Aventyl Hydrochloride Side Effects

Generic Name: nortriptyline

Note: This page contains information about the side effects of nortriptyline. Some of the dosage forms included on this document may not apply to the brand name Aventyl Hydrochloride.

Not all side effects for Aventyl Hydrochloride may be reported. You should always consult a doctor or healthcare professional for medical advice. Side effects can be reported to the FDA here.

For the Consumer

Applies to nortriptyline: oral capsule, oral solution, oral tablet

In addition to its needed effects, some unwanted effects may be caused by nortriptyline (the active ingredient contained in Aventyl Hydrochloride). In the event that any of these side effects do occur, they may require medical attention.

You should check with your doctor immediately if any of these side effects occur when taking nortriptyline:

Incidence not known
  • Abdominal or stomach pain
  • agitation
  • blurred vision
  • burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
  • chest pain or discomfort
  • clay-colored stools
  • cold sweats
  • confusion about identity, place, and time false beliefs that cannot be changed by facts
  • continuing ringing or buzzing or other unexplained noise in the ears
  • decreased urination
  • depression
  • difficulty in passing urine (dribbling)
  • difficulty with speaking
  • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  • double vision
  • fast, pounding, or irregular heartbeat or pulse
  • feeling of warmth
  • feeling, seeing, or hearing things that are not there
  • feeling that others are watching you or controlling your behavior
  • feeling that others can hear your thoughts
  • general feeling of tiredness or weakness
  • hostility
  • hyperventilation
  • inability to move the arms, legs, or facial muscles
  • inability to speak
  • irritability
  • loss of balance control
  • lower back or side pain
  • mood or mental changes
  • muscle spasm or jerking of all extremities
  • muscle trembling, jerking, or stiffness
  • nightmares
  • pain or discomfort in the arms, jaw, back, or neck
  • painful or difficult urination
  • panic
  • perspiration
  • pinpoint red or purple spots on the skin
  • redness of the face, neck, arms, and occasionally, upper chest
  • restlessness
  • seizures
  • slurred speech
  • sores, ulcers, or white spots on the lips or in the mouth
  • stiffness of the limbs
  • sweating
  • swelling of the face, ankles, legs, or hands
  • talking, feeling, and acting with excitement
  • trouble sleeping
  • twisting movements of the body uncontrolled movements, especially of the face, neck, and back
  • weakness in the arms, hands, legs, or feet

Some of the side effects that can occur with nortriptyline may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:

Incidence not known
  • Bigger, dilated, or enlarged pupils (black part of the eye)
  • black tongue
  • decreased interest in sexual ability or desire
  • difficulty having a bowel movement (stool)
  • enlargement of the breast
  • hair loss or thinning of the hair
  • heartburn
  • hives or welts
  • increase in sexual ability or desire
  • increased sensitivity of the eyes or skin to light
  • pain or discomfort in the chest, upper stomach, or throat
  • peculiar taste
  • severe sunburn
  • small red or purple spots on the skin
  • swelling of the testicles
  • swelling or inflammation of the mouth
  • swollen, painful, or tender lymph glands on side of face or neck
  • vision changes
  • waking to urinate at night

For Healthcare Professionals

Applies to nortriptyline: compounding powder, oral capsule, oral solution

Nervous system

Nearly all selective serotonin reuptake inhibitors, mixed serotonin/norepinephrine reuptake inhibitors, and tricyclic antidepressants cause sleep abnormalities to some extent. These antidepressants have marked dose-dependent effects on rapid eye movement (REM) sleep, causing reductions in the overall amount of REM sleep over the night and delays the first entry into REM sleep (increased REM sleep onset latency (ROL)), both in healthy subjects and depressed patients. The antidepressants that increase serotonin function appear to have the greatest effect on REM sleep. The reduction in REM sleep is greatest early in treatment, but gradually returns towards baseline during long-term therapy; however, ROL remains long. Following discontinuation of therapy the amount of REM sleep tends to rebound. Some of these drugs (i.e., bupropion, mirtazapine, nefazodone, trazodone, trimipramine) appear to have a modest or minimal effect on REM sleep.

Nervous system side effects have been common. Although nortriptyline is one of the least sedating tricyclic antidepressants, drowsiness has been reported. General stimulation (manifested by insomnia and subjective and objective evidence of increased activity) has been reported. Dizziness, sleep abnormalities, myoclonus, and cognitive impairment (especially in the elderly) have also been reported.

Other

One study has suggested that use of parasympathomimetic agents, such as bethanechol chloride, may ameliorate some of the anticholinergic effects of nortriptyline (the active ingredient contained in Aventyl Hydrochloride) particularly in elderly patients.

Other side effects have included anticholinergic effects such as dry mouth, blurry vision, constipation, and urinary retention which have been reported frequently.

Cardiovascular

Both antiarrhythmic and proarrhythmic effects have been reported in association with nortriptyline (the active ingredient contained in Aventyl Hydrochloride) therapy. Caution should be exercised if nortriptyline must be used in patients with cardiovascular disease.

One study has found a the relative risk of myocardial infarction to be 2.2 times greater in patients receiving tricyclic antidepressants including nortriptyline.

Cardiovascular side effects have included orthostatic hypotension, tachycardia, syncope, PR interval prolongation, bundle branch blocks, and ventricular arrhythmias.

General

General side effects have included weight gain which has been frequently associated with the use of nortriptyline (the active ingredient contained in Aventyl Hydrochloride)

Endocrine

Endocrine side effects have been uncommon. Increased insulin sensitivity and hyponatremia (in association with SIADH) have been reported.

Gastrointestinal

Gastrointestinal side effects have most frequently included constipation and dry mouth. Diarrhea and vomiting have also been reported.

Other

Although nortriptyline (the active ingredient contained in Aventyl Hydrochloride) is not addicting, physical symptoms of withdrawal after abrupt discontinuation of tricyclic antidepressants have occurred. (Withdrawal from nortriptyline, however, has been reported less frequently than with other tricyclics.)

Hematologic

Hematologic side effects have been rare. A case of reversible neutropenia has been associated with the use of this drug.

Respiratory

Respiratory system side effects have been rare. A case report has suggested that nortriptyline (the active ingredient contained in Aventyl Hydrochloride) may depress CO2 sensitivity and ventilatory control in patients with chronic obstructive pulmonary disease.

Hepatic

Hepatic side effects have included case reports of hepatotoxicity associated with the use of nortriptyline (the active ingredient contained in Aventyl Hydrochloride) A case of fulminant hepatic failure has also been reported.

Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. This information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs.com does not assume any responsibility for any aspect of healthcare administered with the aid of materials provided. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist.

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