Nortriptyline is an antidepressant used in the treatment of chronic pain and is sold under several brand names.
This article focuses on the use of Nortriptyline for chronic pain, which includes neuropathy, back pain, among others.
Also, if you are interested in knowing how long it takes nortriptyline to eradicate pain, then continue reading here below.
Nortriptyline Pain Dosage
Are suffering from any kind of physical pain and need a cure? Do not worry, just try nortriptyline, an antidepressant that can relieve you from pain in a matter of a few hours after taking it.
However, for it to work, you must take the right dosage, which can only be determined by your doctor based on the severity of your pain.
Research studies from various healthcare givers have demonstrated that this work works best when a dosage of 50mg or up to a maximum of 100mg is taken daily.
However, for children and the very old, the prescription may be slightly lower, and the drug should not be taken once side effects have begun to manifest.
Nortriptyline for Neuropathy
For a long time, researchers have been working to identify a novel drug that can effectively and rapidly relieve an individual from neuropathic pain.
The reason for doing that is that most of the currently used neuropathic pain drug regimes are no longer effective in several people.
The study on the application of nortriptyline, an antidepressant has demonstrated that the drug can affectively treat neuropathic pain.
However, to enhance its activity, scholars have recommended that it be used together with morphine.
When taking the drug to treat neuropathic pain, an individual is required to adhere to the doctor’s prescriptions strictly; otherwise, the drug may fail to work.
For instance, if you are to take a specific dose twice a day and fail but instead take once, then the drug’s activity cannot work as expected.
In case you miss to take the medication as prescribed because of one or two reasons, you are supposed to contact your doctor, who will then issue adequate advice on the way forward.
Sometimes, you may be asked to start a new dosage so as to treat your neuropathic pain effectively.
Nortriptyline Withdrawal Symptoms
Several people have suffered from nortriptyline side effects when stopping its application.
Just like any other medication after prolonged usage of this antidepressant and an individual suddenly decides to stop using it, he or she may display the following symptoms.
- Restlessness – You will find yourself unable to concentrate on a given task because you feel like you need to be doing something else at that particular time.
- Chills – You will be worried for no reason, and that can go on for several days.
- Muscle pain – while the pain may not be chronic, it may make you avoid actively partaking in your chores. The pain may go away after some time, but if it does not, you are advised to see a doctor.
- Dizziness – This may happen during the morning hours when you have not done anything yet. It should stop after three to four days.
- Vomiting – Well, not all vomiting cases are linked to the withdrawal of this drug, but if you find yourself that you are vomiting immediately after stopping to take this drug, then that is an indication of a side effect.
- Anxiety – This is the most common symptom that manifests in several people, and in most cases, it disappears after seven to ten days.
How long does Nortriptyline take to work for pain?
If you are suffering from chronic pain, the drug is expected to take effect after the second week.
However, for some people, the signs of healing may start to display in the first week after successfully taking the drug as prescribed by the doctor.
For those individuals who usually do not adhere to the instructions given by the healthcare givers, the drug may take longer to work.
Therefore, we are advised to strictly follow the instructions given to us regarding the administration of this drug so as we experience the benefits of this drug within the stipulated time.
Alternatives to Nortriptyline for Pain
In some individuals, the administration of nortriptyline may fail to work. In such cases, you are required to consult your doctor so that he or she can offer you a better alternative drug that can work in relieving your pain.
So far, the best alternatives that can relieve you from pain when nortriptyline has failed to work include doxepin, amitriptyline, venlafaxine, and duloxetine.
These drugs are the best alternatives because they tend to function similarly to nortriptyline. In particular, they all hinder the uptake of serotonin and norepinephrine.
Nortriptyline for pain side effects
If you have been taking the drug for a long time, you may experience the following side effects.
- Elevated appetite for sugary foods and sweets: In essence, you will find yourself taking and enjoying eating more sweets and sugary foods than before.
- General body weakness: You find yourself feeling tired in the morning hours even before doing anything.
- Unpleasant taste in the mouth which may be accompanied by mouth dryness: This is very common in several people, and you are required to seek medical attention as soon as possible.
- Gaining weight: This particularly is common in those individuals who take the drug and never participate in any physical activity all day long.
- Headache: In some individuals, the headache may be mild, but if it becomes severe, you are required to seek medical attention as quickly as possible.
The above five side effects are the most common and can be found in three out of five individuals taking the drug.
However, to some individuals, the side effects, although not common, may include diarrhea, increased sweating, vomiting, insomnia, and heartburn.
References on Nortriptyline Dosage for Pain
- 1: Nortriptyline usage dosage and side effects – NetDoctor
- 2: Nortriptyline Side Effects – Very Well Mind
- 3: Nortriptyline for neuropathic pain in adults – Cochrane