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Nortriptyline

Nortriptyline is a tricyclic antidepressant used to treat depression and nerve pain.

Clinical information

Common uses

  • depression
  • nerve pain

Common side effects

  • constipation
  • feeling dizzy
  • dry mouth
  • feeling sleepy
  • headaches

Cautions

  • do not stop suddenly — withdrawal effects possible
  • may not suit people with heart problems, epilepsy or glaucoma
  • can make you sleepy — take care driving
  • get urgent help for thoughts of self-harm

Interactions

  • opioid painkillers (codeine, morphine, tramadol) — extra drowsiness
  • other antidepressants — risk of very high blood pressure
  • sodium valproate and cimetidine — raise nortriptyline levels
  • St John's wort — do not take
  • cannabis and recreational drugs — can be dangerous

Pregnancy: may be continued in pregnancy — discuss with your doctor

Reference information, not medical advice — always follow your doctor or pharmacist. Source: NHS Medicines A–Z, nhs.uk/medicines/nortriptyline (accessed 2026-08-16)

Approved brands & formulations2

Brand nameDosage formStrengthImporterCategory
NortriptylineTablet25mgPOM
NortriptylineCapsule25mgPOM
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