Patient/caregiver was educated on the side-effects of using Elavil as follows:

Cardiovascular side-effects

• Elavil carries the risk of lowering the blood pressure. Hypotension, secondary to Elavil intake, can lead to episodes of confusion and dizziness, thus increasing the risk for fall and accidents.
• Elavil also carries the risk of causing and/or aggravating cardiac arrhythmias, leading to severe debility and death. Individuals can present with episodes of chest pain, rapid heart rate, palpitations, dizziness, and shortness of breath.

Vision changes

• Elavil can result in pupillary dilation and obstruction to the drainage of fluid (aqueous humor) in the eye.
• This can result in increase in the intraocular pressure, leading to glaucoma. Individuals can present with eye pain, headache, and blurred vision with haloes around light.