Nortriptyline 10 mg Capsules — Generic For Pamelor — Dr Reddy

Medication Summary

Medication Summary: This section summarizes DailyMed drug label information to make the label easier to understand. It is not a substitute for the official label, pharmacist counseling, prescriber instructions, or medical advice.

Overview

Nortriptyline hydrochloride capsules are a tricyclic antidepressant used for the relief of symptoms of depression. The label notes that endogenous depressions are more likely to be helped than other depressive states.

The medicine is not approved for use in pediatric patients. The label includes a boxed warning about an increased risk of suicidal thinking and behavior in children, adolescents, and young adults during short-term studies with antidepressants, and it says patients should be monitored closely for worsening depression, suicidality, or unusual behavior changes.

Nortriptyline should not be used with MAOIs, and it should be used cautiously in people with certain medical conditions, including cardiovascular disease, urinary retention, seizure history, thyroid disease, and glaucoma risk. It may also impair the ability to drive or operate machinery and can interact with alcohol and many other medicines.

Storage Information

storage of catecholamines. Protect the patient's airway, establish an intravenous line and initiate gastric decontamination. Dispense in a tight container, as defined in the USP, with a child-resistant closure. Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature].

Key Counseling Points

• Take nortriptyline exactly as prescribed.
• Do not use this medicine with MAO inhibitors; the label says this combination is contraindicated.
• Watch for worsening depression, suicidal thoughts, unusual behavior changes, agitation, insomnia, irritability, or mania, especially when starting treatment or changing the dose.
• Tell the prescriber right away about symptoms that could suggest serotonin syndrome, such as agitation, hallucinations, fever, sweating, fast heartbeat, tremor, stiffness, or diarrhea.
• Use caution with alcohol; the label says alcohol effects may be exaggerated and combined use may increase overdose risk.
• This medicine may cause drowsiness or affect thinking and physical abilities; be careful with driving or operating machinery.
• Contact the prescriber if you have a history of heart disease, arrhythmias, urinary retention, seizures, thyroid disease, or glaucoma risk.
• Do not stop treatment suddenly after long-term use without medical guidance; the label notes withdrawal symptoms can occur.
• If an overdose is suspected, the label advises immediate medical attention and hospital monitoring.
• Keep follow-up appointments so the prescriber can monitor response and safety.
• Keep out of reach of children.

Helpful Patient Education

Nortriptyline hydrochloride capsules are a prescription tricyclic antidepressant used for the relief of symptoms of depression. DailyMed labeling also includes important safety information about suicidal thoughts and behavior, serotonin syndrome, heart-related risks, and possible interactions with MAO inhibitors, alcohol, and other medicines.

This educational product information is based on the DailyMed label and is intended to help explain common uses, warnings, precautions, adverse reactions, and overdose information for nortriptyline hydrochloride capsules.

Medication Summary last generated: 2026-07-19 02:48:01