As perioperative intravenous lidocaine has been suggested to decrease postoperative pain, amitriptyline, because of its longer half-life time, might be more useful than lidocaine.
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like amitriptyline, nortriptyline can cause major cardiac toxicity when the concentration is above 500 ng ml, characterized by qrs widening, which leads to ventricular tachycardia and asystole.
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