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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.
Elavil is taken by mouth in tablet form. The medication may take up to four weeks to take full effect. You should not use Elavil if you are taking drugs of the MAOI class or have taken these medications in the past 14 days.This is not a complete list of potential drug interactions with Elavil, and other medications may interact with this drug.Elavil has been shown to cause harm to the developing fetus.lavil (amitryptiline) is a tricyclic antidepressant used to treat depression and mood disorders. It may also be used to treat other conditions including nerve pain, eating disorder, anxiety, and panic disorder. It is available in generic form.