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The use of one drug is preferred, but if one drug doesn't work well enough, your doctor might consider combining drugs.Patients should be fully advised about the risks, especially suicidal thinking and behavior suicidality associated with tricyclic antidepressant therapy.

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Patients should be monitored for serotonin syndrome for 2 nortriptyline vs amitriptyline reviews OR until 24 hours after the last dose of the MAOI, whichever comes first. The drug should be discontinued if adverse effects of a serious nature or allergic manifestations develop.For Depression: I was originally prescribed this drug for insomnia.

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Nortriptyline is contra-indicated for the nursing mother and for children under the age of six years.Nortriptyline affects chemicals in the brain that may be unbalanced in people with depression.

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