くすりのしおり

Internal
Revised: 7/2019

The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
Brand name :
NORITREN Tablets 25mg
 Active ingredient:
Nortriptyline hydrochloride
 Dosage form:
orange tablet (diameter: 7.6mm, thickness: 3.7mm)
 Print on wrapping:
(face) ノリトレン 25mg, ノリトレン, 25mg, P503
(back) NORITREN 25mg, ノリトレン, 25mg

Effects of this medicine

This medicine acts on the central nervous system for you to be mentally balanced and feel better.
It is usually used to treat depression and depressive state.

Before using this medicine, be sure to tell your doctor and pharmacist

  • If you ever experienced any allergic reaction (itch, rash etc.) to any medicine.
    If you are a patient with glaucoma, myocardial infarction, urinary retention.
  • If you are pregnant or breastfeeding.
  • If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)

Dosing schedule (How to take this medicine)

  • Your dosing schedule prescribed by your doctor is ((        to be written by a healthcare professional))
  • In general, for adults, start with taking 30 to 75mg of nortriptyline daily, in 2 to 3 divided doses. Then, the dose will be increased gradually as needed, up to 150mg per day. 1 tablet contains 25mg of nortriptyline. Strictly follow the instructions of your doctor/pharmacist.
  • If you missed a dose, take the missed dose as soon as possible. If it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. DO NOT take a double dose to make up for the missed dose.
  • If you took too much of this medicine (more than prescribed), check with your doctor/pharmacist.
  • Do not stop taking this medicine without the instructions of your doctor.

Precautions while taking this medicine

  • This medicine may cause drowsiness and disorders in: attentiveness, concentration, and reflex movement. Therefore do not drive a car or operate dangerous machinery while taking it.
  • Pay extra attention of taking alcohol as it may cause the medicine to work excessively.

Possible adverse reactions to this medicine

The most commonly reported adverse reactions include dry mouth, drowsiness, constipation, rash, itch, jaundice, general malaise, loss of appetite, nausea, involuntary movement particularly around the mouth. If any of these symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
  • general or local muscle spasm/stiffness, consciousness disorder, retrograde amnesia [epilepsy]
  • sore throat, headache, high fever with chills or tremor [agranulocytosis]
  • loss of appetite, nausea, vomiting, severe constipation [paralytic ileus]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.

Storage conditions and other information

  • Keep out the reach of children. Store away from direct sunlight, heat and moisture.
  • Discard the remainder. Do not store them. Ask the pharmacist and the medical institution how to discard them.

For healthcare professional use only : Day Month Year

For further information, talk to your doctor or pharmacist.