Return to course: Nortriptyline (Pamelor) Medication

Nortriptyline (Pamelor) Medication

Lessons

Nortriptyline Brand Name & Introduction

Nortriptyline Indications

Nortriptyline Dosage & Adminstration

Nortriptyline Pharmacological Effects

Nortriptyline Pharmacokinetics & Warning

Nortriptyline Drug Interactions

Nortriptyline Common Side Effects

Nortriptyline Contraindication & Augmentation For Partial Response

Nortriptyline Recommended Lab Test & Overdose

Nortriptyline Tapering/Withdrawal

Nortriptyline Special Populations

Nortriptyline Important Pearls

Nortriptyline Quiz

“This quiz will evaluate your knowledge about Nortriptyline medication.”

Q1. Nortriptyline is classified as which type of drug?

A) Tricyclic antidepressant (TCA)

B) SSRI

C) SNRI

D) MAOI

Q2. What is Nortriptyline FDA-approved to treat?

A) Major depressive disorder (MDD)

B) Schizophrenia

C) Bipolar disorder

D) Generalized anxiety disorder (GAD)

Q3. Which serious side effect is associated with Nortriptyline use?

A) QT prolongation

B) Seizures

C) Hepatotoxicity

D) GI bleeding

Q4. What is the recommended starting dose of Nortriptyline for depression?

A) 10 mg once daily

B) 25 mg once daily

C) 50 mg once daily

D) 75 mg once daily

Q5.Which enzyme is primarily involved in the metabolism of Nortriptyline?

A) CYP2D6

B) CYP3A4

C) CYP1A2

D) It is primarily excreted unchanged

Q6. Nortriptyline should be used with caution in patients with which of the following conditions?

A) Cardiac arrhythmias

B) Mild hepatic impairment

C) Controlled diabetes

D) Hyperlipidemia

Q7. Which of the following is a contraindication for Nortriptyline use?

A) MAO inhibitors within 14 days

B) SSRI use

C) Concurrent benzodiazepine use

D) Antipsychotic use

Q8. Which condition requires regular monitoring when a patient is on Nortriptyline?

A) Blood pressure

B) Liver function

C) Renal function

D) Electrocardiogram (ECG)

Q9. What is the recommended action if severe side effects occur while on Nortriptyline?

A) Discontinue the medication immediately

B) Administer antihypertensive agents

C) Increase the dose

D) Switch to another TCA

Q10. What is the recommended tapering strategy for discontinuing Nortriptyline?

A) Reduce by 25% every week

B) Reduce by 50% every week

C) Stop immediately

D) Taper over a month with 10% dose reduction weekly

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