Before the advent of newer forms of medications to fight the symptoms of mental depression, doctors often prescribed tricyclic antidepressants, or TCAs. When newer medications do not have the desired results, physicians still will prescribe TCAs such as nortriptyline. It functions, MayoClinic.com states, by causing specific neurotransmitter levels to increase in the patient's brain. Nortriptyline comes as a solution, capsule or pill. Serious side effects of nortriptyline only occur rarely.
Sexual Changes
Nortriptyline can cause non-serious and temporary side effects affecting the patient's sexual activities. In men, it can cause temporary impotence, or the inability to get and keep an erection, Drugs.com indicates. In men and women, the medication may cause the level of sexual desire to change, as well as the ability to perform sexually. None of the sexual side effects of nortriptyline classify as serious, but if they cause concern, MedlinePlus recommends consulting the doctor for help.
Stomach Problems
Nortriptyline, like many medications, can cause stomach upset at the onset of treatment. The patient may feel nauseated and this can result in vomiting, Drugs.com indicates. Changes in appetite can also occur, and a patient may gain or lose weight without intending to do so, MedlinePlus indicates. These side effects classify as non-serious and should end without medical assistance.
Waste Elimination Problems
The use of nortriptyline can affect normal waste elimination connected with the urinary tract and digestive system. This antidepressant medication can cause increased urination, as well as difficulty urinating. Constipation accompanied by cramps may also occur. MedlinePlus recommends talking with a physician if these problems continue.
Mental Problems
Nortriptyline can also cause some temporary and non-serious side effects that can affect the mental state of the patient. It can induce nightmares, especially upon first use of the drug. It also can make the patient feel overly anxious without provocation, or excited without cause. Physicians expect these problems to fade like other non-serious side effects, as the body adjusts to the medication.



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