Patient/caregiver was instructed on precautions to be exercised while taking nortriptyline as follows: Follow closely on the expiration date of the medication. If using a pillbox, check the expiration date on the medication container every time you fill the pillbox. If you are taking this medication for longer periods of time, set enough reminders on your phone for medication pick-up. You can have a reminder 10 days ahead, the next a week ahead, and then, [...]

Patient/caregiver was instructed on contraindications for using nortriptyline as follows: Nortriptyline reportedly reduces the release of acetylcholine, thus reducing the action of acetylcholine on various body tissues. Nortriptyline must be avoided or used with extreme caution along with any other medications that can have similar spectrum of activity of reducing the action of acetylcholine. Many inhaler medications used in treating breathing disorders and medications used to manage Parkinson’s disease can reduce action of acetylcholine and [...]

Patient/caregiver was instructed on contraindications for using nortriptyline as follows: Nortriptyline is extensively metabolized in the liver and the metabolites are mainly excreted in the urine. If liver function is deficient, the metabolism of Nortriptyline can be compromised. In individuals with history of compromised renal function, the excretion of nortriptyline metabolites can be compromised. In either case, nortriptyline and metabolites stay in the body for prolonged duration of time in comparison to normal leading to [...]

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 [...]

Patient/caregiver was instructed on side effects of using nortriptyline as follows: Musculoskeletal side-effects Nortriptyline intake carries the risk of causing seizures, especially in individuals with history of seizures. Individuals can present with sudden episodes of loss of consciousness, intense convulsions with muscle contractions, bowel and bladder incontinence. Do not ignore seizure episodes and report them to your physician promptly for any appropriate measures to be considered. Nortriptyline intake can also induce a life-threatening reaction called [...]