Sensibal 25 mg Tablet (Nortriptyline Hydrochloride)

Adult dose

Adults: The initial dose is 10-25㎎ of nortriptyline per dose orally 3 times daily. Thereafter, gradually increase the dose if necessary while monitoring symptoms and adverse effects. A maximum of 150㎎ per day may be administered in 2-3 divided doses. Adjust the dose as appropriate according to age and symptoms.

This medication is used to treat depression and psychiatric disorders, and its safety has not been established in children and adolescents under 18 years of age, hence it is not approved for use in this population. This medication is a type of antidepressant and may increase the risk of suicidal thoughts or behaviors in young adults (ages 18 to 24), so physicians should carefully consider the need for treatment and the associated risks. This medication should not be used in patients with certain conditions. For example, patients with hypersensitivity to tricyclic antidepressants, patients with a history of glaucoma, myocardial infarction, severe cardiac conduction disturbances, urinary retention, acute toxic states, acute delirium, pyloric stenosis, paralytic ileus, severe liver disease, mania, breastfeeding women, patients under 18 years of age, and those with genetic issues such as lactose intolerance should not take this medication. Cautious administration is required for specific patient populations such as those with heart disease, hyperthyroidism, epilepsy, bipolar disorder, organic brain disorders, tendencies towards schizophrenia, urinary difficulties, elevated intraocular pressure, and elderly patients; meticulous observation for potential side effects is essential. During treatment, various side effects may occur, including neurological symptoms, blood abnormalities, digestive issues, neuroleptic malignant syndrome, endocrine disturbances, circulatory issues, musculoskeletal problems, symptoms due to anticholinergic effects, allergic reactions, and liver dysfunction, so immediate consultation with a physician is warranted if these symptoms appear. Additionally, this medication may cause drowsiness or impaired concentration, so driving or operating hazardous machinery should be avoided, and patients and caregivers should closely monitor any suicidal tendencies or changes in mental state and promptly inform healthcare providers if needed. This medication may interact with other drugs; caution is especially required when used in combination with MAO inhibitors, alcohol, central nervous system depressants, anticholinergic agents, antihypertensive medications, and certain heart-related drugs, making it important to inform the doctor of all medications being taken. Women who are pregnant or may become pregnant should consider that the use of this medication may affect the fetus, so the benefits and risks of treatment should be carefully weighed, and breastfeeding women should avoid taking this medication. Finally, this medication should be stored out of the reach of children, and transferring it to another container could compromise its quality and safety, so caution is advised.

Increased suicidal tendency, seizures, Parkinsonian symptoms such as tremors, ataxia, perceptual disturbances, hallucinations, delirium, insomnia, anxiety, agitation, tinnitus, drowsiness, coma, extrapyramidal symptoms, EEG changes, bone marrow dysfunction accompanied by agranulocytosis, leukopenia, eosinophilia, purpura, thrombocytopenia, intestinal paralysis, nausea, vomiting, loss of appetite, diarrhea, taste disturbances, motor paralysis, severe muscle rigidity, dysphagia, tachycardia, blood pressure changes, sweating, hyponatremia, increased urinary sodium excretion, excessive urination, convulsions, consciousness disturbances, gynecomastia, breast enlargement, milk leakage, increased or decreased libido, erectile dysfunction, increased or decreased blood sugar, hypotension, hypertension, tachycardia, palpitations, myocardial infarction, arrhythmia, syncope, Brugada syndrome, fractures, thirst, dysuria, increased intraocular pressure, accommodation disorders, constipation, nasal congestion, urinary retention, blurred vision, mydriasis, sublingual glossitis, rash, itching, photosensitivity, urticaria, jaundice, elevated AST, elevated ALT, involuntary movements, staggering, dizziness, fatigue, headache, sweating, frequent urination, nocturia

This medication should be stored in a tightly closed container to avoid exposure to air or moisture. Additionally, it should be kept away from extreme heat or cold, and it is advisable to store it at normal room temperature.

Appearance

White film-coated tablet

Package unit

300 tablets/bottle