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It is advisable to visit a doctor before starting NRT, especially if you have kidney or liver problems , or youve recently had a heart attack or stroke

When you smoke a cigar, several things happen simultaneously

More power to them but seriously, stop smoking those things, you have so much to live for.

Side effects of nortriptyline include: Drowsiness Dry mouth Changes in taste Constipation In rare cases, tricyclic antidepressants like nortriptyline can have more serious side effects

In contrast, a decreased metabolism would be expected to allow for prolonged drug effectiveness and/or to increase the likelihood of off-target adverse effects with increased side-effects due to accumulation of the drug compound