We present a case of nortriptyline intoxication secondary to terbinafine treatment. A 74 year old man with depression was treated with nortriptyline for several months (other drug treatment was cisapride, hydrochlorothiazide, and ranitidine). Serum nortriptyline concentration was maintained at 200 ng/ml for more than 3 months as his depression had recurred when the dose was lowered. He complained of increasing fatigue, vertigo, loss of energy, …
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Kuy et al. (1998) studied this question.
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