Side Effects Linked With Nortriptyline

Side Effects Linked With Nortriptyline Bipolar Disorder Treatment Medications Print Nortriptyline Side Effects By Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. Learn about our editorial policy Marcia Purse Medically reviewed by Medically reviewed by Steven Gans, MD on September 10, 2019 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on September 11, 2019 ONOKY - Eric Audras / Getty Images More in Bipolar Disorder Treatment Medications Symptoms Diagnosis Nortriptyline is a  tricyclic antidepressant  sometimes sold under the brand names Pamelor and Aventyl (other brand names exist outside the U.S.). The medication may be used in the treatment of mood disorders such as  depression, anxiety disorders and also for some other conditions, including migraine headaches,?? bedwetting,?? and chronic pain.?? As with all prescription drugs, nortriptyline comes with the risk of certain side effects. Heres a guide to what you need to watch out for when taking this medication. Common Side Effects The most common side effects of nortriptyline include:?? DizzinessDrowsinessDry mouthHeadacheIncreased appetite, possibly with a craving for sweetsNauseaTiredness or mild weaknessWeight gainConstipationBlurred Vision Generally, these common side effects are mild and can be managed with lifestyle changes. If you find theyre problematic, persistent, or worsen over time, however, talk to your doctor. Potentially Serious Side Effects These side effects of nortriptyline arent very common, but theyre potentially serious when they do occur. If you experience any of these, contact your doctor about them right away. Less common (but potentially serious) side effects include:?? ConfusionSexual side effectsDifficulty in speaking or swallowingEye painFaintingFast or irregular heartbeat (such as pounding, racing, or skipping)Loss of balanceNervousness or restlessnessProblems urinatingStiffness of arms and legsIncreased liver functionsSeizuresManiaHallucinations Allergic reactions to nortriptyline are also rare, but possible. If you experience signs of an allergic reaction such as rash/hives, itching, swelling (especially of the face, lips, tongue, or throat), or trouble breathing, seek immediate medical care. Side Effects of Discontinuing Nortriptyline Never stop taking a medication without consulting your doctor. If you and your doctor decide you should stop taking nortriptyline, your doctor may recommend gradually tapering or reducing your dose as discontinuing the drug all at once can lead to discontinuation syndrome which include flu-like symptoms such as a headache, nausea, irritability, vomiting or diarrhea, restlessness, trouble sleeping, vivid dreams, and unusual excitement.?? Symptoms of Nortriptyline Overdose Its also possible to overdose on nortriptyline and other tricyclic antidepressants.?? Signs of overdose can develop quickly and require immediate medical attention. Symptoms of an overdose include: confusion; convulsions (seizures); disturbed concentration; severe drowsiness; enlarged pupils; fast, slow, or irregular heartbeat; fever; hallucinations (seeing, hearing, or feeling things that are not there); restlessness and agitation; shortness of breath or troubled breathing; unusual and severe tiredness or weakness; and vomiting. If any of these symptoms occur, seek emergency medical help. A Word From Verywell While most people who take nortriptyline do not experience serious side effects from the medication, even mild side effects can be bothersome. When starting a new medication or adjusting your dosage, be sure to note any new or worsening symptoms and discuss them with your doctor. Together you can develop a plan to get the most out of nortriptylines desired effects and manage unwanted side effects.