This medication is employed 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 medication belongs to a class of medications called antidepressants that are tricyclic. It works by affecting the balance of certain natural chemicals (neurotransmitters) in the mind.
Read the Medication Guide supplied by your pharmacist you get a refill before you start taking doxepin and each time. If you have any relevant concerns, consult your doctor or pharmacist.
Just 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 lessen your risk of side effects (such as drowsiness, dry mouth, dizziness), your physician may direct you to start this medicine at a low dose and gradually raise your dosage. Follow your doctor's directions carefully.
Use the dropper that comes aided by the medicine to measure out the prescribed amount. Simply before using, mix the drug with half a glass (4 ounces or 120 milliliters) of water or milk, 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 each dosage. Do not prepare a supply for future use.
Simply take this medication regularly to be able to get the benefit that is most from it. To help you remember, take it at the same time(s) each time. Do not increase your dose or utilize this drug more often or even for longer than prescribed. Your condition will perhaps not improve any faster, and your threat of negative effects will increase.
It's important to continue using this medication even though you feel well. Do not stop using this medication without consulting your physician. Some conditions may become worse when this drug is suddenly 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 doctor or pharmacist for lots more details. Report any new or symptoms that are worsening 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 full effect.
Inform your doctor if your condition persists or worsens (such as for example your emotions of sadness worsen, or you have thoughts of suicide).
See also Warning section.
Drowsiness, dizziness, dry mouth, blurred vision, constipation, or trouble urinating may occur. If some of these results persist or worsen, notify your doctor or pharmacist quickly.
To cut back the risk of dizziness and lightheadedness, get up slowly when increasing 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 stop constipation, maintain a diet adequate in dietary fiber, drink plenty of water, and workout. If you become constipated while using this drug, consult your pharmacist for help in selecting a laxative.
Remember your medical practitioner 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 serious side effects.
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 stomach/abdominal pain.
Get medical help right away when you have any very serious adverse effects, including: severe dizziness, fast/irregular heartbeat, fainting, seizures, attention pain/swelling/redness, eyesight changes (such as seeing rainbows around lights at night).
A really serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a severe hypersensitive reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is simply not a list that is complete of adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Into the US -
Phone your doctor for medical advice about adverse effects. You may report effects that are side 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 adverse effects to wellness Canada at 1-866-234-2345.
See also Warning section.
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 reactions or other problems. Talk to your pharmacist for more details.
Before making use of this medication, tell your medical professional or pharmacist your medical history, especially of: bleeding problems, breathing problems, liver issues, recent coronary attack, problems urinating (such as due to enlarged prostate), overactive thyroid (hyperthyroidism), personal or genealogy and family history of glaucoma (angle-closure type), personal or genealogy of mental/mood conditions (such as bipolar disorder, psychosis), family history of suicide, seizures, conditions that may increase your threat of seizures (such as for instance other brain disease, alcohol/sedative withdrawal).
Doxepin could cause a disorder that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention straight away.
The danger of QT prolongation may be increased when 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 drugs you just take of course you have any associated with the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), genealogy of certain heart disease (QT prolongation in the EKG, sudden cardiac death).
Low degrees of potassium or magnesium in the blood may also increase your risk 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. Communicate with your medical practitioner 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 until you are sure you can perform such activities safely. Limit beverages that are alcoholic.
Before having surgery, tell your doctor or dental practitioner about all the products you use (including prescribed drugs, nonprescription drugs, and organic services and products).
This medication might 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 might need to adjust your diabetes medication, exercise program, or diet.
Older adults may be much more responsive to the adverse 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 once demonstrably needed. Since untreated mental/mood problems (such as for example 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 medication passes into breast milk and may have effects that are undesirable a nursing infant. Breast-feeding when using this medication isn't recommended. Consult your physician before breast-feeding.
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Airmail: 2-3 business weeks, EMS: 3-8 business days.