Northiaden

Northiaden (also known as Nortriptyline) is a tricyclic antidepressant (TCA) used in the treatment of clinical depression, neuropathic pain, and nocturnal enuresis. It is a secondary amine TCA, with its parent compound being desipramine. Northiaden is less sedating and has a lower risk of orthostatic hypotension than the tertiary amine TCAs such as amitriptyline.

Pharmacology

Northiaden works by inhibiting the reuptake of norepinephrine and, to a lesser extent, serotonin, thereby increasing the levels of these neurotransmitters in the brain. It also has anticholinergic properties which can lead to side effects such as dry mouth, constipation, and blurred vision.

Clinical Use

Northiaden is primarily used in the treatment of major depressive disorder. It is also used off-label for the treatment of chronic pain and nocturnal enuresis. The efficacy of Northiaden in the treatment of chronic pain is believed to be due to its effects on the central nervous system rather than its antidepressant effects.

Side Effects

Common side effects of Northiaden include dry mouth, constipation, blurred vision, and dizziness. More serious side effects can include cardiac arrhythmias, orthostatic hypotension, and serotonin syndrome when used in combination with other serotonergic drugs.

Contraindications

Northiaden is contraindicated in patients with a history of cardiac arrhythmias, recent myocardial infarction, or any degree of heart block. It is also contraindicated in patients who are currently taking monoamine oxidase inhibitors (MAOIs).

See Also

• Tricyclic antidepressant
• Desipramine
• Amitriptyline
• Serotonin syndrome