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nortriptyline

Structure via PubChem · Public domain (PubChem)

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nortriptyline

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Also known as 3-(10,11-dihydro-5H-dibenzo[a,d]cyclohepten-5-ylidene)-N-methyl-1-propanamine, demethylamitriptyline, desmethylamitriptyline, 10,11-dihydro-N-methyl-5H-dibenzo[a,d]cycloheptene-delta(5,gamma)-propylamine, 10,11-dihydro-N-Methyl-5H-dibenzo[a,d]cycloheptene-delta(5,gamma)-propylamine, Pamelor

Nortriptyline, sold under the brand name Aventyl, among others, is a tricyclic antidepressant. This medicine is also sometimes used for neuropathic pain, attention deficit hyperactivity disorder (ADHD), smoking cessation and anxiety. Its use for young people with depression and other psychiatric disorders may be limited due to increased suicidality in the 18–24 population initiating treatment. Nortriptyline is not a preferred treatment for attention deficit hyperactivity disorder or smoking cessation. It is taken by mouth.

Key facts

Drug.Watchedfields
changed
Drug.verifiedrevid
462263374
Drug.image
Nortriptyline.svg
Drug.image_class
skin-invert-image
Drug.alt
Skeletal formula of nortriptyline
Drug.width
200
Drug.image2
Nortriptyline-from-4M48-ball-and-stick.png
Drug.image_class2
bg-transparent
Drug.alt2
Ball-and-stick model of the nortriptyline molecule
Drug.width2
200
Drug.tradename
Aventyl, others
Drug.MedlinePlus
a682620
Drug.DailyMedID
Nortriptyline
Drug.pregnancy_AU
C
Drug.routes_of_administration
By mouth
Drug.class
Tricyclic antidepressant (TCA)
Drug.ATC_prefix
N06
Drug.ATC_suffix
AA10

via Wikipedia infobox

Chemical data

Formula
C19H21N
Molecular weight
263.4 g/mol
IUPAC name
N-methyl-3-(2-tricyclo[9.4.0.03,8]pentadeca-1(15),3,5,7,11,13-hexaenylidene)propan-1-amine
SMILES
CNCCC=C1C2=CC=CC=C2CCC3=CC=CC=C31
InChIKey
PHVGLTMQBUFIQQ-UHFFFAOYSA-N
XLogP
4.5
Polar surface area
12 Ų
H-bond donors
1
H-bond acceptors
1
Formal charge
0

via PubChem

Wikidata facts

Mass
263.167
Show 5 more facts
chemical formula
C₁₉H₂₁N
canonical SMILES
CNCCC=C1C2=CC=CC=C2CCC3=CC=CC=C31
World Health Organisation international non-proprietary name
nortriptyline
defined daily dose
30
Commons category
Nortriptyline
Sources (4)

via Wikidata · CC0

~10 min read

Article

15 sections
Contents
  • Medical uses
  • Contraindications
  • Side effects
  • Overdose
  • Interactions
  • Pharmacology
  • Pharmacodynamics
  • Pharmacogenetics
  • Chemistry
  • History
  • Society and culture
  • Generic names
  • Brand names
  • Research
  • References

Nortriptyline, sold under the brand name Aventyl, among others, is a tricyclic antidepressant. This medicine is also sometimes used for neuropathic pain, attention deficit hyperactivity disorder (ADHD), smoking cessation and anxiety. Its use for young people with depression and other psychiatric disorders may be limited due to increased suicidality in the 18–24 population initiating treatment. Nortriptyline is not a preferred treatment for attention deficit hyperactivity disorder or smoking cessation. It is taken by mouth.

Common side effects include dry mouth, constipation, blurry vision, sleepiness, low blood pressure with standing, and weakness. Serious side effects may include seizures, an increased risk of suicide in those less than 25 years of age, urinary retention, glaucoma, mania, and a number of heart issues. Nortriptyline may cause problems if taken during pregnancy. Use during breastfeeding appears to be relatively safe. It is a tricyclic antidepressant (TCA) and is believed to work by altering levels of serotonin and norepinephrine.

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