NORTRIPTYLINE

Clinical Indication

Use if amitriptyline not tolerated

Comments

Second Choice

Not licensed for use in neuropathic pain.

Note tablets are usually more cost effective then capsules

Exception is 50mg tablets are very expensive and should not be used in LLR. It is much more cost effective to use 2 x 25mg tablets.

Date of classification

May 2026

Green

Medicines which could be started in any health care setting and do not require oversight by a specialist and which primary care would have full responsibility for prescribing and monitoring.