{"id":22844,"date":"2022-07-13T07:18:38","date_gmt":"2022-07-13T07:18:38","guid":{"rendered":"https:\/\/zeepedia.com\/?p=22844"},"modified":"2022-07-13T11:01:34","modified_gmt":"2022-07-13T11:01:34","slug":"sensaval","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/sensaval\/","title":{"rendered":"Sensaval &#8211; Nortriptyline uses, dose and side effects"},"content":{"rendered":"\n<p>25 mg film-coated tablets<br>nortriptyline<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Sensaval is and what it is used for<\/h2>\n\n\n\n<p>Sensaval belongs to a group of medicines called tricyclic antidepressants.&nbsp;Sensaval affects the uptake of the substances that regulate the transfer between nerve cells in the brain.&nbsp;Disorders in the transmission of impulses in the brain are considered an important factor in the development of depression.<\/p>\n\n\n\n<p>Sensaval is used to treat depression.<\/p>\n\n\n\n<p>Nortriptyline contained in Sensaval may also be approved for the treatment of other conditions not mentioned in this leaflet.\u00a0Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Sensaval<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Sensaval<\/h2>\n\n\n\n<p><strong>Do not take Sensaval<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you are allergic to nortriptyline or any of the other ingredients of this medicine (listed in section 6).<\/li><li>If you have recently had a heart attack.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Sensaval.&nbsp;This is especially true if you have:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Epilepsy<\/li><li>Difficulty urinating<\/li><li>Enlarged\u00a0prostate<\/li><li>Overactive\u00a0thyroid gland<\/li><li>Hepatic impairment<\/li><li>Heart disease e.g.\u00a0heart failure,\u00a0arrhythmia.<\/li><li>Schizophrenia<\/li><\/ul>\n\n\n\n<p><em>If you start to feel worse and have thoughts of harming yourself<\/em><\/p>\n\n\n\n<p>You who are depressed can sometimes have thoughts of harming yourself or committing suicide.\u00a0These symptoms may worsen when you start using antidepressants, as it takes time for this type of medicine to take effect,\u00a0<em>usually about 2 weeks, sometimes longer<\/em>.<\/p>\n\n\n\n<p>These thoughts may be common:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you have previously had thoughts of harming yourself or committing suicide.<\/li><li>If you are\u00a0<em>younger than 25 years<\/em>.\u00a0Studies have shown that adults under the age of 25 with mental illness who are treated with antidepressant drugs have an increased risk of suicidal thoughts and thoughts of harming themselves.<\/li><\/ul>\n\n\n\n<p><em>Contact a doctor as soon as possible or see a hospital<\/em>&nbsp;if you have thoughts of injuring yourself or committing suicide.<\/p>\n\n\n\n<p><em>It can be helpful to tell a relative or close friend<\/em>&nbsp;that you are depressed.&nbsp;Feel free to ask them to read this leaflet.&nbsp;You can also ask them to tell you if they think you are feeling worse or if they think your behavior is changing.<\/p>\n\n\n\n<p>Sensaval can cause\u00a0dry mouth, which increases the risk of cavities in the teeth.\u00a0It is therefore important that you make sure you brush your teeth.<\/p>\n\n\n\n<p>If you have been treated for depression with a so-called MAO inhibitor in the last two weeks, you should not use Sensaval.<\/p>\n\n\n\n<p><em>Contact a doctor if<\/em>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you get an\u00a0infection\u00a0with symptoms such as fever with severely deteriorating general condition or fever with local infection symptoms such as sore throat\/throat\/mouth or urination problems, you should see a doctor as soon as possible so that a blood test can rule out a lack of\u00a0white blood cells\u00a0(\u00a0agranulocytosis\u00a0).\u00a0It is important that you then have information about your medication.<\/li><li>you get blurred vision and pain in the eye.\u00a0This may be a sign of\u00a0glaucoma\u00a0(\u00a0glaucoma\u00a0).<\/li><li>you have a manic depressive illness and during treatment with Sensaval go into a manic phase.\u00a0This is characterized by unusual and rapidly changing thoughts, unmotivated joy, and excessive physical activity.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Do not give this medicine to children and adolescents under 18 years of age for these diseases as safety and efficacy have not been established for this age group.<\/p>\n\n\n\n<p>Studies of other antidepressants have shown a risk of\u00a0side effects\u00a0such as suicide attempts, suicidal ideation, and hostility in patients under 18 years of age.\u00a0This risk may also exist for Sensaval.\u00a0Despite this, Sensaval can be prescribed by a doctor to patients under the age of 18, if the doctor deems it appropriate.\u00a0If you are under 18 years of age and want to discuss why you have been given this medicine, consult your doctor again.<\/p>\n\n\n\n<p>You should also inform your doctor if you notice any of the above symptoms or if the symptoms worsen.\u00a0The long-term effects on growth, maturity, intellectual functions, and behavioral development have not yet been established for children and adolescents under 18 years of age.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Sensaval<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including medicines obtained without a prescription.<\/p>\n\n\n\n<p>Sensaval can affect the effects of, or be affected by, among other things, the following drugs:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>cimetidine (medicine for\u00a0stomach ulcers\u00a0).<\/li><li>clonidine\u00a0(medicine for high\u00a0blood pressure\u00a0).<\/li><li>an opioid\u00a0is, e.g.\u00a0codeine, tramadoldextropropoxyphenephene\u00a0(painkillers).<\/li><li>ibuprofen,\u00a0diclofenac\u00a0with more so-called\u00a0NSAIDs\u00a0(painkillers and anti-inflammatory\u00a0drugs).<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tiplo-citrus\/\">acetylsalicylic acid<\/a>\u00a0with more so-called\u00a0anticoagulants\u00a0(blood-thinning drugs).<\/li><li>carbamazepine, phenobarbital (antiepileptic medicine\u00a0)\u00a0.<\/li><li>fluoxetine,\u00a0paroxetine\u00a0venlafaxine,\u00a0and sertraline\u00a0(antidepressants).<\/li><li>thioridazine, perfenazine, zuclopenthixol,\u00a0haloperidol,\u00a0risperidone, chlorpromazine (so-called\u00a0neuroleptics, anti-schizophrenia drugs,\u00a0psychosis,\u00a0and more).<\/li><li>bupropion (a drug for nicotine addiction).<\/li><li>fluconazole\u00a0, terbinafine (antifungal medicine).<\/li><li>quinidine,\u00a0propafenone,\u00a0and flecainide\u00a0(medicines that affect the heart rhythm).<\/li><li>promethazine and similar so-called\u00a0antihistamines\u00a0(medicines for\u00a0allergies,\u00a0itching, motion sickness, anxiety).<\/li><li>adrenaline\u00a0(medicines for cardiac arrest, severe\u00a0allergic reaction,\u00a0and\u00a0asthma\u00a0).<\/li><li>dopamine\u00a0(a drug for shock).<\/li><li>valproic acid\u00a0(medicines used to treat\u00a0epilepsy\u00a0and\u00a0bipolar disorder\u00a0)<\/li><\/ul>\n\n\n\n<p>If you are going to have an operation and will be anesthetized or have\u00a0local anesthesia, tell your doctor that you are taking Sensaval.\u00a0You should also tell your dentist if you will be given a\u00a0local anesthetic.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Sensaval with food, drink, and alcohol<\/h2>\n\n\n\n<p>Alcohol should be avoided during treatment with Sensaval as the negative effects of alcohol may be exacerbated.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before using this medicine.<\/p>\n\n\n\n<p>There is a risk that the fetus is affected.&nbsp;Therefore, always consult a doctor before using Sensaval during pregnancy.<\/p>\n\n\n\n<p>The active substance in Sensaval passes into breast milk.\u00a0A breastfed baby may be affected.\u00a0Therefore, do not use Sensaval during breastfeeding unless directed to do so\u00a0by\u00a0a doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Sensaval can in some people impair the ability to react, which should be kept in mind at times when sharper attention is required, e.g.&nbsp;while driving and precision work.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased vigilance.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Descriptions of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Sensaval contains excipients<\/h2>\n\n\n\n<p>Sensaval contains&nbsp;lactose&nbsp;.&nbsp;If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Sensaval<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p>If you have the impression that the effect of Sensaval is too strong or too weak, talk to your doctor or pharmacist.<\/p>\n\n\n\n<p><em>Adults<\/em><\/p>\n\n\n\n<p>The recommended starting dose is 25 mg three times a day, which your doctor may gradually increase to 50 mg three times a day (a total of 150 mg daily).<\/p>\n\n\n\n<p><em>Elderly patients<\/em><\/p>\n\n\n\n<p>The recommended starting dose is 25 mg daily, which your doctor may gradually increase to a total of 100 &#8211; 150 mg daily.<\/p>\n\n\n\n<p><em>Duration of treatment<\/em><\/p>\n\n\n\n<p>As with other antidepressants, it may take a few weeks before you begin to feel any improvement.<\/p>\n\n\n\n<p>The duration of treatment is individual and usually at least 6 months.\u00a0The duration of treatment is determined by your doctor.\u00a0Keep taking the tablets for as long as your doctor recommends it.\u00a0Do not stop treatment if you start to feel better.\u00a0The underlying disease may persist for a long time and if you stop treatment too soon, the symptoms may return.\u00a0Never change the\u00a0dosage\u00a0without first talking to your doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Use for children and adolescents<\/h2>\n\n\n\n<p>Sensaval should not be given not to children and adolescents under 18 years.&nbsp;For further information see section 2.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Sensaval than you should &nbsp;<\/h2>\n\n\n\n<p>If you have ingested too much medicine or if e.g.&nbsp;a child has ingested<\/p>\n\n\n\n<p>the medicine accidentally contact a doctor or hospital for risk assessment and advice.\u00a0Do this even if you \/ the child does not notice any symptoms.\u00a0Take the Sensaval pack with you when contacting your doctor or hospital.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Sensaval<\/h2>\n\n\n\n<p>If you forget to take a\u00a0dose, take the next\u00a0dose\u00a0at the usual time.\u00a0Do not take a double\u00a0dose\u00a0to make up for a forgotten\u00a0dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Sensaval<\/h2>\n\n\n\n<p>Your doctor will decide when and how to stop your treatment to avoid unpleasant symptoms that may occur on abrupt termination (eg headache, malaise, drowsiness, irritability).<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>This medicine can cause\u00a0side effects\u00a0like all medicines, although not everybody gets them.<\/p>\n\n\n\n<p>If you get any of the following symptoms, stop taking this medicine and see a doctor immediately:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Recurrent blurred vision, rainbow vision, and eye pain.\u00a0Your eyes should be examined immediately before treatment with this medicine can continue.\u00a0This may be a sign of\u00a0acute\u00a0glaucoma.\u00a0Increased pressure in the eye usually has no signs or symptoms but is\u00a0a significant\u00a0risk factor for\u00a0glaucoma.\u00a0Uncommon\u00a0side effects\u00a0may affect up to 1 in 100 people.<\/li><li>Severe constipation, swollen stomach, fever, and vomiting (intestinal obstruction).\u00a0Rare\u00a0side effects\u00a0may affect up to 1 in 1,000 people.<\/li><li>Yellow skin or yellow whites of the eyes (jaundice).\u00a0Rare\u00a0side effects\u00a0may affect up to 1 in 1,000 people.<\/li><li>Bruising, bleeding, pallor, or persistent sore throat and fever (blood effects such as decreased\u00a0white blood cell count\u00a0(\u00a0agranulocytosis\u00a0see Warnings and Precautions)).\u00a0Rare\u00a0side effects\u00a0may affect up to 1 in 1,000 people.<\/li><li>Thoughts of harming oneself or committing suicide.\u00a0Adverse reactions\u00a0with unknown frequency, can not be calculated from the available data.<\/li><\/ul>\n\n\n\n<p>Other&nbsp;side effects&nbsp;may occur.<\/p>\n\n\n\n<p><em>Very common&nbsp;side effects&nbsp;(may affect more than 1 user in 10):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Sweating<\/li><li>Tremor (&nbsp;tremor&nbsp;)<\/li><li>Headache<\/li><li>Disorder of the eye&#8217;s ability to focus<\/li><li>Dry mouth<\/li><li>Constipation<\/li><li>Nausea<\/li><li>Palpitation<\/li><li>Fast heartbeat<\/li><\/ul>\n\n\n\n<p><em>Common&nbsp;side effects&nbsp;(may affect up to 1 in 10 people):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Fatigue<\/li><li>Numbness or tingling sensation in arms and legs<\/li><li>Influenced coordination<\/li><li>Enlarged&nbsp;pupils&nbsp;you<\/li><li>Confusion<\/li><li>Affected attention<\/li><li>Decreased sex drive<\/li><li>Dizziness due to a drop in blood pressure when you get up (&nbsp;orthostatic&nbsp;hypotension&nbsp;)<\/li><li>Weight gain<\/li><li>Abnormal heart rhythm seen as&nbsp;ECG&nbsp;changes<\/li><li>Men can experience erection problems<\/li><li>Impact on heart rhythm<\/li><\/ul>\n\n\n\n<p><em>Uncommon&nbsp;side effects&nbsp;(may affect up to 1 in 100 people):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Rash<\/li><li>Hives<\/li><li>Swelling of the face and tongue<\/li><li>Tinnitus&nbsp;(earrings)<\/li><li>Cramps<\/li><li>Changes in mood<\/li><li>Concern<\/li><li>Sleeping problems<\/li><li>Nightmares<\/li><li>Diarrhea<\/li><li>Vomiting<\/li><li>High&nbsp;blood pressure<\/li><li>Difficulty urinating<\/li><\/ul>\n\n\n\n<p><em>Rare&nbsp;side effects&nbsp;(may affect up to 1 in 1,000 people):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Hair loss<\/li><li>Skin reactions associated with sun exposure<\/li><li>Decreased appetite<\/li><li>Confusional state (in elderly patients)<\/li><li>Hallucinations<\/li><li>Swelling of the salivary glands<\/li><li>Enlarged mammary glands<\/li><li>Fever<\/li><li>Abnormal heart rhythm or heartbeat<\/li><\/ul>\n\n\n\n<p><em>Side effects&nbsp;with unknown frequency (cannot be calculated from the available data):<\/em><\/p>\n\n\n\n<p>An increased risk of bone fractures has been seen in patients taking this type of drug.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Sensaval<\/h2>\n\n\n\n<p>Keep out of sight and reach of children.<\/p>\n\n\n\n<p>Do not store above 25 \u00b0 C.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the label after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is nortriptyline.<\/p>\n\n\n\n<p>Each tablet of Sensaval contains nortriptyline hydrochloride equivalent to 25 mg nortriptyline.<\/p>\n\n\n\n<p>The other ingredients are corn starch,\u00a0lactose monohydrate, copovidone, 85%\u00a0glycerol, microcrystalline cellulose, talc, and magnesium stearate.<\/p>\n\n\n\n<p>Film coating: Hypromellos, macrogol.<\/p>\n\n\n\n<p>Dye: Titanium dioxide (E 171).<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Sensaval tablets have the following appearance:<\/p>\n\n\n\n<p>The tablets are round, slightly biconvex, white, film-coated with a flat top, marked with &#8220;NO&#8221; on one side, 6 mm in diameter.<\/p>\n\n\n\n<p><em>Pack sizes:<\/em><\/p>\n\n\n\n<p>100 tablets<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>H. Lundbeck A \/ S<\/p>\n\n\n\n<p>Ottiliavej 9<\/p>\n\n\n\n<p>2500 Valby<\/p>\n\n\n\n<p>Denmark<\/p>\n\n\n\n<p><strong>Agent<\/strong><\/p>\n\n\n\n<p>H. Lundbeck AB<\/p>\n\n\n\n<p>Hyllie Boulevard 34<\/p>\n\n\n\n<p>215 32 Malm\u00f6<\/p>\n\n\n\n<p>Tel: 040-699 82 00<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sensaval belongs to a group of medicines called tricyclic antidepressants.\u00a0Sensaval affects the uptake of the substances that regulate the transfer between nerve cells in the brain.\u00a0Disorders in the transmission of impulses in the brain are considered an important factor in the development of depression.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,18530],"tags":[23918,23922,23921,23923,23927,23926,23919,23924,23920,23925],"class_list":["post-22844","post","type-post","status-publish","format-standard","hentry","category-medicines","category-s","tag-nortriptyline","tag-nortriptyline-side-effects","tag-nortriptyline-tablet","tag-sensaval","tag-sensaval-side-effects","tag-sensaval-tablet","tag-what-is-nortriptyline","tag-what-is-sensaval","tag-what-nortriptyline-is-uused-for","tag-what-sensaval-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22844","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=22844"}],"version-history":[{"count":3,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22844\/revisions"}],"predecessor-version":[{"id":22883,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22844\/revisions\/22883"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=22844"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=22844"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=22844"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}