This medicine can be used to treat problems that are mental/mood 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 energy level. This medicine belongs to a class of medications called antidepressants that are tricyclic. It works by affecting the balance of certain natural chemicals (neurotransmitters) in mental performance.
Read the Medication Guide given by your pharmacist you get a refill before you start taking doxepin and each time. If you have any relevant concerns, consult your physician or pharmacist.
Simply take this medication by mouth, usually 1 to 3 times daily or because directed by your doctor. At bedtime to reduce daytime sleepiness if you take it only once a day, take it. The dosage is based on your medical condition and response to treatment.
To reduce your risk of part effects (such as drowsiness, dry mouth, dizziness), your physician may direct you to start this medicine at a low dose and gradually increase your dosage. Follow your medical professional's guidelines carefully.
Use the dropper that comes with all the medicine to measure out the prescribed amount. Simply before taking, 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 the thing you need for every dosage. Do not prepare a supply for future use.
Simply take this medication frequently to be able to get the most benefit from it. To help you remember, take it at the same time(s) each time. Do not increase your dose or use this drug more frequently or even for longer than prescribed. Your problem shall maybe not enhance any faster, along with your threat of unwanted effects will increase.
It is vital to continue taking this medication even in the event you feel well. Do not stop using this medication without consulting your physician. Some conditions can become worse when this drug is suddenly stopped. Also, 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 for more details. Report any new or worsening symptoms right away.
This medication may 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.
Tell your doctor if your condition persists or worsens (such as your feelings of sadness worsen, or you have thoughts of committing suicide).
See also Warning section.
Drowsiness, dizziness, dry lips, blurred vision, constipation, or difficulty urinating may possibly occur. If some of these impacts persist or worsen, notify your doctor or pharmacist promptly.
To reduce the risk of dizziness and lightheadedness, get up slowly when increasing from a sitting or lying position.
To alleviate dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water, or use a saliva substitute.
To prevent constipation, maintain a diet sufficient in dietary fiber, beverage plenty of water, and exercise. If you become constipated while using this drug, check with your pharmacist for aid in picking a laxative.
Remember that the physician has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have side that is serious.
Tell your doctor straight away if any of these rare but serious side 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 side effects, including: severe dizziness, fast/irregular heartbeat, fainting, seizures, eye pain/swelling/redness, eyesight changes (such as seeing rainbows around lights at night).
A very serious reaction that is allergic this drug is rare. However, seek immediate attention that is medical you notice any outward symptoms of a severe hypersensitive reaction, including: rash, itching/swelling (especially associated with the face/tongue/throat), serious dizziness, trouble breathing.
This isn't a list that is complete of side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
Within the US -
Phone your physician for medical advice about unwanted effects. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your medical practitioner for medical advice about side effects. You may report adverse effects to wellness Canada at 1-866-234-2345.
See also Warning section.
Before taking doxepin, tell your doctor or pharmacist in the event that you are allergic to it; or to other tricyclic antidepressants (such as nortriptyline); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist to get more details.
Before by using this medicine, tell your medical professional or pharmacist your health background, specially of: bleeding problems, difficulty in breathing, liver dilemmas, recent heart attack, problems urinating (such as due to enlarged prostate), overactive thyroid (hyperthyroidism), personal or genealogy and family history of glaucoma (angle-closure type), individual or genealogy and family history of mental/mood conditions (such as for instance manic depression, psychosis), family history of suicide, seizures, conditions that may increase your risk of seizures (such as other brain disease, alcohol/sedative withdrawal).
Doxepin could potentially cause a disorder that affects one's heart rhythm (QT prolongation). QT prolongation can seldom cause severe (hardly ever fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away.
The threat of QT prolongation are increased when you yourself have certain medical conditions or are taking other drugs that will cause QT prolongation. Before using doxepin, tell your doctor or pharmacist of all of the drugs you just take and if you have of this following conditions: particular heart problems (heart failure, sluggish heartbeat, QT prolongation in the EKG), family history of specific heart disease (QT prolongation in the EKG, sudden cardiac death).
Low quantities of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Keep in touch with your physician about using doxepin safely.
This medication 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 use (including prescription drugs, nonprescription drugs, and natural services and 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 out-of-doors.
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 may need to regulate your diabetes medication, exercise program, or diet.
Older adults may become more sensitive to the side ramifications of this drug, especially dry mouth, dizziness, drowsiness, confusion, difficulty urinating and QT prolongation (see above).
During pregnancy, this medication must be used only when obviously needed. Since untreated mental/mood problems (such as depression, anxiety) can be a serious condition, 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 medical professional before breast-feeding.
Airmail: 2-3 business weeks
EMS: 3-8 business days
Airmail: 2-3 weeks, EMS: 3-8 business days.