Nortriptyline is a second-generation tricyclic antidepressant marketed as the hydrochloride salt under the trade names Aventyl and Pamelor. It is used in the treatment of major depression and childhood nocturnal enuresis. Its off-label uses include treatment of chronic fatigue syndrome, chronic pain and migraine, and labile affect in some neurological disorders. It may also be used to help people quit smoking and to treat attention deficit hyperactivity disorder. Nortriptyline comes as a capsule and an oral liquid to take by mouth.
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Every patient is different. You may notice some initial benefit within 2 weeks, however it may take up to 2 months for a full effect. Your doctor may need to increase the dose to get the maximum effect. If you do not feel any improvement in your pain after 2 months, do not suddenly stop taking the tablets but speak to your doctor.
Usual adult dose - 25 mg three or four times daily; dosage should begin at a low level and be increased as required. As an alternative regimen, the total daily dosage may be given once a day. When doses above 100 mg daily are administered, plasma levels of nortriptyline should be monitored and maintained in the optimum range of 50 to 150 ng/mL. Doses above 150 mg/day are not recommended.
Fluoxetine (also known by trade name Prozac) is an inexpensive drug used to treat mood problems such as depression, panic attacks and obsessive compulsive disorder. It can also treat certain eating disorders and used to treat premature ejaculation. Fluoxetine is in a class of drugs called selective serotonin reuptake inhibitors (SSRIs), a class that includes citalopram (Celexa), paroxetine (Paxil) and sertraline (Zoloft). This drug is slightly more popular than comparable drugs. It is available in generic and brand versions.
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Sleep, energy, or appetite may show some improvement within the first 1-2 weeks. Improvement in these physical symptoms can be an important early signal that the medication is working. Depressed mood and lack of interest in activities may need up to 6-8 weeks to fully improve.
The usual dose of fluoxetine is 20mg a day in adults. However, you may be started at a lower dose which is gradually increased to a maximum dose of 60mg a day. Some people might need to take a lower dose of fluoxetine, or to take it less often. The usual dose of fluoxetine in children is 10mg a day but this may be increased to 20mg a day.
Questions & Answers
You can not buy nortriptyline and fluoxetine without prescription in the US, Canada, UK and most other countries in the world. You need to get a prescription for antidepressants from your doctor before being able to access the meds. If you have a prescription, Walgreens, CVS, Walmart or any other online pharmacy will sell drugs for you.
Nortriptyline has helped with my constant headache and has also helped me cope with my stress/anxiety. I'm on a low dose (20mg/day) and take at night. The first week I was out cold within minutes of taking the medication. That affect has worn off, but I continue to sleep well and wake up refreshed.
This med is amazing. I've had peripheral Neuropathy for a few years in my feet. I've tried Gabapentin, it didn't work. I tried Nortriptyline, I've been on it for 3-4 weeks...it's amazing... NO pins/needles feeling, no burning sensation! I still have some pressure in my feet, but things are so different now! I'm going to give it more time, but I think I found my holy grail! I understand it may not work for everyone, but so far it's working for me. If you are looking for something, ask your doctor and try it, it might work for you. Good luck to all of you!
I have suffered from generalized anxiety and obsessive compulsive disorder (OCD) since I was a child. I have tried several different anxiety meds in the past that made me feel emotionless. At the age of 43, my OCD and anxiety had made my life unmanageable and I began experiencing depression as well. Since taking Prozac 3 weeks ago, my symptoms have dramatically improved and I am free from my constant worry. It's like a miracle. Side affects (headaches) were minimal and temporary.
I've been on Fluoxetine, among many other things. And just as everything else, it did absolutely nothing for me. But that's just me. I was on the highest dosage for about 3 years. I actually felt better when I finally stopped it.
I've been on many medications for depression. Fluoxetine makes me the most happy. I'm 20 years old. Fluoxetine helps me a lot. But it might not help everyone. It might even change for me.