Which option correctly identifies the timing for initiating nortriptyline?

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

Answer: (A)

Starting nortriptyline weeks before quitting is essential because the medication needs time to reach therapeutic levels and begin reducing nicotine cravings and withdrawal as you quit. By initiating treatment two to four weeks before your quit date, you allow the drug to build up in your system and you can adjust the dose if needed, so you’re already benefiting from its effects on withdrawal the moment you stop smoking. Starting only a few days before quitting or on the quit date wouldn’t give enough time for the drug to become effective, and starting after quitting means you miss that early support when cravings and withdrawal are at their peak. Waiting six to eight weeks after quitting would be too late to help with the initial withdrawal management.