Dutam Plus Tablet 
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NOTICE: unsafe with : Alcohol
USED FOR:
Depression
COMPOSITION:
Nortriptyline (NA)
Therapeutic Uses:
neuro cns
CAUTION
Dutam Plus Tablet may cause excessive drowsiness and calmness with alcohol.
WEIGH RISKS VS BENEFITS
Dutam Plus Tablet may be unsafe to use during pregnancy.Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
CAUTION
Dutam Plus Tablet is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.
Do not drive unless you are feeling well.As Dutam Plus Tablet may affect your alertness which may affect your ability to drive.
SAFE
Dutam Plus Tablet is safe to use in patients with kidney disease. No dose adjustment of Dutam Plus Tablet is recommended.
CAUTION
Dutam Plus Tablet should be used with caution in patients with liver disease. Dose adjustment of Dutam Plus Tablet may be needed. Please consult your doctor.Inform your doctor if you develop any signs and symptoms of jaundice while taking this medicine. Use of Dutam Plus Tablet is not recommended in patients with severe liver disease.
Uses of Dutam Plus Tablet
Dutam Plus Tablet is used in the treatment of depressionIt is used in patients intolerant of or unresponsive to alternative treatment options for depression.
How to use Dutam Plus Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Dutam Plus Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Dutam Plus Tablet works
Dutam Plus Tablet increases the levels of chemical messengers in the brain that help in regulating the mood and treat depression.
Common Sleepiness, Increased heart rate, Weight gain, Difficulty in urination, Orthostatic hypotension (sudden lowering of blood pressure on standing), Dryness in mouth, Constipation.
Expert advice for Dutam Plus Tablet
The main dose should be taken at night as this drug may produce drowsiness or sleepiness. It can take 4 to 6 weeks for Dutam plus to start working. You should continue the treatment for at least 6 months after you feel better to stop depression from coming back. If your doctor asks you to stop Dutam plus, you should reduce the dose slowly over 4 weeks. You should not discontinue it abruptly. Avoid driving or operating machinery as it may decrease alertness. Avoid consuming alcohol when taking the Dutam plus, as it may cause excessive drowsiness and calmness. The addiction/dependence potential of Dutam plus is very less. It may be extremely dangerous in overdose.
Q. Is Dutam plus an MAOI/SSRI?
No, they belong to class of medication called as tricyclic antidepressant
Q. Is Dutam plus same as amitryptiline?
Dutam plus and amitriptyline belongs to same category of drugs with similar action, but their effect may vary upon individual response
Q. Is Dutam plus safe?
Dutam plus is safe if used at prescribed doses for the prescribed duration as advised by your doctor
Q. What is Dutam plus/Sensival used for?
Dutam plus is used for the treatment of depression and nocturnal bed wetting (enuresis) in children
Q. Is Dutam plus like xenan?
No, xenan belongs to class of medication called as selective serotonin reuptake inhibitor
Q. Is Dutam plus a controlled substance?
No, Patients should follow the advice of the doctor regarding its use
Q. Can I take nortriptyline with ibubrufen/citalopram/ gabapentin/tramadol/hydrocodone/codeine/zopiclone/ clonazepam/Ambien (zolpidem)/Nyquil (antihistaminic)?
No possible interaction has been reported with these drugs. Patients should follow doctor's advice regarding its use
Q. Does Dutam plus cause weight loss/gain, acne, sleepiness, hair loss, dry mouth, memory loss?
Dutam plus may cause weight gain/loss, loss of hair, dry mouth. Always consult your doctor regarding possible side effects
Q. Can Dutam plus be used for treating pain (back pain)?
No, it is used to treat depression and nocturnal bed wetting.
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