Precautions and Warnings With Nortriptyline

There are a number of precautions and warnings with nortriptyline, such as an increased risk of suicidal thoughts or behavior, the risk that the drug will affect your concentration, and the possible risks involved with taking the medicine during pregnancy. Be sure to tell your healthcare provider about any medical conditions you may have and any medications you may currently be taking. There are also several situations where you should not take nortriptyline at all.

Nortriptyline HCl

Nortriptyline: What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to taking

nortriptyline hydrochloride (Pamelor^®) if you have:

Bipolar disorder or a family history of bipolar disorder (manic depression)
Schizophrenia
A history of suicide attempts or suicidal thoughts
Severe anxiety or agitation
Had a recent heart attack
Heart problems, including heart disease
Hyperthyroidism (overactive thyroid)
Seizures
Glaucoma
Bladder problems or difficulty passing urine
Diabetes
An enlarged prostate (also known as benign prostatic hyperplasia or BPH)
Any allergies, including allergies to foods, dyes, or preservatives.

Also, let your healthcare provider know if you:

Are pregnant or thinking of becoming pregnant
Are breastfeeding
Drink alcohol regularly.

Make sure to tell your healthcare provider about all of the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.

(Precautions and Warnings With Nortriptyline Continued: Page 2)