This medication 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, better help you sleep, and increase your vitality. 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 medical professional or pharmacist.
Take this medication by mouth, usually 1 to 3 times daily or as directed by your doctor. 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 side effects (such as drowsiness, dry mouth, dizziness), your medical professional may direct you to start this medication at a low dose and gradually raise your dosage. Follow your physician's instructions carefully.
Use the dropper that comes because of 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 what you need for every dosage. Do not prepare a supply for future use.
Just take this medication regularly to be able to get the benefit that is most from it. To help you remember, take it at the time( that is same) each day. Do not raise your dose or use this drug more frequently or even for longer than prescribed. Your trouble shall not enhance any faster, along with your threat of unwanted effects will increase.
It is critical to carry on taking this medication even when you feel well. Do not stop taking this medication without consulting your physician. Some conditions may become worse when this drug is abruptly stopped. Additionally, 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 to get more details. Report any new or symptoms that are worsening away.
This medicine might not away work right. 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 get worse, or you have thoughts of suicide).
See section that is also warning.
Drowsiness, dizziness, dry mouth, blurred vision, constipation, or difficulty urinating may possibly occur. If some of these impacts persist or worsen, notify your doctor or pharmacist promptly.
To lessen the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or position that is lying.
To relieve dry mouth, suck on (sugarless) hard candy or ice potato chips, chew (sugarless) gum, drink water, or use a saliva substitute.
To stop constipation, maintain a diet adequate in fibre, beverage plenty of water, and exercise. If you become constipated while using this drug, consult your pharmacist for aid in selecting a laxative.
Remember that your particular doctor has prescribed this medication 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 adverse that is serious.
Inform your doctor immediately if some of these rare but serious part effects occur: persistent heartburn, mental/mood changes (such as anxiety, agitation, confusion), shaking, serious pain that is stomach/abdominal.
Get medical help right away for those who have any very serious adverse effects, including: severe dizziness, fast/irregular heartbeat, fainting, seizures, eye pain/swelling/redness, vision changes (such as seeing rainbows around lights at night).
A really serious allergic reaction to this drug is rare. However, seek immediate attention that is medical you notice any observeable symptoms of a serious allergic attack, including: rash, itching/swelling (especially regarding the face/tongue/throat), severe 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.
In the US -
Phone your physician for medical advice about adverse effects. You may report adverse effects to Food And Drug Administration at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your physician for medical advice about part effects. You may report side 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 lots more details.
Before making use of this medication, tell your physician or pharmacist your medical history, especially of: bleeding problems, difficulty in breathing, liver dilemmas, recent heart attack, problems urinating (such as due to enlarged prostate), overactive thyroid (hyperthyroidism), individual or genealogy and family history of glaucoma (angle-closure kind), individual or family history of mental/mood conditions (such as for instance 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 could cause a disorder that affects the 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 help right away.
The threat of QT prolongation can be increased when you have certain conditions that are medical are taking other drugs which could cause QT prolongation. Before using doxepin, tell your doctor or pharmacist of all of the drugs you take and if you have any of this following conditions: specific heart dilemmas (heart failure, slow heartbeat, QT prolongation in the EKG), family history of particular heart disease (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 use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Speak to your doctor 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 you can perform such activities safely until you are sure. Limit alcoholic beverages.
Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal items).
This medication may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear clothing that is protective 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 be much more responsive to the side effects of this drug, especially dry lips, dizziness, drowsiness, confusion, difficulty urinating and QT prolongation (see above).
During pregnancy, this medication should be used only when clearly 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. 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 medication passes into breast milk and may have effects that are undesirable a nursing infant. Breast-feeding while using the this drug isn't recommended. Consult your medical professional before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.