This medicine 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 medicine belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters) in the mind.
Read the Medication Guide given by your pharmacist before you start taking doxepin and each time you get a refill. 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. If you take it only once a day, take it at bedtime to reduce daytime sleepiness. The dosage is based on your condition that is medical and to treatment.
To lessen your risk of side effects (such as drowsiness, dry mouth, dizziness), your physician may direct you to begin this medication at a low dose and gradually increase your dose. Follow your doctor's directions carefully.
Use the dropper that comes because of the medication to measure out the prescribed amount. Simply before using, 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. You may mix both drugs with lemonade, orange juice, sugar water, orange drink mix, or plain water, but not grape juice if you are taking this medication in combination with liquid methadone. Mix only what you need for each dosage. Do not prepare a supply for future use.
Take this medication regularly so that you can get the benefit that is most from it. To help you remember, take it at the time( that is same) each day. Do not increase your dose or make use of this drug more frequently or even for longer than prescribed. Your trouble will perhaps not improve any faster, along with your threat of adverse effects will increase.
You should continue using this medication even in the event you feel well. Do not stop taking this medication without consulting your physician. Some conditions could become worse when this drug is abruptly stopped. Also, 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 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.
Inform your doctor if your condition persists or worsens (such as for example your feelings of sadness become worse, or perhaps you have thoughts of suicide).
See also Warning section.
Drowsiness, dizziness, dry mouth, blurred vision, constipation, or difficulty urinating may occur. If any of these results persist or worsen, notify your pharmacist or doctor immediately.
To reduce the risk of dizziness and lightheadedness, get up slowly when increasing from a sitting or position that is lying.
To relieve mouth that is dry suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water, or use a saliva substitute.
To stop constipation, maintain a diet sufficient in fiber, drink plenty of water, and workout. If you become constipated while using this drug, consult with your pharmacist for assist 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 adverse effects. Many people using this medication do not have adverse that is serious.
Inform your doctor immediately if any of these rare but serious part effects occur: persistent heartburn, mental/mood changes (such as anxiety, agitation, confusion), shaking, severe pain that is stomach/abdominal.
Get medical help right away for those who have any very serious side effects, including: severe dizziness, fast/irregular heartbeat, fainting, seizures, attention pain/swelling/redness, eyesight changes (such as seeing rainbows around lights at evening).
A really serious allergic reaction to this drug is rare. However, seek immediate attention that is medical you notice any outward symptoms of a serious allergic attack, including: rash, itching/swelling (especially for 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 -
Call your physician for medical advice about negative 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 effects that are side Health Canada at 1-866-234-2345.
See also Warning section.
Before taking 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 inactive ingredients, which can cause allergic responses or other problems. Talk to your pharmacist for lots more details.
Before applying this medicine, tell your doctor 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), personal or family history of mental/mood conditions (such as for example manic depression, psychosis), family history of suicide, seizures, conditions that may increase your risk of seizures (such as for instance other brain disease, alcohol/sedative withdrawal).
Doxepin could cause an ailment that affects the heart rhythm (QT prolongation). QT prolongation can seldom cause severe (rarely fatal) fast/irregular heartbeat and other symptoms (such as serious dizziness, fainting) that want medical help immediately.
The threat of QT prolongation are increased when you yourself 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 medications you take if you have any of the following conditions: specific heart issues (heart failure, sluggish heartbeat, QT prolongation in the EKG), genealogy and family history of specific heart problems (QT prolongation in the EKG, sudden cardiac death).
Low levels 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. Speak with your medical practitioner about using doxepin safely.
This drug 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 utilize (including prescription drugs, nonprescription drugs, and natural products).
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 outdoors.
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 adjust your diabetes medication, exercise program, or diet.
Older adults may be 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 when obviously needed. Since untreated mental/mood problems (such as for example depression, anxiety) can be a condition that is serious 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 drug is not recommended. Consult your physician before breast-feeding.
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Airmail: 2-3 business weeks, EMS: 3-8 business days.