If you are:
FDB Contraindicated or Not Recommended: SHOULD BE AVOIDED ESPEC DURING 1ST TRIMESTER;RISK OF CONGENITAL MALFORMAT
Only When Necessary: USE W/CAUTION;ACTIVE METABOLITE NORTRIPTYLINE MAY CAUSE INFANT URINARY RETENTION
Precaution: INSUFFICIENT DATA AVAIL; LOW MW, EXCRETION IS POSSIBLE; NOT REC PER BRIGGS
Precaution: INSUFFICIENT HUMAN DATA AVAILABLE; LOW LEVELS EXCRETED
An adult over 60:
Contraindication: Neuro/Psych-Sedation and fall risk. Long half-life benzodiazepines are generally not preferred in the elderly. If used, limit dose to 20mg/day.
management or monitoring precaution: Neuro/Psych-Anticholinergic effects may cause sedation, worsen cognitive impairment and increase fall risk. Cardiovascular-May cause orthostatic hypotension at higher doses. Gastrointestinal-May cause or worsen pre-existing constipation. Genitourinary-Best avoided in patients with urinary retention from any cause.
Giving Limbitrol tablet to a child under 12:
Severe Precaution: Risk of CNS depression or paradoxical reaction. Limited clinical experience age < 6 years. Not recommended.
Severe Precaution: Possible increased suicidal ideation and attempt with underlying major depression.
management or monitoring precaution: Risk of paradoxical reaction, excitement in hyperactive or aggressive patient. Monitor behavior.