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Additional Information: Do not share this medicine with farmacia nortriptyline others for whom it was not prescribed. Plasma levels of nortriptyline and 10-hydroxynortriptyline and treatment-related electrocardiographic changes in the elderly depressed: Journal of Psychiatric Research Vol 23 1989, 73-79. An individual who is stable on given dose of TCA may become abruptly toxic when given one of these inhibiting drugs as concomitant therapy. Be especially observant within the first few months of antidepressant treatment or whenever there is change in dose. Dangerous elevations in blood pressure may occur if TCA are combined with clonidine Catapres, Catapres-TTS. Comparative Study of the Efficacy and Safety Profiles Between Fluvoxamine and Nortriptyline in Japanese Patients with Major Depression: Pharmacopsychiatry Vol 38 Jan 2005, 30-35.