This medication can be used to treat mental/mood problems such as depression and anxiety. It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your degree of energy. This medicine belongs to a class of medications called antidepressants that are tricyclic. It works by affecting the balance of certain chemicals that are naturalneurotransmitters) in the brain.
Read the Medication Guide given by your pharmacist before you start taking doxepin and each time you get a refill. If you have any relevant questions, consult your physician or pharmacist.
Take this medication by mouth, usually 1 to 3 times daily or as directed by your medical practitioner. If you take it only once a day, take it at bedtime to reduce daytime sleepiness. The dosage is based on your condition that is medical and to treatment.
To reduce your risk of part effects (such as drowsiness, dry mouth, dizziness), your medical professional may direct you to start out this medication at a low dose and gradually boost your dose. Follow your medical professional's guidelines carefully.
Use the dropper that comes using the medication to measure out the prescribed amount. Simply before using, mix the drug with half a cup (4 ounces or 120 milliliters) of water or milk, or orange, grapefruit, tomato, prune or pineapple juice, and drink all of the mixture. Do not mix with soda or other carbonated beverages. If you are taking this medication in combination with liquid methadone, you may mix both drugs with lemonade, orange juice, sugar water, orange drink mix, or plain water, but not grape juice. Mix only what you need for each dose. Do not prepare a supply for future use.
Take this medicine regularly to be able to get the benefit that is most from it. To help you remember, take it at the same time(s) each day. Do not increase your dose or make use of this drug more regularly or even for longer than prescribed. Your problem will not enhance any faster, along with your threat of unwanted effects will increase.
You should continue using this medication no matter if you feel well. Do not stop using this medication without consulting your doctor. Some conditions may become worse when this drug is abruptly stopped. Also, you might experience symptoms such as mood swings, headache, and tiredness. To prevent these symptoms while you are stopping treatment with this drug, your doctor may reduce your dose gradually. Consult your pharmacist or doctor for lots more details. Report any new or worsening symptoms right away.
This medication may well not away work right. You may see some benefit within a week. However, it may take up to 3 weeks before you feel the full effect.
Tell your doctor if your condition persists or worsens (such as for example your feelings of sadness get worse, or perhaps you have thoughts of committing suicide).
See also Warning section.
Drowsiness, dizziness, dry lips, blurred vision, constipation, or trouble urinating may possibly occur. If some of these effects persist or worsen, notify your pharmacist or doctor promptly.
To lessen the risk of dizziness and lightheadedness, get up slowly when increasing from a sitting or position that is lying.
To alleviate dry mouth, suck on (sugarless) hard candy or ice potato chips, chew (sugarless) gum, drink water, or use a saliva substitute.
To prevent constipation, maintain a diet adequate in fiber, beverage plenty of water, and workout. If you become constipated while using this drug, check with your pharmacist for aid in selecting a laxative.
Remember that your particular physician has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have adverse that is serious.
Inform your doctor straight away if some of these rare but serious side effects occur: persistent heartburn, mental/mood changes (such as anxiety, agitation, confusion), shaking, serious pain that is stomach/abdominal.
Get medical help right away when you have any very serious adverse effects, including: severe dizziness, fast/irregular heartbeat, fainting, seizures, attention pain/swelling/redness, eyesight changes (such as seeing rainbows around lights at night).
An extremely serious reaction that is allergic this drug is rare. However, seek immediate attention that is medical you notice any symptoms of a serious hypersensitive reaction, including: rash, itching/swelling (especially of this face/tongue/throat), serious dizziness, trouble breathing.
This is simply not a list that is complete of adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
Into the US -
Phone your doctor for medical advice about side-effects. You may report adverse effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your medical practitioner for medical advice about part effects. You may report adverse effects to Health Canada at 1-866-234-2345.
See also Warning section.
Before using doxepin, tell your doctor or pharmacist if you have any other allergies if you are allergic to it; or to other tricyclic antidepressants (such as nortriptyline); or. This product may contain ingredients that are inactive which can cause allergic responses or other problems. Talk to your pharmacist for more details.
Before by using this medicine, tell your doctor or pharmacist your health background, especially of: bleeding problems, difficulty in breathing, liver issues, recent heart attack, problems urinating (such as due to enlarged prostate), overactive thyroid (hyperthyroidism), individual or genealogy and family history of glaucoma (angle-closure type), individual or genealogy and family history of mental/mood conditions (such as for example bipolar disorder, psychosis), family history of suicide, seizures, conditions that may increase your threat of seizures (such as other brain disease, alcohol/sedative withdrawal).
Doxepin might cause a disorder that affects one's heart rhythm (QT prolongation). QT prolongation can hardly ever cause severe (seldom fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that require medical help straight away.
The risk of QT prolongation may be increased if you have certain conditions that are medical are taking other drugs that may cause QT prolongation. Before using doxepin, tell your doctor or pharmacist of all medications you take and in case you have associated with the following conditions: certain heart dilemmas (heart failure, sluggish heartbeat, QT prolongation in the EKG), genealogy and family history of specific heart problems (QT prolongation in the EKG, sudden cardiac death).
Low quantities of potassium or magnesium in the blood may increase your risk also of QT prolongation. This risk may increase if you have conditions such as severe sweating, diarrhea, or vomiting if you use certain drugs (such as diuretics/"water pills") or. Keep in touch with your medical practitioner about using doxepin safely.
This drug may make you drowsy or dizzy or cause vision that is blurred. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages.
Before having surgery, tell your doctor or dental practitioner about all the products you use (including prescribed drugs, nonprescription drugs, and organic items).
This medication might make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear protective clothing when in the open air.
It harder to control your blood sugar levels if you have diabetes, this drug may make. Monitor your blood sugar levels regularly and tell your doctor of the results. Your doctor might need to adjust your diabetes medication, exercise program, or diet.
Older adults may be much more sensitive to the side effects of this drug, especially dry mouth, dizziness, drowsiness, confusion, difficulty urinating and QT prolongation (see above).
During pregnancy, this medication should really be used only once plainly needed. Since untreated mental/mood problems (such as for example depression, anxiety) can be a serious condition, do not stop using this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss with your doctor the benefits and risks of using this medication during pregnancy.
This medicine passes into breast milk and may have undesirable effects on a nursing infant. Breast-feeding while using the this medication just isn't recommended. Consult your doctor before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.