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Report any new or worsening symptoms to your doctorsuch asmood or behavior changesanxietypanic attackstrouble sleepingor if you feel impulsiveirritableagitatedhostileaggressiverestlesshyperactivementally or physicallymore depressedor have thoughts about suicide or hurting yourself.
You or a family member should call your doctor right away if you experience any of the following symptomsThoughts of harming or killing yourself New or worsening depression Extreme worry Agitation Panic attacks Difficulty falling asleep or staying asleep Irritability Acting without thinking Severe restlessness Abnormal excitement Aggressive behavior.
10-25 mg PO qHSmay increase q3-5days in 10 mg increments qDay up to 160 mg qHS or divided q12hr if tolerated.
QIs nortriptyline used to treat Meniere’s diseasean inner ear disturbance
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due to the fact that nortriptyline has been on the market since the 1960s, the patent for its brand name pamelor formulation has expired.