol Vilazodone Voriconazole Vortioxetine Ziprasidone Zolmitriptan Zotepine Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Acenocoumarol Arbutamine Atomoxetine Carbamazepine Cimetidine Dicumarol Phenprocoumon Rifapentine S-Adenosylmethionine Terbinafine Valproic Acid Interactions with Food/Tobacco/Alcohol Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Other Medical Problems The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Behavior or mood changes (eg, aggression, panic attacks) or Bipolar disorder (mood disorder with mania and depression), or risk of or Glaucoma (angle-closure type) or Heart rhythm problems (eg, arrhythmia) or Psychosis (mental illness) or Schizophrenia (mental illness) or Seizures, history of or Urinary retention (trouble urinating), history of Use with caution. May make these conditions worse. Heart attack, recent Should not be used in patients with this condition. Heart or blood vessel disease or Hyperthyroidism (overactive thyroid) Use with caution. May cause side effects to become worse. Proper Use of nortriptyline This section provides information on the proper use of a number of products that contain nortriptyline. It may not be specific to Aventyl. Please read with care. Take this medicine only as directed by your doctor to benefit your condition as much as possible. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid. Dosing The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. For oral dosage forms (capsules or solution): For depression: Adults 25 milligrams (mg) 3 to 4 times per day. Your doctor may adjust your dose as needed. However, the dose is usually not more than 150 mg per day. Teenagers and older adults 30 to 50 milligrams (mg) once a day or in divided doses during the day. Children Use and dose must be determined by your doctor. Missed Dose If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Storage Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Ask your healthcare professional how you should dispose of any medicine you do not use. Precautions While Using Aventyl It is very important that your doctor check your progress at regular visits to allow for changes in your dose and to check for any unwanted effects. For some children, teenagers, and young adults, this medicine can increase thoughts of suicide. Tell your doctor right away if you start to feel more depressed and have thoughts about hurting yourself. Report any unusual thoughts or behaviors that trouble you, especially if they are new or get worse quickly. Make sure the doctor knows if you have trouble sleeping, get upset easily, have a big increase in energy, or start to act reckless. Also tell the doctor if you have sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared. Let the doctor know if you or anyone in your family has bipolar disorder (manic-depressive) or has tried to commit suicide. Do not take nortriptyline with a monoamine oxidase (MAO) inhibitor (eg, isocarboxazid [Marplan ], linezolid (Zyvox ), methylene blue, phenelzine [Nardil ], selegiline [Eldepryl ], tranylcypromine [Parnate ]). Do not start taking nortriptyline during the 2 weeks after you stop a MAO inhibitor and wait 2 weeks after stopping nortriptyline before you start taking a MAO inhibitor. If you take them together or do not wait 2 weeks, you may develop confusion, agitation, restlessness, stomach or intestinal symptoms, a sudden high body temperature, an extremely high blood pressure, or severe convulsions. Nortriptyline may cause a serious condition called serotonin syndrome if taken together with some medicines. Do not use nortriptyline with buspirone (Buspar ), fentanyl (Abstral , Duragesic ), lithium (Eskalith , Lithobid ), tryptophan, St. John's wort, or some pain or migraine medicines (eg, sumatriptan, tramadol, Frova , Maxalt , Relpax , Zomig ). Check with your doctor first before taking any other medicines with nortriptyline . Do not stop taking this medicine without checking first with your doctor . Your doctor may want you to gradually reduce the amount you are using before stopping it completely. This may help prevent a possible worsening of your condition and reduce the possibility of withdrawal symptoms such as headache, nausea, or a general feeling of discomfort or illness. This medicine will add to the effects of alcohol and other central nervous system (CNS) depressants (medicines that cause drowsiness). Some examples of CNS depressants are antihistamines, medicines for hay fever, other allergies or colds, sedatives, tranquilizers, or sleeping medicines, prescription pain medicine or narcotics, medicines for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. Check with your doctor before taking any of these medicines with nortriptyline . Before having any kind of surgery, tell the medical doctor in charge that you are using this medicine. Taking nortriptyline together with medicines used during surgery may increase the risk of side effects. This medicine may cause some people to become drowsy. Make sure you know how you react to this medicine before you drive, use medicines, or do anything else that could be dangerous if you are drowsy or not alert . Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. Aventyl Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur: Incidence not known Abdominal or stomach pain agitation blurred vision burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings chest pain or discomfort clay-colored stools cold sweats confusion about identity, place, and time false beliefs that cannot be changed by facts continuing ringing or buzzing or other unexplained noise in the ears decreased urination depression difficulty in passing urine (dribbling) difficulty with speaking dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position double vision fast, pounding, or irregular heartbeat or pulse feeling of warmth feeling, seeing, or hearing things that are not there feeling that others are watching you or controlling your behavior feeling that others can hear your thoughts general feeling of tiredness or weakness hostility hyperventilation inability to move the arms, legs, or facial muscles inability to speak irritability loss of balance control lower back or side pain mood or mental changes muscle spasm or jerking of all extremities muscle trembling, jerking, or stiffness nightmares pain or discomfort in the arms, jaw, back, or neck painful or difficult urination panic perspiration pinpoint red or purple spots on the skin redness of the face, neck, arms, and occasionally, upper chest restlessness seizures slurred speech sores, ulcers, or white spots on the lips or in the mouth stiffness of the limbs sweating swelling of the face, ankles, legs, or hands talking, feeling, and acting with excitement trouble sleeping twisting movements of the body uncontrolled movements, especially of the face, neck, and back weakness in the arms, hands, legs, or feet Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Incidence not known Bigger, dilated, or enlarged pupils (black part of the eye) black tongue decreased interest in sexual ability or desire difficulty having a bowel movement (stool) enlargement of the breast hair loss or thinning of the hair heartburn hives or welts increase in sexual ability or desire increased sensitivity of the eyes or skin to light pain or discomfort in the chest, upper stomach, or throat peculiar taste severe sunburn small red or purple spots on the skin swelling of the testicles swelling or inflammation of the mouth swollen, painful, or tender lymph glands on side of face or neck vision changes waking to urinate at night Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. Side Effects (complete list) The information contained in the Truven Health Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. The use of the Truven Health products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Truven Health and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, TRUVEN HEALTH MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Copyright 2017 Truven Health Analytics, Inc. All Rights Reserved. Next Side Effects Print this page Add to My Med List More about Aventyl Hydrochloride (nortriptyline) Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Interactions Support Group 2 Reviews Add your own review/rating Drug class: tricyclic antidepressants Consumer resources Aventyl Other brands: Pamelor Professional resources Nortriptyline Hydrochloride (AHFS Monograph) Nortriptyline Oral Solution (FDA) Related treatment guides Vulvodynia Depression Primary Nocturnal Enuresis} Drug Status Rx Availability Prescription only N Pregnancy Category Not classified N/A CSA Schedule Not a controlled drug 10 + years Approval History FDA approved 1964 Drug Class Tricyclic antidepressants Related Drugs Depression trazodone , sertraline , Xanax , citalopram , Zoloft , Lexapro , Cymbalta , Celexa , More... Vulvodynia amitriptyline , venlafaxine , nortriptyline , Elavil , Effexor XR , Pamelor , More... Primary Nocturnal Enuresis nortriptyline , imipramine , Pamelor , desmopressin , Tofranil , DDAVP , Tofranil-PM , More... Aventyl Hydrochloride Rating 2 User Reviews 4.2 /10 2 User Reviews 4.2 Rate it! Help and Support Looking for answers? Ask a question or go join the Aventyl Hydrochloride support group to connect with others who have similar interests.} } earn a living from home
detention center Aventyl (Oral) immediately
EmoticonEmoticon