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Among the antidepressants, only fluoxetine is approved for use in treating MDD in pediatric patients. It is desirable to monitor TCA plasma levels whenever TCA is going to be co-administered with another drug known to be an inhibitor of P450 2D6. The concomitant administration of quinidine and Nortriptyline may result in significantly longer plasma half-life, higher AUC, and lower clearance of Nortriptyline. Older adults may be more likely to have side effects from this medication. Adverse Reactions Note: Included in the following nortriptyline korting list are few adverse reactions that have not been reported with this specific drug. Screening Patients for Bipolar Disorder major depressive episode may be the initial presentation of bipolar disorder.

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