Many people who are using nortriptyline hydrochloride (Pamelor®) to treat their depression find the medication to be effective at relieving their symptoms. It is also generally well tolerated, with side effects -- if they even occur -- tending to be mild and easily treated. However, in some cases, the medicine does not work as well as hoped or it causes intolerable side effects. If this happens, a substitute for nortriptyline needs to be considered.
Alternatives to this drug include:
- Other antidepressants
- Electroconvulsive therapy (ECT)
- Alternative (natural) therapies.
Specific examples of nortriptyline substitutes are things like cognitive behavioral therapy, selective serotonin reuptake inhibitors (SSRIs), monoamine oxidase inhibitors (MAOIs), acupuncture, valerian, and St. John's wort.
(Click Nortriptyline Alternatives to learn more about these and other substitutes, including the pros and cons of each.)