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Side effects stem mainly from the anticonvulsant component; B vitamins are generally well tolerated in therapeutic doses. Common adverse effects include:

Nortriptyline is a tricyclic antidepressant (TCA). In pain management, it is utilized at a much lower dosage than what is required to treat clinical depression. It works by preventing the reabsorption (reuptake) of two key chemical messengers: and noradrenaline . Increasing the availability of these neurotransmitters in the synaptic gaps of the spinal cord amplifies the body’s natural pain-inhibiting pathways (descending inhibitory pathways), effectively blocking incoming pain messages from registering in the brain. Primary Medical Uses avinerve xt tablet