This medication is 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 medication 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 mind.
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 medical professional or pharmacist.
Take this medication by mouth, usually 1 to 3 times daily or since 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 medical condition and response to treatment.
To lessen your risk of part effects (such as drowsiness, dry mouth, dizziness), your physician may direct you to begin this medication at a low dose and gradually raise your dosage. Follow your doctor's instructions carefully.
Use the dropper that comes because of the medicine to measure out the prescribed amount. Just before using, mix the drug with half a cup (4 ounces or 120 milliliters) of milk or water, 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 things you need for every dosage. Do not prepare a supply for future use.
Just take this medicine regularly in order to get the most benefit from it. To help you remember, take it at the same time(s) each day. Do not increase your dose or use this drug more regularly or for longer than prescribed. Your trouble will perhaps not improve any faster, and your risk of adverse effects will increase.
It's important to continue taking this medication even when you feel well. Do not stop using this medication without consulting your physician. Some conditions could become worse when this drug is suddenly stopped. Additionally, you may 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 to get more details. Report any new or worsening symptoms right away.
This medication might not work right away. You may see some benefit within a week. However, it may take up to 3 weeks before you feel the effect that is full.
Inform your doctor if your condition persists or worsens (such as for example your emotions of sadness become worse, or you have thoughts of suicide).
See also Warning section.
Drowsiness, dizziness, dry lips, blurred vision, constipation, or difficulty urinating may possibly occur. If some of these results persist or worsen, notify your doctor or pharmacist quickly.
To lessen the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
To ease dry mouth, suck on (sugarless) hard candy or ice potato chips, chew (sugarless) gum, drink water, or use a saliva substitute.
To avoid 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 doctor has prescribed this medication she has judged that the benefit to you is greater than the risk of side effects because he or. Many people using this medication do not have side that is serious.
Tell your doctor right away if any of these rare but serious part effects occur: persistent heartburn, mental/mood changes (such as anxiety, agitation, confusion), shaking, severe pain that is stomach/abdominal.
Get help that is medical away when you yourself have any very serious adverse effects, including: severe dizziness, fast/irregular heartbeat, fainting, seizures, attention pain/swelling/redness, vision changes (such as seeing rainbows around lights at night).
A tremendously serious allergic reaction to this drug is rare. However, seek immediate attention that is medical you notice any symptoms of a serious allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This isn't a list that is complete of adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Into the US -
Call your doctor for medical advice about side-effects. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
See section that is also warning.
Before using doxepin, tell your doctor or pharmacist if you are allergic to it; or to other tricyclic antidepressants (such as nortriptyline); or if you have any other allergies. This product may contain ingredients that are inactive which can cause allergic responses or other problems. Talk to your pharmacist for more details.
Before applying this medication, tell your medical professional or pharmacist your medical history, specially of: bleeding problems, breathing problems, liver dilemmas, recent coronary attack, problems urinating (such as due to enlarged prostate), overactive thyroid (hyperthyroidism), personal or genealogy of glaucoma (angle-closure type), personal or genealogy of mental/mood conditions (such as for example bipolar disorder, psychosis), family history of suicide, seizures, conditions that may increase your danger of seizures (such as for instance other brain disease, alcohol/sedative withdrawal).
Doxepin might cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can seldom cause severe (rarely fatal) fast/irregular heartbeat and other symptoms (such as serious dizziness, fainting) that want medical help straight away.
The danger of QT prolongation can be increased if you have certain conditions that are medical are taking other drugs which will cause QT prolongation. Before using doxepin, tell your doctor or pharmacist of all medications you just take and if you have any regarding the following conditions: particular heart issues (heart failure, sluggish heartbeat, QT prolongation in the EKG), family history of particular heart problems (QT prolongation in the EKG, unexpected cardiac death).
Low degrees 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. Speak with your medical practitioner about using doxepin safely.
This drug may make you drowsy or dizzy or cause blurred vision. 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 utilize (including prescription drugs, nonprescription drugs, and natural products).
This medication may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear protective clothing when outside.
If you have diabetes, this drug may make it harder to control your blood sugar levels. 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 become more responsive to the side ramifications of this drug, especially dry mouth, dizziness, drowsiness, confusion, difficulty urinating and QT prolongation (see above).
During pregnancy, this medication ought to be used only if plainly needed. Since untreated mental/mood problems (such as for instance depression, anxiety) can be a condition that is serious do not stop using this medication unless directed by your doctor. You may be pregnant, immediately discuss with your doctor the benefits and risks of using this medication during pregnancy if you are planning pregnancy, become pregnant, or think.
This medicine passes into breast milk and may have effects that are undesirable a nursing infant. Breast-feeding when using this drug is not 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.