Sunday, 29 November 2015
Norpress (Nortriptyline)
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The active substance of
Norpress, namely Nortriptyline Hydrochloride, belongs to the tricyclic
antidepressants class of medication. Its mechanism of action consists of an
alteration of the chemical imbalance that may appear in parts of the patient’s
brain, an imbalance that causes several physical or emotional symptoms that
affect the patient’s general health condition and quality of life. Norpress has
a strong positive effect on correcting this imbalance thus effectively treating
these symptoms.
Norpress is typically used for
the treatment of patients that suffer from depression, as it effectively treats
the symptoms of this affection and improves the patients’ general condition.
Apart from that, Norpress may also be successfully employed as part of the
smoking cessation therapy, as it helps fight the withdrawal effects and as such
may aid patients who wish to quit smoking. There are other uses for this
medicine that are not listed here. If your prescriber advises you to follow a
therapy course with this medicine and you are not sure why, it is best to ask
him or her for more information.
Norpress may not be
administered to children or adolescents, or to patients that have recently
suffered from heart attack. Individuals that are allergic to any of the active
or inactive substances in this drug, or to any other tricyclic antidepressants
or patients that are following a treatment with MAO inhibitors may not start
taking Norpress.
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Other medical conditions may
influence your ability to start a treatment with Norpress. You should seek the
advice of your physician if you have any liver, heart or kidney disorders,
seizure disorders such as epilepsy, if you have diabetes, glaucoma, or
hyperthyroidism (or if you are taking any thyroid gland related medication).
Patients that are pregnant or breastfeeding, patients that have sustained heavy
brain damage or head trauma, patients with bipolar disorders or mania, heavy
drinkers or suicidal patients may require special consideration before starting
to take this drug. Electroshock therapy and medication such as stimulants or
sedatives may also interfere with the possibility of starting a treatment with
Norpress. You should inform your prescriber of any other medical condition you
are suffering from before receiving a prescription for this pharmaceutical
product.
Your prescriber will provide
you with a complete set of guidelines for taking Norpress in order to achieve
the best results from the therapy. It is best that you closely follow the
prescriber’s indications. If the intake guidelines you are provided differ from
any of the following information, you should take the drug as advised by your
doctor.
The Norpress tablets need to
be taken whole, without crushing or chewing them. You may take them with food
or with a full glass of water. In some situations, the prescriber may recommend
you to use just half a tablet at a time – this is only possible for the 25 mg
tablets. The smoking cessation treatment typically lasts for 3 to 6 months,
while the treatment for depression may last much longer. You should continue
taking the tablets for the full duration of the therapy, although you may
experience an improvement in your condition much sooner. Do not stop taking
this medicine without your prescriber’s consent.
For smoking cessation, the
usual starting Norpress dosage is of 25 mg per day increasing in time to a
maximum of 75 mg to 100 mg per day. The treatment should begin two to four
weeks before the date you actually stop smoking. If the drug is employed for
the treatment of depression, the treatment usually consists of three to four
daily intakes of 25 mg each. Elderly patients will receive a lower daily dose
than the adult one, for example 25 to 50 mg. Your prescriber may advise you to
use a different Norpress dose than stated above. In this case, you should take
the medication dosage that you have been prescribed.
An overdose with Norpress is
often a severe condition and requires prompt medical attention. As such, if you
think that you may have taken too much of the medicine you should immediately
contact the local poisons center or call your personal health care
professional. In severe cases you may need to go to the nearest clinic or
hospital in order to receive emergency medical assistance.
You should keep a strict
intake schedule for your Norpress doses, as this may help reduce the chances of
accidentally missing any intakes. However, if you happen to miss a dose of the
medicine, it is best that you completely skip taking it. Do not attempt to make
up for the missed dose by taking a larger dose of the medicine. It is
recommended that you continue taking the medicine as regular, but you should
inform your personal physician in order to determine if any corrective measures
need to be taken.
Norpress may cause a number of
severe adverse reactions such as fainting, fits and seizures, severe chest
pain, suicidal thoughts or allergic reactions. If you experience any of these
you should immediately stop taking the drug and contact a trained health care
professional. Other serious side effects of this medicine include jaundice,
vision disturbances, heart beat disorders, hallucinations or confusion,
anxiety, agitation or a worsening of the depression. You should inform your
personal physician of these and any other unwanted effects that may appear
during your Norpress treatment.
Norpress may cause accidental
drug reactions with other antidepressants (either tricyclic antidepressants,
MAO inhibitors or SSR inhibitors), blood pressure medication, anticholinergics,
sympathomimetics, thyroid medications, some heart drugs, Carbamazepine or
Cimetidine. You should inform your prescriber of any other pharmaceutical
products you are taking before starting your Norpress therapy.
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