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Independent analysis of NHS open data
PharmaInsight

Nortriptyline vs Fluoxetine hydrochloride

National NHS prescribing compared (Prescription Cost Analysis)
Data updated May 2026

Fluoxetine hydrochloride was dispensed 6.7× as often as Nortriptyline in May 2026 — 622,211 items versus 93,266 in England.

93,266items

Nortriptyline · May 2026

NHSBSA Prescription Cost Analysis

622,211items

Fluoxetine hydrochloride · May 2026

NHSBSA Prescription Cost Analysis

Figure 1. Nortriptyline versus Fluoxetine hydrochloride: national items dispensed by month

▬ Nortriptyline   ·   ╌ Fluoxetine hydrochloride

0 332k 664k Jan 2021 Nov 2021 Oct 2022 Aug 2023 Jun 2024 Apr 2025 May 2026 Fluoxetine hydro… 93,266 Jan 2021: 59k Feb 2021: 57k Mar 2021: 64k Apr 2021: 62k May 2021: 60k Jun 2021: 63k Jul 2021: 64k Aug 2021: 61k Sep 2021: 64k Oct 2021: 62k Nov 2021: 64k Dec 2021: 68k Jan 2022: 65k Feb 2022: 61k Mar 2022: 69k Apr 2022: 65k May 2022: 68k Jul 2022: 66k Aug 2022: 68k Sep 2022: 69k Oct 2022: 68k Nov 2022: 70k Dec 2022: 70k Jan 2023: 71k Feb 2023: 65k Mar 2023: 75k Apr 2023: 68k May 2023: 73k Jun 2023: 74k Jul 2023: 73k Aug 2023: 75k Sep 2023: 74k Oct 2023: 75k Nov 2023: 76k Dec 2023: 76k Jan 2024: 78k Feb 2024: 74k Mar 2024: 76k Apr 2024: 78k May 2024: 81k Jun 2024: 77k Jul 2024: 84k Aug 2024: 80k Sep 2024: 80k Oct 2024: 85k Nov 2024: 82k Dec 2024: 84k Jan 2025: 87k Feb 2025: 78k Mar 2025: 84k Apr 2025: 84k May 2025: 88k Jun 2025: 86k Jul 2025: 92k Aug 2025: 86k Sep 2025: 91k Oct 2025: 95k Nov 2025: 87k Dec 2025: 97k Jan 2026: 94k Feb 2026: 87k Mar 2026: 97k Apr 2026: 95k May 2026: 93k

Source: NHSBSA Prescription Cost Analysis, to May 2026

Nortriptyline versus Fluoxetine hydrochloride, May 2026
Measure Nortriptyline Fluoxetine hydrochloride
Items, May 2026 93,266 622,211
Items, last 12 months 1,099,719 7,600,833
Net ingredient cost, May 2026 £310,723 £1,102,342

See the full profile for Nortriptyline or Fluoxetine hydrochloride.