Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Behaviour changes:This medication may worsen symptoms of depression, including thoughts of suicide or wanting to harm others. It may also cause agitated or aggressive behaviour. If you experience these symptoms or any other behaviour change while taking this medication, contact your doctor immediately.
Family members or caregivers of people who are taking this medication should contact the person's doctor immediately if they notice unusual behaviour changes.
Drowsiness/reduced alertness: Doxepin can cause drowsiness and decreased mental alertness. Do not operate heavy machinery or drive after taking this medication. Do not use doxepin if you drink alcohol.
Liver problems: If you have liver problems, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Performing activities while not fully awake: People taking doxepin may perform activities such as sleepwalking, driving, preparing and eating food, and making phone calls while not fully awake and unaware of their actions. The next morning, they may not remember what happened. This may be more likely to occur if you use alcohol or other sedative medications. If you discover this has happened to you, contact your doctor immediately.
Sleep apnea: The safety of using doxepin for people with sleep apnea has not been established.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.
Breast-feeding: Doxepin passes into breast milk. Doxepin is not recommended for use by women who are breast-feeding.
Children: The safety and effectiveness of using this medication have not been established for children under the age of 18.
Seniors: Seniors may be more likely to experience drowsiness or confusion while taking this medication.