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Nortriptyline Tapering Guide

nortriptyline

TCAFDA 1964
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Boxed Warning

Suicidality risk in children, adolescents, and young adults under 25 during initial treatment.

Overview

Nortriptyline is a secondary amine tricyclic antidepressant and the active metabolite of amitriptyline. It is used for major depressive disorder and off-label for neuropathic pain, migraine prophylaxis, and smoking cessation. It is better tolerated than amitriptyline with fewer anticholinergic and sedative effects.

Common Doses

10mg, 25mg, 50mg, 75mg

Formulations

Capsules: 10mg, 25mg, 50mg, 75mg; Oral solution: 10mg/5mL

Pregnancy

Category D (positive evidence of risk)

Mechanism of Action

Primarily inhibits norepinephrine reuptake, with lesser serotonin reuptake inhibition. Has less anticholinergic, antihistaminic, and alpha-adrenergic blocking activity compared to tertiary amine TCAs like amitriptyline.

Taper Notes

Available in capsule and liquid forms. Less anticholinergic than amitriptyline.

Hyperbolic Tapering Guidance

Oral solution (10mg/5mL) available for gradual reductions. Less sedating than amitriptyline, withdrawal may be milder.

Summary written by TaperCommunity, informed by the Maudsley Deprescribing Guidelines (Horowitz & Taylor) and related literature — see Sources & References below. Not affiliated with or endorsed by the Maudsley.

Common Withdrawal Symptoms

insomnianauseaanxietyheadacheirritability

Interactions & Safety

Drug Interactions

  • MAOIs — contraindicated (hypertensive crisis and serotonin syndrome)
  • CYP2D6 inhibitors (fluoxetine, paroxetine, bupropion) significantly increase nortriptyline levels
  • QT-prolonging drugs increase arrhythmia risk

Food Interactions

  • Food does not significantly affect absorption
  • Avoid alcohol (additive CNS depression)
  • Grapefruit juice may modestly increase levels

Contraindications

  • MAOIs within 14 days
  • Acute recovery period post-myocardial infarction
  • Known hypersensitivity to nortriptyline

Toxicity

Cardiotoxic in overdose (QRS widening, arrhythmias), though less toxic than amitriptyline. Therapeutic drug monitoring recommended (therapeutic window 50–150 ng/mL).

Pharmacokinetics

ADME Profile

Absorption

Well absorbed after oral administration. Bioavailability ~46–70%. Tmax 3–12 hours. Food does not significantly affect absorption.

Distribution

~21 L/kg

Metabolism

Hepatic via CYP2D6 (primary) to 10-hydroxynortriptyline and other hydroxylated metabolites. Also metabolized by CYP2C19 and CYP3A4.

Elimination

Renal (~40% as metabolites) with ~2% unchanged in urine. Fecal excretion minor.

Protein Binding

~93–95%

Clearance

~500 mL/min (apparent oral clearance, highly variable depending on CYP2D6 status)

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Sources & References

Nortriptyline (nortriptyline) information on this page is sourced from peer-reviewed research, regulatory bodies, clinical guidelines, and patient-advocacy organizations.

Encyclopedic & chemical databases

Neutral, high-authority entity references.

Deprescribing-specific resources

Clinician-facing references on tapering protocols.

Patient-advocacy & lived-experience

Long-running communities documenting withdrawal experience.

TaperCommunity does not provide medical advice. Always consult a qualified prescriber before adjusting psychiatric medication.