Patient/caregiver was instructed on contraindications for using nortriptyline as follows:
- Do not take nortriptyline, if you ever manifested any allergic responses to intake of nortriptyline or any other medications belonging to the same group as nortriptyline, such as, amoxapine, imipramine, and desipramine. In the event of an allergic response with any of these medications, check with your physician regarding your safety with intake of nortriptyline.
- Nortriptyline can interact with a number of other medications and can precipitate serious reactions. If you are being newly started on nortriptyline, discuss with your physician regarding all other medications you are currently taking and their safety with nortriptyline. Also, if you have been taking nortriptyline for long, discuss with your physician regarding your history of nortriptyline intake, when you are being started on any new medication.
- Do not take nortriptyline with alcohol or opioid pain medications, such as, hydrocodone and codeine, as these products can add to the confusion caused by nortriptyline. A number of OTC cough medications, antihistamines, and antianxiety medications, can potentiate the confusion caused by nortriptyline and so, must be avoided taking along with nortriptyline. Avoid taking any other medications with potential to cause drowsiness along with nortriptyline at the same time.
