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Nortriptyline is an active metabolite of Amitriptyline. Therapeutic drug levels are monitored to assist the physician assessing therapeutic response and to avoid toxicity.ortriptyline is an active metabolite of Amitriptyline. Therapeutic drug levels are monitored to assist the physician assessing therapeutic response and to avoid toxicity.
This is not all of the Elavil side effects from Elavil clinical studies, that number would be over 500 hundred. We have used the Freedom of Information Act and have received the actual Elavil side effect information to verify this data. Elavil side effects mimic Elavil withdrawal side effects. In other words, the Elavil side effects may only begin when Elavil is being reduced. You may not have these Elavil side effects at this time but when the Elavil is reduced any of the side effects may begin.