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This medicine is used 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, help you sleep better, and increase your energy level. This medicine belongs to a class of medicines called tricyclic antidepressants. It works by affecting the balance of certain chemicals that are naturalneurotransmitters) in the mind.

How to use Sinequan

Read the Medication Guide supplied by your pharmacist before you start taking doxepin and each time you get a refill. If you have any relevant questions, consult your doctor or pharmacist.

Simply take this medication by mouth, usually 1 to 3 times daily or because directed by your medical practitioner. At bedtime to reduce daytime sleepiness if you take it only once a day, take it. The dosage is based on your condition that is medical and to treatment.

To lower 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 instructions carefully.

Use the dropper that comes utilizing the medicine to measure out the prescribed amount. Just 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 the thing you need for each dosage. Do not prepare a supply for future use.

Just take this medicine frequently 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 regularly or for longer than prescribed. Your condition will perhaps not enhance any faster, and your threat of unwanted effects will increase.

You will need to carry on taking this medication even in the event you feel well. Do not stop using this medication without consulting your physician. Some conditions can become worse when this drug is instantly stopped. Also, you may 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 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 full effect.

Inform your doctor if your condition persists or worsens (such as your feelings of sadness worsen, or you have thoughts of suicide).

What conditions does Sinequan treat?

Side Effects

See section that is also warning.

Drowsiness, dizziness, dry lips, blurred vision, constipation, or difficulty urinating may possibly occur. If some of these effects persist or worsen, notify your pharmacist or doctor quickly.

To cut back the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or position that is lying.

To relieve mouth that is dry suck on (sugarless) hard candy or ice potato chips, chew (sugarless) gum, drink water, or use a saliva substitute.

To avoid constipation, maintain a diet sufficient in fibre, beverage plenty of water, and exercise. If you become constipated while using this drug, consult your pharmacist for help in selecting a laxative.

Remember that your medical practitioner has prescribed this medication 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 right away if some of these rare but serious side effects occur: persistent heartburn, mental/mood changes (such as anxiety, agitation, confusion), shaking, serious stomach/abdominal pain.

Get help that is medical away when you yourself have any very serious adverse effects, including: severe dizziness, fast/irregular heartbeat, fainting, seizures, eye pain/swelling/redness, vision changes (such as seeing rainbows around lights at night).

A very serious reaction that is allergic this drug is rare. However, seek immediate medical attention if you notice any observeable symptoms of a severe allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your pharmacist or doctor.

In the US -

Phone your doctor for medical advice about adverse effects. You may report adverse effects to FDA at 1-800-FDA-1088 or at

In Canada - Call your physician for medical advice about side effects. You may report adverse effects to wellness Canada at 1-866-234-2345.

List Sinequan adverse effects by likelihood and severity.


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 responses or other problems. Talk to your pharmacist to get more details.

Before making use of this medicine, tell your medical professional or pharmacist your medical background, especially of: bleeding problems, breathing problems, liver issues, recent coronary arrest, problems urinating (such as due to enlarged prostate), overactive thyroid (hyperthyroidism), individual or genealogy and family history of glaucoma (angle-closure kind), individual or family history of mental/mood conditions (such as for instance manic depression, psychosis), family history of suicide, seizures, conditions that may increase your threat of seizures (such as other brain disease, alcohol/sedative withdrawal).

Doxepin may cause a condition that affects one's heart rhythm (QT prolongation). QT prolongation can hardly ever cause severe (seldom fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that want medical help immediately.

The danger of QT prolongation can be increased when you yourself have certain medical conditions or are taking other drugs that will cause QT prolongation. Before using doxepin, tell your physician or pharmacist of all of the drugs you just take and if you have any of this following conditions: certain heart dilemmas (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 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 doctor 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 you can perform such activities safely until you are sure. Limit beverages that are alcoholic.

Before having surgery, tell your doctor or dentist about all the products you use (including prescribed drugs, nonprescription drugs, and herbal 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 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 adjust your diabetes medication, exercise program, or diet.

Older adults may be more responsive to the adverse ramifications of this drug, especially dry lips, dizziness, drowsiness, confusion, difficulty urinating and QT prolongation (see above).

During pregnancy, this medication must certanly be used only if clearly 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 medicine passes into breast milk and may have undesirable effects on a nursing infant. Breast-feeding while using the this drug is not recommended. Consult your doctor before breast-feeding.

What must I understand regarding pregnancy, medical and administering Sinequan to young ones or the elderly?

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