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Talk to your doctor if you experience psychiatric symptoms such as suicidal thoughtsincreased depressionhyperactivityrestlessnessaggressivenessirritabilityagitationimpulsivityinsomniaincreased anxietypanic attacksor any other behavior changes.

CimetidineTagametcan increase blood levels of nortriptyline in the blood by interfering with the metabolismbreakdownof nortriptyline by the liverIncreased levels of nortriptyline may possibly lead to side effectsOther drugs which share this effect on nortriptyline include propafenoneRythmolflecainideTonocardquinidineQuinidexQuinagluteand fluoxetineProzac

Nortriptyline may cause a condition that affects the heart rhythmQT prolongationQT prolongation can rarely cause seriousrarely fatalfast/irregular heartbeat and other symptomssuch as severe dizzinessfaintingthat need medical attention right away.

You should tell your doctor if you have or have ever had any of the following conditions before taking nortriptylineHeart attack Glaucoma Enlarged prostate Difficulty urinating Diabetes Seizures Schizophrenia Overactive thyroid gland Liverkidneyor heart disease.

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