Table of contents:
- What Drug Doxepin?
- What is the drug doxepin (Sinequan) used for?
- How do you use the drug Doxepin?
- How to store Doxepin?
- Doxepin dosage
- What should be considered before using the drug Doxepin?
- Is the drug Doxepin safe for pregnant and lactating women?
- Doxepin side effects
- What are the possible side effects of Doxepin?
- Doxepin Drug Warnings and Cautions
- What drugs can interfere with the work of the Doxepin drug?
- Can certain foods and drinks interfere with the work of the Doxepin drug?
- What health conditions can interfere with the performance of the drug Doxepin?
- Doxepin Drug Interactions
- What is the dosage of doxepin for adults?
- Doxepin dosage for depression and anxiety
- Doxepin dosage for insomnia
- What is the dosage of doxepin for children?
- In what dosages and preparations doxepin is available?
- What should I do if I forget to take medicine or forget to take medicine?
What Drug Doxepin?
What is the drug doxepin (Sinequan) used for?
Doxepin is a drug used to treat mood disorders such as depression and feelings of anxiety. This medication can help improve your mood and trigger feelings of pleasure, reduce anxiety and tension, help you sleep better, and increase your energy levels.
One of the most commonly used brands of doxepin is Sinequan. This drug belongs to a class of drugs called tricyclic antidepressants. How it works by affecting the balance of certain natural chemicals (neurotransmitters) in the brain.
How do you use the drug Doxepin?
Take Sinequan 1-3 times daily or as directed by your doctor. If you use it only once a day, use it at bedtime to reduce daytime sleepiness. Dosage is based on medical condition and response to treatment.
To reduce your risk of side effects (such as drowsiness, dry mouth, dizziness), your doctor may direct you to start this drug at a low dose and gradually increase your dose. Follow the doctor's instructions carefully.
Use this remedy regularly to get its benefits. To help you remember, use it at the same time every day. Do not increase your dose or use this medication more often or for longer than prescribed. Your condition will not recover any sooner, and the risk of side effects will increase.
It is important to continue taking this medication even if you are already feeling well. Do not stop taking this medication without consulting your doctor. Some conditions can get worse when the use of this drug suddenly stops. In addition, you may experience symptoms such as mood swings, headaches, and fatigue.
To prevent these symptoms while you are stopping treatment with this medicine, your doctor may reduce the dose gradually. Consult your doctor or pharmacist for more details. Report immediately if new symptoms develop or your symptoms get worse.
This medication may not work right away. You may experience some of the benefits within a week. However, it may take up to 3 weeks before you feel the full effects of this drug.
Tell your doctor if your condition does not improve or gets worse (such as feelings of sadness getting worse, or you are having suicidal thoughts).
Follow the rules given by your doctor or pharmacist before starting treatment. If you have any questions, consult your doctor or pharmacist.
How to store Doxepin?
This medication is best stored at room temperature, away from direct light and damp places. Don't keep it in the bathroom. Don't freeze it. Other brands of this drug may have different storage rules. Observe the storage instructions on the product package or ask your pharmacist. Keep all medicines away from children and pets.
Do not flush medicines down the toilet or down the drain unless instructed to do so. Discard this product when it has expired or when it is no longer needed. Consult your pharmacist or local waste disposal company about how to safely dispose of your product.
Doxepin dosage
What should be considered before using the drug Doxepin?
Before using Doxepin,
- Tell your doctor and pharmacist if you are allergic to certain drugs or ingredients.
- Tell your doctor if you are taking a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate), or if you have stopped taking an MAO inhibitor within 14 days. last. Your doctor will probably tell you not to use doxepin. If you stop using doxepin, you should wait at least 14 days before you start taking an MAO inhibitor.
- Tell your doctor and pharmacist about prescription and nonprescription drugs, vitamins, nutritional supplements, and herbal products that you are using or will be using. Be sure to mention the following antihistamines; anticoagulants (blood thinners) such as warfarin (Coumadin, Jantoven); cimetidine (Tagamet); flecainid (Tambocor); levodopa (Larodopa, Sinemet); lithium (Eskalith, Lithobid); medications for high blood pressure, seizures, Parkinson's disease, diabetes, asthma, colds, or allergies; methylphenidate (Ritalin); muscle relaxants; propafenone (Rythmol); quinidine; sedative; selective serotonin reuptake inhibitors (SSRIs) such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), and sertraline (Zoloft); sleeping pills; thyroid medication; tolazamide (Tolinase); and sedatives. Your doctor may need to change the dose of your medication or monitor you carefully for side effects.
- You may have told you not to use doxepin if you have used fluoxetine pads in the last 5 weeks.
- Tell your doctor if you have difficulty urinating. Your doctor will probably tell you not to use doxepin.
- Tell your doctor if you have or have ever had an enlarged prostate (male reproductive gland), diabetes, seizures, an overactive thyroid gland, or liver, kidney, or heart disease.
- Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while using this medicine, call your doctor.
- Talk to your doctor about the risks and benefits of using doxepin if you are 65 years of age or older. Older adults should not use doxepin because it is not safe or effective because of other drugs that can be used to treat the same condition.
- If you are having surgery, including dental surgery, tell your doctor or dentist about using doxepin.
- You should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
- Note that alcohol can increase the drowsiness caused by this drug.
- You should know that doxepin can cause angle closure galucoma (a condition in which fluid suddenly stagnates and cannot flow out of the eye causing a sudden increase in eye pressure which can lead to loss of vision). Talk with your doctor about an eye exam before you start taking this medicine. If you experience nausea, eye pain, vision changes, such as seeing colored rings around lights, and swelling or redness in or around the eyes, contact your doctor or seek emergency medical care right away.
Is the drug Doxepin safe for pregnant and lactating women?
Animal studies suggest that doxepin may be a risk to the fetus if consumed by pregnant women. However, the doctor may consider whether the benefits of this drug outweigh the risks, if the mother's condition is fatal if left untreated.
Always consult your doctor or midwife before taking any medicine during pregnancy or breastfeeding.
Doxepin side effects
What are the possible side effects of Doxepin?
Suicidal thoughts and unusual behavior can occur in children and adolescents who take doxepin. Tell your doctor right away if you have suicidal thoughts.
Other common side effects that may occur include:
- Dizziness, drowsiness, or tiredness
- Nausea, vomiting, constipation
- Dry mouth, blurred vision, ringing in your ears
- Weight gain, sweating a lot
- Swollen breasts (in men or women)
- Decreased sex drive
- Difficulty urinating
Report any new or worsening symptoms with your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, restless, hostile, aggressive, restless, hyperactive (mental or physical ), is more depressed, or has thoughts of suicide or hurting yourself.
Call your doctor if you have:
- Fast heart rate
- Skin rash, bruising, severe tingling, numbness, pain, muscle weakness
- Feel like passing out
- Tremors, restless muscle movements in your eyes, tongue, jaw, or neck
- Confusion, hallucinations, unusual thoughts, seizures
- Urinating is painful or difficult to urinate, urinating less than usual
Not everyone experiences the above side effects. There may be some side effects not listed above. If you have concerns about certain side effects, consult your doctor or pharmacist.
Doxepin Drug Warnings and Cautions
What drugs can interfere with the work of the Doxepin drug?
Although certain drugs should not be used at the same time, in other cases two different drugs can be used together even if interactions are possible. In this case, your doctor may want to change the dose or take other precautions that may be needed.
When you are using this medicine it is very important that your healthcare provider knows if you are currently taking any of the medicines that are listed below. The following interactions are selected on the basis of their potential significance and are not necessarily all inclusive.
Using this medication with any of the following medicines is not recommended. Your doctor may decide not to treat you with this drug or change some of the other medicines you take.
- Amifampridine
- Bepridil
- Cisapride
- Dronedarone
- Grepafloxacin
- Isocarboxazid
- Levomethadyl
- Linezolid
- Mesoridazine
- Methylene Blue
- Metoclopramide
- Moclobemide
- Pimozide
- Piperaquine
- Ranolazine
- Sparfloxacin
- Terfenadine
- Thioridazine
- Tranylcypromine
Using this medication with any of the following medicines is not usually recommended, but may be necessary in some cases. If the two drugs are prescribed together, your doctor may change the dose or adjust how often you use one or both drugs.
- Acecainide
- Almotriptan
- Amiodarone
- Amisulpride
- Amitriptyline
- Amoxapine
- Amprenavir
- Anagrelide
- Aripiprazole
- Arsenic Trioxide
- Astemizole
- Azimilide
- Bretylium
- Bupropion
- Buserelin
- Chloroquine
- Clarithromycin
- Clonidine
- Clorgyline
- Cobicistat
- Crizotinib
- Cyclobenzaprine
- Dabrafenib
- Delamanid
- Deslorelin
- Desvenlafaxine
- Dextromethorphan
- Disopyramide
- Dofetilide
- Dolasetron
- Domperidone
- Droperidol
- Enflurane
- Epinephrine
- Erythromycin
- Escitalopram
- Eslicarbazepine Acetate
- Etylephrine
- Fentanyl
- Fluconazole
- Fluoxetine
- Foscarnet
- Frovatriptan
- Gatifloxacin
- Gemifloxacin
- Gonadorelin
- Goserelin
- Granisetron
- Halofantrine
- Haloperidol
- Halothane
- Histrelin
- Hydroxytryptophan
- Ibutilide
- Indacaterol
- Iobenguane I 123
- Iproniazid
- Isoflurane
- Isradipine
- Ivabradine
- Ketoconazole
- Leuprolide
- Levalbuterol
- Levomilnacipran
- Levothyroxine
- Lorcaserin
- Meperidine
- Methoxamine
- Metronidazole
- Midodrine
- Mirtazapine
- Moricizine
- Morphine
- Morphine Sulfate Liposome
- Moxifloxacin
- Nafarelin
- Naratriptan
- Nefopam
- Norepinephrine
- Octreotide
- Olodaterol
- Ondansetron
- Oxilofrine
- Oxymorphone
- Palonosetron
- Pargyline
- Pazopanib
- Pentamidine
- Phenelzine
- Phenylephrine
- Procainamide
- Procarbazine
- Prochlorperazine
- Quetiapine
- Quinidine
- Rasagiline
- Risperidone
- Selegiline
- Sematilide
- Sertindole
- Sertraline
- Sevoflurane
- Sotalol
- Spiramycin
- Sulfamethoxazole
- Sultopride
- Sumatriptan
- Tapentadol
- Tedisamil
- Telithromycin
- Tramadol
- Trazodone
- Trifluoperazine
- Trimethoprim
- Triptorelin
- Umeclidinium
- Vandetanib
- Vasopressin
- Vemurafenib
- Venlafaxine
- Vilanterol
- Vinflunine
- Vortioxetine
- Ziprasidone
- Zolmitriptan
- Zotepine
Using this medication with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If the two drugs are prescribed together, your doctor may change the dose or adjust how often you use one or both drugs.
- Acenocoumarol
- Arbutamine
- Bethanidine
- Cannabis
- Carbamazepine
- Cimetidine
- Dicumarol
- Fosphenytoin
- Guanethidine
- Paroxetine
- Phenprocoumon
- Phenytoin
- Propoxyphene
- Ramelteon
- S-Adenosylmethionine
- Warfarin
Can certain foods and drinks interfere with the work of the Doxepin drug?
Certain drugs should not be used with meals or when eating certain foods because drug interactions can occur. Consuming alcohol or tobacco with certain drugs can also cause interactions to occur. Discuss your use of drugs with food, alcohol, or tobacco with your health care provider.
What health conditions can interfere with the performance of the drug Doxepin?
The presence of other health problems in your body may affect the use of this drug. Tell your doctor if you have other health problems, such as:
- Bipolar disorder (mood disorder with mania and depression), or risk
- Breathing problems
- Psychosis (mental illness)
- Snoring during severe sleep - Use with caution. It might make things worse.
- Glaucoma
- Urinary retention (difficulty urinating), or risk - Should not be used in patients with this condition.
- Liver disease - Use with caution. The effect can be increased due to slower clearance of the drug from the body
Doxepin Drug Interactions
The information provided is not a substitute for a doctor's prescription. ALWAYS consult your doctor or pharmacist before starting treatment.
What is the dosage of doxepin for adults?
Doxepin dosage for depression and anxiety
For mild conditions:
- Initial dose: 25 mg per day in 1-3 divided doses.
- Maintenance dose: 25-50 mg per day in 1-3 divided doses.
For moderate conditions:
- Initial dose: 75 mg per day in 1-3 divided doses.
- Maintenance dose: 75-150 mg per day in 1-3 divided doses.
For severe conditions:
- Initial dose: 150 mg per day in 1-3 divided doses.
- Maintenance dose: 150-300 mg per day in 1-3 divided doses. The maximum single dose does not exceed 150 mg.
Doxepin dosage for insomnia
3-6 mg orally once a day.
Doxepin must be used within 30 minutes before bedtime. To minimize the potential for side effects the following day, doxepin should not be used within 3 hours of eating. The total dose of doxepin should not exceed 6 mg per day.
What is the dosage of doxepin for children?
Consult your doctor or pharmacist for more information.
In what dosages and preparations doxepin is available?
- Capsules, Oral: 10 mg, 25 mg, 50 mg, 75 mg, 100 mg, 150 mg
- Concentration, Oral: 10 mg / mL (118 mL, 120 mL)
- Tablet, Oral: 3 mg, 6 mg
- What to do in an emergency or overdose?
In case of an emergency or overdose, contact the local emergency services provider (119) or immediately to the nearest hospital emergency department.
What should I do if I forget to take medicine or forget to take medicine?
If you forget a dose of this medicine, take it as soon as possible. However, when it is nearing the time of the next dose, skip the missed dose and return to the usual dosing schedule. Don't double the dose.
Hello Health Group does not provide medical consultation, diagnosis or treatment.
