Notriptyline is a tricyclic antidepressant that affects chemicals in the brain. It is used to treat depression symptoms. This drug has not been approved for children.

Do not stop using suddenly, or you may experience withdrawal symptoms. It may take a few weeks for symptoms to improve. Inform any medical personnel if you need to undergo a procedure that you take nortriptyline.

Do not use nortriptyline if you’ve had a heart attack or medication allergies, especially to similar antidepressants and seizure meds. Don’t use nortriptyline if you’ve taken a MAO inhibitor in the past 14 days. Young people have reported thoughts of suicide when first taking antidepressants. Inform your doctor of other medications you take, your medical history, and if you become pregnant or breast-feed. Do not drink alcohol. Talk to your doctor before taking other medications that make you sleepy.

Get emergency help and report serious side effects to your doctor, such as: allergic reaction, mood/behavior changes, anxiety, panic attacks, sleep troubles, impulsivity, irritability, agitation, aggression, hyperactivity (mental and physical), more depression, or thoughts of self-harm. You should also contact your doctor at once if you experience serious effects like: vision problems, restless muscle movements in the face, lightheadedness, convulsions, new/worsening chest pain, sudden numbness or weakness, fever, sore throat, easy bruising, bleeding, jaundice, difficult/painful urination, symptoms of excessive serotonin like agitation, hallucinations, and overactive reflexes. Less serious side effects like nausea and vomiting, anxiety, and decreased libido may occur.