This medicine is employed to treat mental/mood problems such as depression and anxiety. It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, 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 provided 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.
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Take this medication by mouth, usually 1 to 3 times daily or since 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 lower your risk of part effects (such as drowsiness, dry mouth, dizziness), your doctor may direct you to start out this medication at a low dose and gradually boost your dosage. Follow your doctor's instructions carefully.
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Use the dropper that comes because of the medication to measure out the prescribed amount. Simply before taking, 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 every dosage. Do not prepare a supply for future use.
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Take this medication regularly in order to get the benefit that is most from it. To help you remember, take it at the time( that is same) each time. Do not raise your dose or use this drug more regularly or even for longer than prescribed. Your trouble will perhaps not enhance any faster, and your risk of negative effects will increase.
You should carry on using this medication regardless if you feel well. Do not stop using this medication without consulting your medical practitioner. Some conditions could 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 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 your emotions of sadness worsen, or you have thoughts of suicide).
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Drowsiness, dizziness, dry mouth, blurred vision, constipation, or difficulty urinating may occur. If any of these results persist or worsen, notify your doctor or pharmacist promptly.
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 prevent 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 picking a laxative.
Remember your physician has prescribed this medicine she has judged that the benefit to you is greater than the risk of adverse effects because he or. Many people using this medication do not have side that is serious.
Inform your doctor right away if any of these rare but serious side effects occur: persistent heartburn, mental/mood changes (such as anxiety, agitation, confusion), shaking, severe stomach/abdominal pain.
Get help that is medical away for those who 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 evening).
A very serious reaction that is allergic this drug is rare. However, seek immediate medical attention if you notice any observeable symptoms of a serious allergic attack, including: rash, itching/swelling (especially for the face/tongue/throat), serious 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.
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Phone your doctor for medical advice about side-effects. You may report side 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 side effects. You may report side effects to wellness Canada at 1-866-234-2345.
See section that is also warning.
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 to get more details.
Before applying this medication, tell your medical professional or pharmacist your medical background, especially of: bleeding problems, difficulty in breathing, liver issues, recent heart attack, problems urinating (such as due to enlarged prostate), overactive thyroid (hyperthyroidism), individual or genealogy and family history of glaucoma (angle-closure type), individual or genealogy and family history of mental/mood conditions (such as bipolar disorder, psychosis), family history of suicide, seizures, conditions that may increase your danger of seizures (such as other brain disease, alcohol/sedative withdrawal).
Doxepin could potentially cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause severe (seldom fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that want medical help straight away.
The danger of QT prolongation are increased if you have certain medical conditions or are taking other drugs that could cause QT prolongation. Before using doxepin, tell your doctor or pharmacist of the many drugs you just take and if you have any of this following conditions: certain heart problems (heart failure, sluggish heartbeat, QT prolongation in the EKG), genealogy of certain heart related illnesses (QT prolongation in the EKG, unexpected cardiac death).
Low quantities 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. Talk to your medical practitioner about using doxepin safely.
This medication 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 alcoholic beverages.
Before having surgery, tell your doctor or dental practitioner about all the products you utilize (including prescription drugs, nonprescription drugs, and herbal products).
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This medication might make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear protective clothing when outdoors.
It harder to control your blood sugar levels if you have diabetes, this drug may make. Monitor your blood sugar levels regularly and tell your doctor of the results. Your doctor might need to regulate your diabetes medication, exercise program, or diet.
Older adults may be much more responsive to the adverse aftereffects of this drug, especially dry mouth, dizziness, drowsiness, confusion, difficulty urinating and QT prolongation (see above).
During pregnancy, this medication ought to be used only when demonstrably needed. Since untreated mental/mood problems (such as depression, anxiety) can be a condition that is serious 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 when using this drug isn't recommended. Consult your medical professional before breast-feeding.
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