Which statement about nortriptyline timing is true?

Which statement about nortriptyline timing is true?

• A. Start 2-4 Weeks Before Quitting
• B. Start 2-4 Days Before Quitting
• C. Start On Quitting Day
• D. Start 6-8 Weeks Before Quitting

Answer: (A)

The timing tested here focuses on building up the medication in the body before quitting to blunt withdrawal and cravings. Nortriptyline needs a little time to reach effective levels and start stabilizing mood and withdrawal symptoms, so starting a few weeks before the quit date lets it work by the time you quit. If you wait to start just a few days before quitting or on the quit date, the drug hasn’t had enough time to reach its full effect, which can make the quit harder. Starting much earlier than needed isn’t typically necessary and can expose you to side effects longer than needed. So beginning 2–4 weeks before quitting gives you the best chance for a smoother cessation by the quit date.

The timing tested here focuses on building up the medication in the body before quitting to blunt withdrawal and cravings. Nortriptyline needs a little time to reach effective levels and start stabilizing mood and withdrawal symptoms, so starting a few weeks before the quit date lets it work by the time you quit. If you wait to start just a few days before quitting or on the quit date, the drug hasn’t had enough time to reach its full effect, which can make the quit harder. Starting much earlier than needed isn’t typically necessary and can expose you to side effects longer than needed. So beginning 2–4 weeks before quitting gives you the best chance for a smoother cessation by the quit date.