They wear expressions of satisfaction, a touch of snobbery, and the social grace of suburbia. Aventyl helps them see behind the veneer and accept the reality. Troublesome patient hostility may occur.
Aventyl advertisement, 1968
Hospital & Community Psychiatry, Vol. 19, No. 1.

Do you have patients who try to hide frustration behind conformity?
They may be unable to face the pain of their depression.
They wear expressions of satisfaction, a touch of snobbery, and the social grace of suburbia. But it's all rented for the occasion. The pretense of ownership of happiness fades in the face of loss of individuality and falters on the tightrope of status.
You see many depressed patients who conceal their real emotional lives beneath a veneer because it lets them hide from the finality of their depression. Before they come to you, few can recognize their despair. Even while seeking your help, they may continue attempting to hide from you as well as themselves.
Aventyl HCl can assist you in bringing the problem into the open.
Aventyl HCl does not help them hide from the pain of their depression. It does not merely make symptoms more bearable. Aventyl HCL is an aid in removing the symptoms and lifting their depression.
It takes time for patients to gain insight; however, with the help of Aventyl HCl they won't cling to depression as a response to their basic problems.
Helps them see behind the veneer and accept the reality
Aventyl HCl     Nortriptyline Hydrochloride     (See last page for prescribing information.)
Indications: Depressive reactions (alone or accompanied by anxiety) associated with such presenting symptoms as depression, anxiety, tension, insomnia, restlessness, disinterest, and irritability.
Psychophysiological gastro-intestinal disorders and symptomatic reactions in childhood (e.g., enuresis). Precautions: Because of its anticholinergic activity, Aventyl HCl should be administered cautiously in patient with glaucoma or a propensity for urinary retention. Use Aventyl HCl with care in conjunction with sympathomimetic or anticholinergic drugs. Epileptiform seizures or troublesome patient hostility may occur. Aventyl HCl used alone in schizophrenic patients may result in an exacerbation of the psychosis.
Concomitant use of Aventyl HCl and ECT (with or without atropine, short-acting barbiturate, and muscle relaxant) has not been thoroughly studied. If these treatments are used together, the physician should be aware of possible added adverse effects.
Patients should be warned about the possibility of drowsiness if they operate dangerous machinery or drive a vehicle. Concurrent ingestion of other C.N.S. drugs or alcohol may potentiate the adverse effects of Aventyl HCl.
Adverse reactions: The following have been observed or reported following the use of Aventyl HCl: dryness of mouth, drowsiness, constipation, dizziness, tremulousness, confusional state, ataxia, disorientation and hallucinations, restlessness, weakness, precipitation of hypomanic or manic state, tachycardia, blurred vision, epigastric distress, sweating, peculiar taste, black tongue, fatigue, excess weight gain or weight loss, insomnia, headache, paresthesia, nausea and vomiting, adynamic ileus, rash, itching, delayed micturition, hunger sensation, flushing, diarrhea, nocturia, inner nervousness, anxiety and panic, ankle and orbital edema, hypotension, hypertension, impotence, nightmares, palpitation, numbness, peripheral neuropathy, photosensitizations, extrapyramidal symptoms, and increased of decreased libido. Habituation or withdrawal symptoms have not been reported.
Administration and Dosage: ...Maintenance medication is necessary until it is evident that the depression cycle has run its spontaneous course. This assumption may be based upon the history of previous depressions, the removal of the precipitating factors in the environment, or a recognition that the patient is able to manage his affairs. It is advisable to continue maintenance therapy for several months after improvement.
Additional information available to physicians upon request.       Eli Lilly and Company       Indianapolis, Indiana 46206

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