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New segment of McBlog discussing Nortriptyline.
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(nortriptyline)
Nortriptyline belongs to the group of medications known as tricyclic antidepressants. It is used to treat depression. It works in the central nervous system to elevate the mood of people with depression. It is believed to work by affecting the balance of natural chemicals (called neurotransmitters) in the brain.
When taken regularly, as prescribed by your doctor, it may take several weeks to see the full effect of nortriptyline. Continue taking the medication until you have consulted with your doctor, even if you feel your symptoms are not improving.
This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.
The recommended adult dose ranges from 3 mg to 15 mg daily in divided doses. The usual adult starting dose is 25 mg 3 or 4 times daily. The dosage can be increased until the desired effect is achieved.
Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
It is important to take this medication exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
Do not take nortriptyline if you:
Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.
Although most of these side effects listed below don’t happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
Stop taking the medication and seek immediate medical attention if any of the following occur:
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.
Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Behaviour changes and suicidal thoughts: This medication may worsen symptoms of depression, including thoughts of suicide or wanting to harm others. It may also cause agitated or aggressive behaviour. If you experience these symptoms or any other behaviour change while taking this medication, contact your doctor immediately. Family members or caregivers of people who are taking this medication should contact the person’s doctor immediately if they notice unusual behaviour changes.
Diabetes: People with diabetes have noticed a loss of control of their blood sugars when taking nortriptyline. Increases and decreases in blood sugars have been noticed. If you have diabetes or are at risk for developing diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Drowsiness/reduced alertness: Like other similar medications, nortriptyline may cause drowsiness or dizziness, affecting your ability to drive or operate machinery. Avoid these and other hazardous tasks until you have determined how this medication affects you.
Glaucoma: This medication may cause symptoms of glaucoma to worsen. If you have glaucoma, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
If you notice changes to your vision, such as blurred vision or difficulty focusing, contact your doctor as soon as possible.
Heart disease: Nortriptyline can cause slowed heart rate, resulting in heart attack, irregular heart rhythm and strokes. If you have heart disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
High blood pressure: Nortriptyline can decrease the effectiveness of some medications that are taken to reduce high blood pressure. If you have high blood pressure, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Seizure disorder: Nortriptyline may increase the risk of seizures, particularly for people who have a seizure disorder. If you have a seizure disorder or a history of seizures, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Serotonin syndrome: Severe reactions are possible when nortriptyline is combined with other medications that act on serotonin, such as medications used for nausea with chemotherapy and “triptan” migraine medications. Combining nortriptyline with other medications used to treat depression may also cause serotonin syndrome. These combinations should be avoided. Symptoms of a reaction may include muscle rigidity and spasms, difficulty moving, changes in mental state including delirium and agitation. Coma and death are possible.
Stopping the medication: Stopping treatment suddenly after prolonged therapy may produce nausea, ache, and a general feeling of being unwell. These symptoms do not mean that you are addicted to the medication they mean that your body has become accustomed to the medication. If you are thinking of stopping the medication, check with your doctor first. Your doctor may want you to decrease the dose of the medication gradually when it is time to stop taking nortriptyline.
Sun exposure: Nortriptyline can make your skin more sensitive to sunlight. Sun exposure can lead to a rash, itching, redness, or severe sunburn. Use a sunscreen and avoid sun exposure especially between the hours between 1 am and 3 pm.
Thyroid disease: Some people with an overactive thyroid gland have reported an irregular heartbeat when they have taken nortriptyline. If you are taking medication for thyroid or have an overactive thyroid gland, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Urinary problems: This medication can cause difficulty with urination. If you have difficulties with urination or conditions that make urinating difficult, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.
Breast-feeding: This medication passes into breast milk. If you are a breast-feeding mother and are taking nortriptyline, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using this medication has not been established for children less than 12 years of age.
Seniors: Due to increased risk of side effects, seniors may require a lower dose of this medication.
There may be an interaction between nortriptyline and any of the following:
If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:
An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
All material copyright MediResource Inc. 1996 – 218. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/drug/getdrug/Teva-Nortriptyline
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Thursday, Sep. 6, 218
موتيفال Motival ، دواء يستخدم لعلاج الاكتائب ، القلق ، التوتر العصبي ، الهلع أو نوبات الفزع ، سلس البول عند الاطفال ، ويستخدم لعلاج الصداع النصفي ( الشقيقة ) والالم المزمن . يتوفر بأسماء تجارية أخرى هي : افينتايل Aventyl ( متواجد في السعودية ) ، نورتيلين Nortrilen ( متواجد في السعودية ) ، نورفينتيل Norventyl ، ألجرين Allegron ، نورتريبتالين Nortriptyline .
المادة الفعالة والية العمل :
الاسم العلمي أو المادة الفعالة لموتيفال هي نورتريبتيلين Nortriptyline ، وهي من الأدوية المضادة للاكتئاب ثلاثي الحلقات ، ومن مثبطات التورأدريننالين ، حيث يعمل على تنظيم المواد الكيميائية في خلايا الدماغ من خلال زيادة تركيز التورادرينالين والسيروتونين التي تحفز عمل الخلايا العصبية ، ويمنع عمل المواد الكيميائية الأخرى في المخ مثل الاسيتيل كولين وبالتالي تخف حدة الاكتئاب والحالة المزاجية التي يشعر بها المريض ، ويذكر أن المريض عندما يصاب بالاكتئاب يعود السبب إلى انخفاض تركيز السيروتونين والتورأدرينالين في المخ .
طريقة الاستخدام :
– يتوفر الدواء على شكل كبسولات ، و محلول فموي .
– للاطفال من عمر 6-7 سنوات ، يعطى جرعة بمقدار 1 ملغ في اليوم إذا كان وزن الطفل يتراوح مابين 2-25 كلغ .
– للاطفال من عمر 8-11 ، تعطى جرعة بمقدار 1-2 ملغ في اليوم ، إذا كان وزن الطفل يتراوح مابين 25-35 كلغ .
– للاطفال فوق عمر 11 سنة ، يعطى جرعة بمقدار 25-35 ملغ في اليوم ، إذا كان وزن الطفل يتراوح مابين 35-54 كلغ .
– للمراهقين ، يعطى جرعة بمقدار 3-5 ملغ في اليوم تقسم على دفعات ، لعلاج الاكتئاب .
– للبالغين ، تعطى جرعة بمقدار 25 ملغ من 3-4 مرات في اليوم ، وتبلغ الجرعة القصوى 15 ملغ في اليوم .
– لكبار السن ، تعطى جرعة أولية بمقدار 1-25 ملغ في اليوم قبل النوم ، وتصل الجرعة القصوى إلى 75 ملغ في اليوم أو بحسب إرشادات الطبيب المختص .
موانع الاستخدام :
– يمنع استخدام الدواء للمرضى المصابين بفرط الحساسية اتجاه النورتريبتيلين أو ايا من مكوناته الأخرى .
– يمنع استخدام الدواء للمرضى الذين يعانون من أزمات قلبية حديثة .
– يمنع استخدامالدواء للمرضى الذين يتناولون مثبطات أكسيدار أحادي الأمين خلال 14 يوم قبل تناول الدواء .
– يمنع استخدام الدواء للمرأة الحامل أو التي تخطط لحمل .
– يمنع استخدام الدواء للمرأة التي ترضع رضاعة طبيعية .
تداخل الدواء مع الأدوية الأخرى :
– عند استخدام النورتريبتيلين مع مضادات الهيستامين أو المسكنات أو المنومات أو أدوية القلق والمرخيات العضلية ومضادات الاكتئاب الأخرى قد يزيد من التأثيرات الجانبية المصاحبة للدواء ولا سيما الخمول والدوخة .
– يجب الابتعاد عن تناول الأدوية التي تؤثر على الألم مثل مهدئات الأعصاب ومثبطات المزاج ، ومضادات الهيستامين الأخرى .
التأثيرات الجانبية :
قد تحدث بعض الاثار الجانبية الشائعة عند استخدام الدواء مثل الدوخة أو الدوار ، النعاس ، عدم وضوح في الرؤية ، تغير في التفكير ، الإمساك ، و جفاف الفم .
تحذيرات :
– يجب توخي الحذر عند استخدام الدواء للمرضى المسنين لأنهم أكثر عرضة للاثار الجانبية المصاحبة للدواء .
– يجب الابتعاد عن تناول المشروبات الكحولية .
– يجب الابتعاد عن القيادة لأن الدواء يسبب النعاس وعدم وضوح في الرؤية .
– يجب استخدام وسيلة آمنة لمنع الحمل حتى لا يحدث الحمل أثناء المعالجة .
– يجب تجنب تناول جرعة مزدوجة او جرعة زائدة لأنها تؤثر على حياة المريض الصحية .
– لا يجوز التوقف عن تناول الدواء دون استشارة الطبيب مسبقا .
التخزين :
يحفظ الدواء في درجة حرارة الغرفة بعيدا عن الضوء والحرارة .
يمكنك الاطلاع على مقالات أخرى :-احدث الدراسات والابحاث الطبية عن مرض الاكتئاب الاكتئاب في سن المراهقة اكتئاب الطفل ، اسبابه ، وطرق علاجه
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شكرا ع المعلومات
بس انا استخدم حبوب منظمه للهرمونات هل من الممكن استخدم الموتيفال ولا يوجد اي ضرر ؟؟؟
هل يمكن استخدام الموتيفال بدون استشارة طبيب؟
بعض الادوية لاتوجد لها معلومات مثلآ لازيكسين
اذا اخذ الشخص اكثرر من قرص
شكرا بس سؤال هلأ اذا استخدمت دواء موتيفال ع فترة؟زمنية طويلة بيأثر شي
طبعا يوجد أثار له أنا أخذت الدواء سنة وشهر تقريبا وحاليا أعاني من أثاره الجانبية وأهمها ارتفاع ضربات القلب فتصل أحيانا ل13 فأنصحك بمراجعة الطبيب قبل تناول الدواء
هل ممكن استخدامه بدون تعليمات الطبيب
عندي ١٧سنه واخدت الموتيفال عشان مش بعرف اناام هل هوا منوم ولا لا
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