A small number of children, teenagers, and young adults up to 24 years of age who took antidepressants 'mood elevators' such as nortriptyline during clinical studies became suicidal thinking about harming or killing oneself or planning or trying to do so. Children, teenagers, and young adults who take antidepressants to treat depression or other mental illnesses may be more likely to become suicidal than children, teenagers, and young adults who do not take antidepressants to treat these conditions. However, experts are not sure about how great this risk is and how much it should be considered in deciding whether a child or teenager should take an antidepressant. Children younger than 18 years of age should not normally take nortriptyline, but in some cases, a doctor may decide that nortriptyline is the best medication to treat a child's condition. You should know that your mental health may change in unexpected ways when you take nortriptyline or other antidepressants even if you are an adult over 24 years of age.

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It is used to treat the major depressive disorder and nocturnal enuresis bedwetting in children. Furthermore, the drug is sometimes used to treat chronic diseases, such as chronic fatigue syndrome, chronic pain and migraine, and liability in some neurological diseases. It provides a minimal sedation effect. The drug is efficient to cope with hypochondriacal states. The antidepressant effect of the drug occurs rapidly in the first two weeks of intake. Although the drug is not approved by FDA to treat neuropathic pain, a large number of randomized controlled trials have demonstrated the effectiveness of tricyclic antidepressants to treat this disease in those suffering from depression as well as other people. According to recent research sponsored by The International Association for the Study of Pain IASP, Nortriptyline is recommended as a first-line drug for the treatment of neuropathic pain. Avoid taking Nortriptyline in you have a myocardial infarction. It is also not recommended to use the drug if you suffer from depression with suicide attempts.

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OBJECTIVE: This study was designed to evaluate the comparative efficacy and safety of sertraline and nortriptyline for the treatment of major depressive disorder in older adults. RESULTS: The safety profiles of the two treatments were similar except that nortriptyline treatment was associated with a significant increase in pulse rate, whereas sertraline was associated with a nonsignificant decrease. Efficacy of both drugs was similar for both treatments at all time points, with Secondary efficacy measures posttreatment measures of cognitive function, memory, and quality of life revealed a significant advantage for sertraline treatment. With secondary outcome measures buy azithromycin zithromax was consistent evidence of an advantage for the sertraline-treated group.

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Keep your regular appointments with your doctor. This is so your doctor can check on your progress. The tablets could make you feel sleepy. If this happens, do not drive and do not use tools or machines. Do not drink alcohol.

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Amitriptyline is a tricyclic antidepressant that is metabolized to nortriptyline, which has similar pharmacologic activity. The relative blood levels of amitriptyline and nortriptyline are highly variable among patients. Amitriptyline is the drug of choice in nortriptyline order online of depression when the side effect of mild sedation is desirable. Nortriptyline is used when its stimulatory side effect is considered to be of clinical advantage. Nortriptyline is unique among the antidepressants in that its blood level exhibits the classical therapeutic window effect; blood concentrations above or below the therapeutic window correlate with poor clinical response. Thus, therapeutic monitoring to ensure that the blood level is within the therapeutic window is critical to accomplish successful treatment with this drug.

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