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What the FDA labels say about taking them together

Amitriptyline and norepinephrine

Norepinephrine's FDA label of June 12, 2025 names amitriptyline in its drug interactions section; the amitriptyline label PlainMeds reads does not name norepinephrine.

Check it at the source: the amitriptyline FDA label on DailyMed (effective September 8, 2026, Sun Pharmaceutical Industries, Inc.); the norepinephrine FDA label on DailyMed (effective June 12, 2025, Hospira, Inc.).

What does the amitriptyline label say about norepinephrine?

Amitriptyline's label (effective September 8, 2026) does not name norepinephrine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Amitriptyline Hydrochloride), Sun Pharmaceutical Industries, Inc., effective September 8, 2026 (SPL set 4e520c63-1cf6-40f6-a51c-3f9b0e181342), via openFDA; the full label on DailyMed

What does the norepinephrine label say about amitriptyline?

Norepinephrine label, drug interactions

Tricyclic Antidepressants Co-administration of LEVOPHED with tricyclic antidepressants (including amitriptyline, nortriptyline, protriptyline, clomipramine, desipramine, imipramine) can cause severe, prolonged hypertension.

Norepinephrine Bitartrate label (Baxter Healthcare Corporation, February 6, 2026), drug interactions

Bitartrate in Dextrose Injection or Norepinephrine Bitartrate in Sodium Chloride Injection with tricyclic antidepressants (including amitriptyline, nortriptyline, protriptyline, clomipramine, desipramine, imipramine) can cause severe, prolonged hypertension.

Source: FDA drug label (Norepinephrine Bitartrate, NDA214313), Baxter Healthcare Corporation, effective February 6, 2026 (SPL set 6363e9b4-29df-4553-904d-a563e5adda6e), via openFDA

Source: FDA drug label (Norepinephrine, NDA214628), Long Grove Pharmaceuticals, LLC, effective December 4, 2025 (SPL set 759807dd-61a8-4f6f-8bf5-f6ee773c81bc), via openFDA

Source: FDA drug label (Norepinephrine Bitartrate In Sodium Chloride, NDA215700), WG Critical Care, LLC, effective February 17, 2026 (SPL set ddbef60d-c20a-4ada-928f-e87074c08a54), via openFDA

Source: FDA drug label (LEVOPHED), Hospira, Inc., effective June 12, 2025 (SPL set 2c7dd2b0-cc10-4db6-bf56-6eb154ebeb10), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

34Amitriptyline generic labelers
20Norepinephrine generic labelers
AmitriptylineNorepinephrine
Labeled forDepressionn/a
Boxed warningYesNo
Pharmacy cost (NADAC)$0.03 per tablet 10 mg tabletn/a
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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