Are There Alternatives?Depression, even in its most severe form, is highly treatable. As with many illnesses, getting depression treatment early is more effective and reduces the chance of recurrence.
The most common forms of treatment for depression are medication (antidepressants) and psychotherapy ("talk therapy"). In severe cases, some healthcare providers may recommend electroconvulsive therapy (ECT). Some people may also try complementary or alternative treatments for depression (see Natural Remedies for Depression).
For most people, nortriptyline is quite effective at treating depression. It is also generally well tolerated. However, side effects can occur or the medicine may not work as well as needed. In these cases, your healthcare provider may recommend an alternative. Some examples of substitute depression medications include:
- Other tricyclic antidepressants
- Selective serotonin reuptake inhibitors (SSRIs)
- Serotonin-norepinephrine reuptake inhibitors (SNRIs)
- Norepinephrine and dopamine reuptake inhibitors (NDRIs)
- Monoamine oxidase inhibitors (MAOIs).
(Click Nortriptyline Alternatives to learn more. Click Dealing With Depression to learn other ways of managing depression.)
What If I Take an Overdose?People who take too much nortriptyline may have overdose symptoms that could include:
- Changes in heart rhythm (arrhythmia)
- Very low blood pressure (hypotension)
- Congestive heart failure
- Lung problems
- Sleepiness or fainting
- Seeing things that are not really there (hallucinations)
- Dilated (wide open) pupils
- Loss of life.
An overdose can be dangerous. If you happen to take too much, seek immediate medical attention.
(Click Nortriptyline Overdose for more information.)