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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.
Overview Elavil is a brand name for Amitriptyline, a tricyclic antidepressant (TCA.) It is a heterocyclic antidepressant-a class of drugs that inhibits the nerve cells' ability to reuptake norepinephrine and serotonin and brings the levels of these neurotransmitters back up to normal. Elavil is very sedating.verview Elavil is a brand name for Amitriptyline, a tricyclic antidepressant (TCA.) It is a heterocyclic antidepressant-a class of drugs that inhibits the nerve cells' ability to reuptake norepinephrine and serotonin and brings the levels of these neurotransmitters back up to normal. Elavil is very sedating.