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Written By Urvashi Bharti , MBBS
Reviewed By Sunny S , MBBS

About Neptimer-25 Tablet 10's

Neptimer-25 Tablet 10's belongs to a group of medicines called 'tricyclic antidepressants' primarily used to treat depression. Additionally, it is also used to treat neuropathic pain and bedwetting at night. Depression is a mental illness or disorder characterized by persistently depressed mood or loss of interest in activities, causing significant impairment in daily life.

Neptimer-25 Tablet 10's contains Nortriptyline that works by affecting certain chemical messengers (serotonin, norepinephrine) in the brain which communicate between brain cells, thereby regulating mood and preventing depression. Besides this, Neptimer-25 Tablet 10's also the transmission of pain signals, thereby provides relief from neuropathic pain.

Take Neptimer-25 Tablet 10's as prescribed by your doctor. You are advised to take Neptimer-25 Tablet 10's for as long as your doctor has prescribed it for you depending on your medical condition and response to the treatment. In some cases, you may experience certain common side-effects such as increased heart rate, flushing, drowsiness, weight gain, difficulty in urination, orthostatic hypotension (sudden lowering of blood pressure on standing), dryness in the mouth, tingling in the arms or legs, blurred vision (dilated pupils). Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

To treat your condition effectually, continue taking Neptimer-25 Tablet 10's for as long as your doctor has prescribed. Inform your doctor if you have suicidal ideation or behavior symptoms, heart disease, seizure disorders, glaucoma, thyroid problems, kidney and liver problems. Do not take Neptimer-25 Tablet 10's if you are pregnant or breastfeeding unless prescribed by the doctor. The safety and effectiveness in children less than 18 years of age have not been established, so Neptimer-25 Tablet 10's should not be given to them. Avoid consuming alcohol along with Neptimer-25 Tablet 10's as it could lead to increased drowsiness and dizziness. Consult your doctor immediately if you have suicidal thoughts such as killing or harming yourself. Rise slowly from sitting or lying position as Neptimer-25 Tablet 10's causes orthostatic hypotension (sudden lowering in blood pressure leading to dizziness on standing). Keep your doctor informed about your health condition and medicines to rule out any side effects.

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Whats That

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Non returnable*
COD available

Online payment accepted

Consume Type

ORAL

Return Policy

3 Days Returnable

Expires on or after

Apr-24

for this medicine

Uses of Neptimer-25 Tablet 10's

Depression

Medicinal Benefits

Neptimer-25 Tablet 10's belongs to a group of medicines called tricyclic antidepressants used to prevent depression. It works by affecting certain chemical messengers (serotonin and/or norepinephrine) in the brain which communicate between brain cells, thereby helps in regulating mood and treats depression. Neptimer-25 Tablet 10's prevents the transmission of pain signals, thereby provides relief from neuropathic pain.

Side Effects of Neptimer-25 Tablet 10's

  • Increased heart rate
  • Flushing
  • Drowsiness
  • Weight gain
  • Difficulty in urination
  • Constipation
  • Orthostatic hypotension (sudden lowering of blood pressure on standing)
  • Dryness in the mouth
  • Tingling in the arms or legs
  • Blurred vision

Directions for Use

Tablet/capsule: Take it with or without food as advised by your doctor and swallow it as a whole with a glass of water. Do not crush, chew or break it.Oral solution: Shake the bottle before use. Check the label for directions and take it as prescribed by your doctor with the help of a measuring cup provided with the pack.

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

Do not take Neptimer-25 Tablet 10's if you are known to be allergic to Neptimer-25 Tablet 10's. Inform your doctor if you have suicidal ideation or behaviour symptoms, have heart rhythm problems or hypotension, heart disease, seizure disorders, bone marrow suppression, diabetes, schizophrenia, bipolar disorder, acute alcohol intoxication, glaucoma, thyroid problems, kidney and liver problems. Do not take Neptimer-25 Tablet 10's if you are pregnant or breastfeeding unless prescribed by the doctor. Neptimer-25 Tablet 10's should not be given to the children less than 18 years of age, as its safety and efficacy have not been established. Avoid consuming alcohol along with Neptimer-25 Tablet 10's as it could lead to increased drowsiness and dizziness. Rise slowly from sitting or lying position as Neptimer-25 Tablet 10's causes orthostatic hypotension (sudden lowering in blood pressure leading to dizziness on standing).

Therapeutic Class

ANTIDEPRESSANT

Drug-Drug Interactions

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NortriptylineZiprasidone
Critical
NortriptylineIsocarboxazid
Critical

Drug-Drug Interactions

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NortriptylineZiprasidone
Critical
How does the drug interact with Neptimer-25 Tablet 10's:
Coadministration of Neptimer-25 Tablet 10's with Ziprasidone can increase the risk or severity of irregular heart rhythm.

How to manage the interaction:
Taking Neptimer-25 Tablet 10's with Ziprasidone together can result in an interaction, it can be taken if your doctor has advised it. However, contact a doctor immediately if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, severe or prolonged diarrhea, or vomiting. Do not discontinue any medications without consulting a doctor.
NortriptylineIsocarboxazid
Critical
How does the drug interact with Neptimer-25 Tablet 10's:
Using Neptimer-25 Tablet 10's together with Isocarboxazid can increase the risk of serotonin syndrome (A condition resulting from the accumulation of high levels of serotonin in the body. Serotonin is especially a mood stabilizer).

How to manage the interaction:
Taking Isocarboxazid with Neptimer-25 Tablet 10's is not recommended, please consult your doctor before taking it. However, if you experience increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasms or stiffness, tremors, incoordination, stomach cramps, nausea, vomiting, and diarrhea call a doctor. Do not discontinue any medications without consulting a doctor.
NortriptylinePotassium citrate
Critical
How does the drug interact with Neptimer-25 Tablet 10's:
Coadministration of Neptimer-25 Tablet 10's with Potassium citrate can increase the risk or severity of gastric bleeding, ulceration, and rarely, perforation leading to serious blood loss.

How to manage the interaction:
Taking Neptimer-25 Tablet 10's with Potassium citrate together is not recommended as it can result in an interaction, it can be taken if your doctor has advised it. However, if you notice any unusual bleeding or bruising, dizziness, lightheadedness, abdominal pain, bloating, decreased hunger, red or black tarry stools, coughing up or vomiting blood, severe headache, and weakness, you should contact a doctor immediately. Do not stop using any medications without talking to a doctor.
NortriptylineLinezolid
Critical
How does the drug interact with Neptimer-25 Tablet 10's:
Coadministration of Neptimer-25 Tablet 10's with Linezolid might raise serotonin hormone levels in the body, affecting the brain and nerve cells. Increased serotonin hormone can lead to side effects.

How to manage the interaction:
Taking Neptimer-25 Tablet 10's with Linezolid together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremors, incoordination, stomach cramps, nausea, vomiting, and diarrhea contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
NortriptylineTranylcypromine
Critical
How does the drug interact with Neptimer-25 Tablet 10's:
Coadministration of Neptimer-25 Tablet 10's with Tranylcypromine can increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Taking Neptimer-25 Tablet 10's with Tranylcypromine together can result in an interaction, but can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucination(seeing and hearing things that do not exist), fits, blood pressure alteration, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting your doctor.
NortriptylineSafinamide
Critical
How does the drug interact with Neptimer-25 Tablet 10's:
Coadministration of Neptimer-25 Tablet 10's with Safinamide may increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Taking Neptimer-25 Tablet 10's with Safinamide together can result in an interaction, but can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucination(seeing and hearing things that do not exist), fits, blood pressure alteration, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and loose stools. Do not discontinue any medications without consulting your doctor.
NortriptylineSelegiline
Critical
How does the drug interact with Neptimer-25 Tablet 10's:
Co-administration of Neptimer-25 Tablet 10's with Selegiline might raise serotonin hormone levels in the body (A condition in which a chemical called serotonin builds up in your body).

How to manage the interaction:
Taking Neptimer-25 Tablet 10's with Selegiline together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience confusion, hallucination, fits, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremors, incoordination, stomach cramps, nausea, vomiting, and diarrhea, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
NortriptylineRizatriptan
Severe
How does the drug interact with Neptimer-25 Tablet 10's:
Coadministration of Neptimer-25 Tablet 10's with Rizatriptan can increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Although there is a possible interaction between Neptimer-25 Tablet 10's and Rizatriptan, it can be taken if your doctor has advised it. If you notice any of these symptoms like confusion, hallucination, fits, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, shaking of hands and legs, incoordination, stomach cramps, nausea, vomiting, and loose stools, contact a doctor. Do not discontinue any medications without consulting a doctor.
NortriptylineNorepinephrine
Severe
How does the drug interact with Neptimer-25 Tablet 10's:
Neptimer-25 Tablet 10's can enhance the effects of Norepinephrine on blood pressure.

How to manage the interaction:
Although taking Norepinephrine and Neptimer-25 Tablet 10's together can cause an interaction, it can be taken if your doctor has suggested it. It's important to keep an eye on your blood pressure regularly. Do not stop using any medications without a doctor's advice.
NortriptylineDroperidol
Severe
How does the drug interact with Neptimer-25 Tablet 10's:
Using Droperidol together with Neptimer-25 Tablet 10's can increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Taking Neptimer-25 Tablet 10's with Droperidol together can result in an interaction, but it can be taken if your doctor has advised it. If you have any of these symptoms, it's important to contact a doctor right away: an irregular heart rhythm, a heart condition, a condition called congenital long qt syndrome, problems with your heart's electrical system, prolonged diarrhea or vomiting, complications, sudden dizziness or lightheadedness, fainting, difficulty breathing, heart palpitations, weakness, feeling sleepy or confused, muscle pain, or feeling nauseous or vomiting. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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Drug-Drug Interactions Checker List

  • MOCLOBEMIDE
  • PHENELZINE
  • ISOCARBOXAZID
  • TRANYLCYPROMINE
  • SELEGILINE
  • DILTIAZEM
  • VERAMAPIL
  • GUANETHIDINE
  • CLONIDINE
  • METHYLDOPA
  • TRAMADOL
  • TRAZODONE
  • HYDROCODONE
  • OXYCODONE
  • BUPROPION
  • DULOXETINE
  • DIPHENHYDRAMINE
  • CETIRIZINE
  • ZOLPIDEM
  • FLUCONAZOLE
  • TERBINAFINE
  • LEVOTHYROXINE SODIUM

Diet & Lifestyle Advise

  • Maintain a healthy diet and exercise regularly helps in improving overall health and boosts self-esteem.
  • Regularly attend therapy sessions.
  • Perform meditation and yoga. This helps in relieving stress and provides relaxation.
  • Follow a regular sleep pattern to improve the amount and quality of sleep you get.
  • Include foods rich in omega fatty acids such as fish, nuts, fresh fruits, vegetables and olive oils.
  • Neurotransmitters are made up of amino acids. Amino acid-rich foods such as meat, dairy products and certain fruits and vegetables help in the proper maintenance of neurotransmitters. 
  • Complex carbohydrates help in stimulating serotonin (a feel-good neurotransmitter). These include whole grains, legumes, spinach, broccoli, oranges and pears.
  • Exercising helps in the production of the body’s natural antidepressants. It also helps in relieving stress, improving mood, boosts self-esteem and provides restful sleep.
  • Avoid smoking and alcohol consumption.
  • Learn about your condition, understand the risk factors and follow the doctor’s treatment plan.

Habit Forming

No

Special Advise

  • Neptimer-25 Tablet 10's may increase the risk of suicidal thoughts and behavior for people younger than 24 years. If you have symptoms of suicidal ideation or behavior, please consult your doctor before taking Neptimer-25 Tablet 10's.
  • Do not use Neptimer-25 Tablet 10's if you have used an MAO inhibitor in the past 14 days, as a dangerous drug interaction could occur.
  • Neptimer-25 Tablet 10's may increase your risk of seizures. If you have a history of seizures, your doctor will monitor you more closely. 

Author Details

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Disease/Condition Glossary

Depression: It is a mood disorder characterized by the feeling of sadness, unhappiness, anger, hopelessness, or loss that interferes with a person’s daily activities. Depression can also influence some chronic health conditions and relationships. The exact cause of depression is unknown, but it may be associated with mental problems, trauma, family history, drug use and medical conditions.

Neptimer-25 Tablet 10's Substitute

Substitutes safety advice
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