Doctor insights on:
How can I tell if my symptoms are from a dosage increase or from anxiety: depression returning? My dosage of doxepin was only raised 5mg feel like hel
Need more info: I understand you're taking both topical and oral doxepin, reasons for taking and doses not known. You need to rule out side effects of last doxepin dose change, even though a small increase, with prescribing doctor before assuming anxiety is the cause. You may be getting a higher dose of doxepin with topical and oral meds being additive than you realize. I hope this helps. ...Read more
Doxepin (brand name sinequan) is an older prescription antidepressant (a "tricyclic" available generically) that is mostly used nowadays as a sleep aid. It also has anxiety-relieving effects. Common side effects include dry mouth, blurred vision, and constipation, but unlike many other prescription sleep ...Read more
What is difference doxepin (silenor) & (sinequan)? What is dosage for insomnia for both types? Why both called doxepin? Seem very different.
Doxepin = generic : Silenor and sinequan are both doxepin, the generic name for the medication. The only difference is the dosages. Silenor comes in 3 and 6mg strengths, but sinequan's smallest dose increment is 10mg -- and it's a capsule which can't be cut in half. Sinequan is fda-indicated for depression, not insomnia. Prescribing sinequan for sleep is an "off label" use; giving silenor is an indicated use. ...Read more
On doxepin 25mg for 4 days. Hate it. Last dose on 4/20. How long does it take to get out of system w/ that dose & timeframe? When can I safely drink?
Important: When psych medications are prescribed, it is very important to be in close touch with the prescriber. He or she can help one manage the side effects that are often most intense at the beginning, but often (not always) transient. In general there are alternatives to doxepin, if the side effects persist and are intolerable. ...Read more
Tomorrow @ 4:50 PM I will take 2 1/2 tabs valium, 5mg each (12 1/2mg) 1 hour before MRI (usual dose) When can I take my bedtime dose of 50 mg Doxepin?
If my dizziness is related to the increase of my antidepressant doxepin would it go away if I lower the dose? How long would it take to notice?
A week or so: Dizziness is common particularly at high doses of this medication. Low dose is 10mg -25 mg in my opinion. Does less for depression at lower doses so more typical 50mg+ is used. Side effects common. May take one week or more to get rid of side effects. Lower dose by no more than 25mg a week. ...Read more
If a red, itchy rash with no contact triggers improves with antihistamines (claritin (loratadine) or low dose doxepin) does that mean it is probably eczema?
Itchy rash: Antihistamines control the itch, whether it is eczema or not, the mechanism of itching is common to a number of rashes and antihistamines only help with the end result but not with the cause. To have a proper diagnosis, you need to have yourself evaluated by a dermatologist or allergist. ...Read more
Depends on dose: Doxepin is used to treat depression and anxiety. Doxepin is a tricyclic antidepressant. common adverse events can include nausea, drowsiness, tiredness, nightmares, dry mouth, skin sensitive to sunlight, changes in appetite or weight, constipation, difficulty urinating, frequent urination, blurred vision, changes in sex drive/function, excessive sweating. ...Read more
For depression/sleep: Doxepin (brand name sinequan) is an older prescription antidepressant (a "tricyclic" available generically) that is mostly used nowadays as a sleep aid. It also has anxiety-relieving effects. Common side effects include dry mouth, blurred vision, and constipation, but unlike many other prescription sleep aids, it is non-addictive. ...Read moreSee 1 more doctor answer
Several reasons: Doxepin is an older antidepressant. People may take this for its antidepressant effects. It could be given in lower doses to help with sleep or anxiety -- often along with a newer ssri antidepressant like zoloft (sertraline) or prozac. It can be especially helpful for people whose anxiety manifests in gastrointestinal discomfort. Recently, the fda approved a new, low dose formulation for primary insomnia. ...Read more
Half life: The half life (per epocrates) is 15.3 hours and 31 hours for its metabolite. ...Read more
Depends: Doxepin is like Elavil (amitriptyline) and can interact with several other meds such that even a low dose can be toxic and some people don't metabolize well. You should discuss with your prescriber your concerns. Never take more than instructed. If thinking of a suicide plan, tell them as well. It's not a pleasant nor sure thing and other help is available if this isn't working. ...Read more
Doxepin: Doxepin (sinequan) is an old antidepressant used for major depression. It is now reintroduced in very low dose to help sleep, due to its sedative effect. Symbiax is combination of Prozac & zyprexa, (olanzapine) used for depression with psychotic features, and is very sedating & causes weight gain. ...Read more