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Doctor insights on: Doxepin Includes Nordoxepin

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I'm considering taking elavil or tofranil (imipramine) for depression. Which is best?

I'm considering taking elavil or tofranil (imipramine) for depression. Which is best?

They're very similar: Elavil (amitriptyline) (amitripyline) and tofranil (imipramine) are both tricyclic antidepressants, an older category. While they are effective against depression, both can cause antihistamine-like effects e.g., sedation, dry mouth, dry eyes, constipation, and temporary trouble focusing vision. Elavil (amitriptyline) does this a little more, so tofranil may be better unless elavil's extra sedation helps. ...Read more

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Dr. Warren Foster
74 doctors shared insights

Doxepin (Definition)

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


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Effects sinequan(doxepin) or symbax?

Effects sinequan(doxepin) or symbax?

Symbax: Symbax is both an antipsychotic & selective serotonin reuptake inhibitor antidepressant. It is used to treat Bipolar depressive episodes. Doxepin has been used to treat nerve pain medication, sleep problems, anxiety & depression. Although I don't tend to see it used for depression now a days. ...Read more

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What works best for insomnia: elavil or seroquel (quetiapine)?

What works best for insomnia: elavil or seroquel (quetiapine)?

One make work : Better for one individual and vice versa. In other words - there is not a one size fits all response to these medications. They both can be very effective for sleep. Both have potential side effects. Seroquel (quetiapine) has potential to cause tardive dyskensia ; neuroleptic malignant syndrome. ...Read more

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Which is best? Paxil, (paroxetine) olanzapine, bupropion, or oxcarbazepine?

Which is best? Paxil, (paroxetine) olanzapine, bupropion, or oxcarbazepine?

Agree w Dr. Ali: Which is best for treating which condition?. Paxil is an SSRI antidepressant which is good for treatment of typical depressive sx 's & anxiety. Bupropion is a unique antidepressant which is good for seasonal affective disorder, atypical depression & smoking cessation. Oxcarbazepine is a mood stabilizer and olanzapine is an antipsychotic. You are asking us to compare apples & organges. ...Read more

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Is mirtazapine and amisulpride agood combination?

Is mirtazapine and amisulpride agood combination?

It depends: Mirtazapine is antidepressant and amisulpride is an antipsychotic. The combination could be useful for treatment of depression with psychotic symptoms. ...Read more

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Amitriptyline vs nortripyline for GI uses and sleep?

Amitriptyline vs nortripyline for GI uses and sleep?

Both are used: But amitrypiline gets my vote based on my personal experience over almost40 years and the other amount of use of this med for other uses than only depression. Nortyptilline is an ok antidepressant for the right patient. ...Read more

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Dr. Alan Ali Dr. Ali
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Is taking pamelor nortriptyline (generic name) 10 mg at bedtime effective?

Dr. Alan Ali Dr. Ali
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Is taking pamelor nortriptyline (generic name) 10 mg at bedtime effective?

Pamelor (nortriptyline): At that low dose, not effective for depression, although other conditions ncan be helped, such as neurogenic pain and sleep. ...Read more

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Amitriptyline or ativan, (lorazepam) which is better?

Neither: Amitriptyline is an antidepressant. Ativan (lorazepam) is an antianxiety medication. The have two different mechanisms of action and two different effects. Contact your doctor to determine which is best for you and your circumstances. ...Read more

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Effects of nortriptyline hydrochloride?

Effects of nortriptyline hydrochloride?

Complicated: This tca antidepressant can also treat pain & enuresis. May work by increasing norepinephrine & serotonin. It is also antihistaminic. Common side effects (se's) include dry mouth, sedation, constipation, blurry vision & increased appetite. May increase suicidal ideation in a few patients. Should be monitored by md if there is a history of heart problems or suicidal behaviors. ...Read more

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Which tcas is more potent for sciatica pain relief, amitriptyline(or nortriptyline), imipramine(or desipramine)?

Which tcas is more potent for sciatica pain relief, amitriptyline(or  nortriptyline), imipramine(or desipramine)?

TCA: Tca are classic for neuropathic pain - sciatica for example. Any of the ones u mentioned may be quite eefective - and cheap. They are not without side effects - dry mouth, constipation, sedation. Any of the ones u mentioned can be effective. I personally like amytryptilline - 10mg at night - as mentioned all will work. Additionally other meds such as lyrica, (pregabalin) neurontin, Cymbalta are options. ...Read more

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What is difference doxepin (silenor) & (sinequan)? What is dosage for insomnia for both types? Why both called doxepin? Seem very different.

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

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Is viibryd (vilazodone hydrochloride) often prescribed for anxiety?

Is viibryd (vilazodone hydrochloride) often prescribed for anxiety?

No, mostly.: But that's because it's a really new drug, so it's not prescribed "often" for anything! It IS an antidepressant, and all antidepressants are also used as antianxiety meds. This is because depression and anxiety are often considered to be flip sides of the same coin within psychiatry. If you are not comfortable with idea of the med, talk to your doc. Otherwise, maybe try it and see how it goes? ...Read more

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What is better for chronoc anxiety lamictal or neurontin (gabapentin)?

What is better for chronoc anxiety lamictal or neurontin (gabapentin)?

Niether: Niether have strong evidence supporting their use in anxiety. Neurontin's effects on anxiety are thought to be mediated through its effects on the inhibitory neurotransmitter gaba (similar to, but much more subtly than, benzodiazepines). Lamictal is still being investigated for use in anxiety because it can reduce activity of the excitatory neurotransmitter glutamine. ...Read more

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Best bet for improved sleep architecture between temazepam, doxepin and cyclobenzine?

Best bet for improved sleep architecture between temazepam, doxepin and cyclobenzine?

Doxepin or cyclobenz: Tomoz upon his habit forming and you want to avoid that. Doxepin is a good choice and so is cyclobenzaprine. Neither of those are habit-forming. But It can help sleep. You need to discuss with your physician about their use their benefits in there side effects. ...Read more

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Which causes asthenia after not taking; 1-Haloperidol 2-Carbamazepine 3-Lamotrigine 4-Biperiden 5-Methocarbamol 6-Quetiapine 7-Clomipramine?

Which causes asthenia after not taking; 1-Haloperidol  
2-Carbamazepine
3-Lamotrigine
4-Biperiden
5-Methocarbamol
6-Quetiapine
7-Clomipramine?

Asthenia : Weakness can be caused by induction of an adrenal deficiency in the setting of chronic steroid use ( withdrawal ) Any of the medications listed can produce perceived weakness in the setting of anxiety. ...Read more

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Is Neurontin (gabapentin) good for anxiety or sleep?

Is Neurontin (gabapentin) good for anxiety or sleep?

Possibly, but: There is no formal fda indication for this medication for these symptoms.....There are other meds that are probably more effective an actually fda approved. ...Read more

Dr. Alan Ali
63 doctors shared insights

Sinequan (Definition)

Sinequan is a tertiary amine tricyclic which is a kind of tricyclic type drug (serotonin-norepinephrine reuptake inhibiting ...Read more