Pediatric Management The principles of management of child and adult overdosages are similar. There was considerable variation in risk of suicidality among drugs, but tendency toward an increase in the younger patients for almost all drugs studied. The combination of nortriptyline and fluphenazine in the treatment of the depression-anxiety syndrome: Rivista di Psichiatria Vol Jul-Aug 1974, 346-363. Precautions The use of nortriptyline in schizophrenic patients may result in an exacerbation of the psychosis or may activate latent schizophrenic symptoms. Treatment of major depression with nortriptyline and paroxetine in patients with ischemic heart disease: American per generico nortriptyline online Journal of Psychiatry Vol 156 Jul 1999, 1024-1028. Tell the doctor right away if the patient has symptoms like worsened depression, suicidal thoughts, or changes in behavior. However, hemodialysis, peritoneal dialysis, exchange transfusions, and forced diuresis generally have been reported as ineffective in tricyclic antidepressant poisoning.