Therefore, before using doxepin, report all medications you are currently using to your doctor or pharmacist.
Common side effects of doxepin include sleepiness, nausea and upset stomach.
If you are using this medication for insomnia, read the monograph entitled doxepin insomnia. In patients who are well controlled on TCAs also receiving cimetidine, discontinuation of the cimetidine may decrease established steady-state TCA levels and compromise their therapeutic effects. Low dose doxepin is advantages for the patients with complaint of objective and subjective measures of sleep maintenance and sleep onset insomnia.
The distribution of histamine receptors in brain is very dense. The sedating and anticholinergic properties of many H 1 -receptor antihistamines probably account for some of their efficacy.
Ask your doctor before use if you are taking the following medications:
If you want to drink alcohol, remember that you might be very sleepy.
Prolonged use may result in significant loss of bone density.
People who use a PPI and who feel they may not be at risk of symptoms should speak to their doctor about the possibility of discontinuing its use.
It is prescribed for the treatment of patients with deep vein thrombosis, the reduction of pulmonary embolism, and in patients with atrial fibrillation to reduce the risk of strokes and heart attack.
This should be considered particularly at start of treatment and upon change of medication as well as in conjunction with alcohol.
Use sunscreen and wear protective clothing when outdoors. Your doctor will need to check your progress at regular visits while you are using doxepin. All patients suspected of tricyclic antidepressant overdose should receive gastrointestinal decontamination. Therapy is usually started at 30 to 150 mg per day and gradually increased to 300 mg daily if needed.
The dosage is based on your medical condition and response to treatment. Your doctor may tell you to take the entire dose at once, or divide it into 2 or 3 smaller doses throughout the day.