NortriptylinePrices, Coupons & Savings

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*Based on the difference between the U&C price submitted and the price the patient paid, as of April 2023.

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  1. Medication
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  2. Nortriptyline HCl
    Generic for Pamelor
    30 capsules $4.2 USD
    Save $9.30
  3. Nortriptyline HCl
    Generic for Pamelor
    30 capsules $4.5 USD
    Save $9.00
  4. Nortriptyline HCl
    Generic for Pamelor
    60 capsules $5.7 USD
    Save $21.30
  5. Nortriptyline HCl
    Generic for Pamelor
    60 capsules $6.3 USD
    Save $20.70
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Do you need a prescription for nortriptyline?

Yes, nortriptyline is only available with a valid physician Rx.

How much is nortriptyline without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase nortriptyline, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for nortriptyline in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a nortriptyline savings card?

Yes. Save up to 90% on your nortriptyline with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a nortriptyline coupon provider in the US?

No. Now Patient does not provide nortriptyline coupons or FREE nortriptyline samples.

Do you accept commercial, Medicare or Medicaid coverage for nortriptyline in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use too much nortriptyline?


Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using nortriptyline. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you’ve used too much nortriptyline. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.


If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

US brand name of nortriptyline and manufacturer

Nortriptyline is available in the US under the brand names Aventyl and Pamelor. It is manufactured by Mallinckrodt Pharmaceuticals.

UK brand name of nortriptyline and manufacturer

Nortriptyline is available in the UK under the brand name Allegron.

Is nortriptyline available in the UK on the NHS?

Nortriptyline is available on the NHS in the UK. It can be prescribed by healthcare professionals for eligible patients.

Prescription requirement for nortriptyline

Nortriptyline is a prescription medication and requires a prescription from a healthcare provider.

FDA approval of nortriptyline

Nortriptyline has received FDA approval for the treatment of depression. It is also used off-label for other conditions such as chronic pain and migraines.

Active ingredient of nortriptyline and mechanism of action

Nortriptyline belongs to a class of medications known as tricyclic antidepressants (TCAs). It works by increasing the levels of certain chemicals in the brain, including serotonin and norepinephrine, which are involved in mood regulation.

Uses of nortriptyline

Nortriptyline is primarily used for the treatment of depression. It may also be prescribed off-label for the management of chronic pain, prevention of migraines, and other conditions as determined by a healthcare provider.

Forms of nortriptyline

Nortriptyline hydrochloride (HCL) is available in the form of oral tablets and capsules.

Dosage of nortriptyline

The dosage of nortriptyline will vary depending on the individual’s condition, response to treatment, and other factors. It is important to follow the medication guide provided by your healthcare provider.

Contraindications and warnings for nortriptyline

  • Nortriptyline may increase the risk of suicidal thoughts and behavior, particularly in children, adolescents, and young adults. Close monitoring is necessary during the initial phase of treatment
  • It may interact with other medications, so it is important to inform your healthcare provider about all the medications you are taking, including over-the-counter drugs, supplements, and herbal products
  • Nortriptyline should be used with caution in individuals with a history of cardiovascular disease, seizures, glaucoma, urinary retention, or liver problems
  • Nortriptyline may cause serotonin syndrome. Symptoms may include hallucinations, fever, fast heart rate, loss of coordination, nausea, and vomiting
  • Abrupt discontinuation of nortriptyline should be avoided to prevent withdrawal symptoms
  • Nortriptyline passes into breast milk. Speak to your doctor before breast-feeding

Side effects of nortriptyline

Common side effects of nortriptyline include:

  • Dry mouth
  • Drowsiness
  • Constipation
  • Blurred vision
  • Dizziness
  • Weight gain
  • Sexual dysfunction

It is important to report any serious side effects to your healthcare provider. Nortriptyline may cause life-threatening allergic reactions. Symptoms may include worsening chest pain, shortness of breath, trouble breathing and hives.

Interactions with other drugs

Nortriptyline may interact with several medications, including monoamine oxidase inhibitors (MAO inhibitors) such as (linezolid, metaxalone, methylene blue, phenelzine, selegiline, tranylcypromine), cimetidine, flecainide, medication for high blood pressure, propafenone, quinidine, selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine, paroxetine, and sertraline, St. John’s wort, and thyroid medication.

It is important to inform your healthcare provider about all the medications you are taking, including nonprescription over-the-counter drugs, supplements, and herbal products, to avoid any adverse effects and potential drug interactions.

Similar drugs to nortriptyline

Similar drugs include amitriptyline,



Now Patient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

Stefano Mirabello Medical Reviewer
Pharmacist / B.Pharm
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