It's so frustrating not being able to stay asleep, as I'm sure many of you know. I take 20mg of nortriptyline nightly, but it hasn't helped my sleep issue. Hypoglycemia due to maternal plaquenil Doctor took me off of plaquenil Hello hope everyone is well just a quick question, i have been on methotrexate for 2 months increasing from 7.5 to 15 and now to 25mg.weekly now been given plaquenil 400mg daily, has anyone else been on this mixture and has it worked or how long should i wait to see if it works. Does Nortriptyline HCL Interact with other Medications? Severe Interactions. These medications are not usually taken together. Consult your healthcare professional e.g. doctor or pharmacist for. Learn about drug interactions between nortriptyline oral and mirtazapine oral and use the RxList drug interaction checker to check drug combinations. I'm wondering if anyone has had success using melatonin with nortriptyline to aid in their sleep? I asked my doctor if I could try adding melatonin to my routine and he said yes, but I would probably be very sleepy. Despite being sleep deprived for the past several months, my brain is oddly awake. I will sleep from 11pm-2am and then feel "awake" for the rest of the night. Can u take nortriptyline and plaquenil together Drug Interactions With Nortriptyline, Nortriptyline Oral Interactions with Other Medication Plaquenil and malaria Plaquenil can cause retinal damage which can be reversed if caught early. The damage to your eye would start with your peripheral vision which is why a visual field test is necessary. While taking Plaquenil, a visual field test should be performed every 6 months to monitor your vision. Visual field testing is simple and painless. Plaquenil & Gabapentin - Lupus and Fibromyalgia" Lupus.. Nortriptyline oral and mirtazapine oral Drug Interactions.. Amitriptyline oral and nortriptyline oral Drug.. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of nortriptyline in the elderly. However, elderly patients are more likely to have age-related heart or liver problems, which may require caution and an adjustment in the dose for patients receiving nortriptyline. Breastfeeding Yes you can take plaquenil and aspirin together. I have lupus anticoagulant and my rheumatologist prescribed me plaquenil and a baby aspirin everyday. Do not take over one aspirin a I am scared to take the 2 together due to the high interactions. My neurologist and my rhumatologist have said it is ok. I take the nortriptyline at night 20mg for headache prevention. The tramadol is for arthritis in my back and knee. I am having a flare. Thanks!