The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet is: PL 36301/0058 .
Doxepin 25mg Capsules
Doxepin 25 mg capsules, doxepin
1. What Doxepin capsules are and what they are used for
2. What you need to know before you take Doxepin capsules
3. How to take Doxepin capsules
4. Possible side effects
5. How to store Doxepin capsules
6. Contents of the pack and other information
The name of this medicine is Doxepin 25 mg capsules.
The active ingredient in this medicine is doxepin, a tricyclic antidepressant.
Your doctor has decided that this medicine is suitable for treating your depression. If you have been feeling sad, tearful or unable to enjoy life as you used to, Doxepin capsules may help you to feel better. It may also help if you have difficulty sleeping because of your depression. If you are not sure why you are on these capsules, ask your doctor.
Talk to your doctor or pharmacist before taking Doxepin capsules:
The use of Buprenorphine together with Doxepin Capsules can lead to serotonin syndrome, a potentially life-threatening condition (see “If you are taking other medicines”).
If you are depressed and/or have anxiety disorders you can sometimes have thoughts of harming or killing yourself. These may be increased when first starting antidepressants, since these medicines all take time to work, usually about two weeks but sometimes longer.
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This is important as some medicines may affect the way Doxepin capsules work.
If you are going to have a surgical operation or dental surgery tell the doctor or dentist in charge that you are taking this medicine.
Tell your doctor, especially, if you are taking any of the medicines listed below:
Be careful while taking Doxepin capsules with alcohol as it may cause drowsiness. Alcoholic drinks (wine, beer, spirits) may affect you much more than usual.
Do not take this medicine if you are pregnant or trying to become pregnant without consulting your doctor.
Do not take this medicine if you are breast-feeding without consulting your doctor.
You may feel sleepy when you take these capsules, do not drive or work with machinery until this effect has worn off.
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
The capsules should be swallowed whole.
Do not crush or chew the capsules.
The usual starting dose is 75 mg daily. This dose may be increased if necessary. The maximum recommended dose is 100 mg taken three times per day.
No data are available. Doxepin capsules should not be used in children and adolescents aged less than 18 years.
It may be necessary to reduce the dose in elderly patients. Follow your doctor's instructions. If you are elderly and require an increased dose of the medicine your doctor may wish to see you regularly.
It may be necessary to reduce the dose or start the treatment on a lower dose. Follow your doctor's instructions.
Too many capsules at once can be dangerous. Signs and symptoms of mild overdose include drowsiness, stupor, blurred vision and excessive dryness of the mouth. Severe overdose may cause loss of consciousness, reduced breathing rate, convulsions, low blood pressure, unusually fast heart beat or palpitations. If you take too many capsules immediately contact your doctor or nearest hospital Accident and Emergency Department.
If you forget to take this medicine, do not worry. Take your usual dose at the next correct time. Do not take a double dose to make up for a forgotten capsule.
You should always check with your doctor before you stop treatment. Your doctor may want you to reduce gradually the dose you are taking before stopping the medicine completely. This may help to prevent a recurrence of the original trouble and reduce the chance of withdrawal effects such as insomnia, irritability and excessive sweating.
Tell your doctor if:
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If you are depressed and/or have anxiety disorders you can sometimes have thoughts of harming or killing yourself. These may be increased when first starting antidepressants, since these medicines all take time to work, usually about two weeks but sometimes longer. You may be more likely to think like this:
If you have thoughts of harming or killing yourself at any time, contact your doctor or go to a hospital straight away. You may find it helpful to tell a relative or close friend that you are depressed or have an anxiety disorder, and ask them to read this leaflet. You might ask them to tell you if they think your depression or anxiety is getting worse, or if they are worried about changes in your behaviour.
An increased risk of bone fractures has been observed in patients taking this type of medicine.
Doxepin is well tolerated. Most undesirable effects are usually mild and tend to wear off after continued treatment. However, if the side effects are troublesome, your doctor may decide to reduce your dose.
Common: may affect up to 1 in 10 people
Uncommon: may affect up to 1 in 100 people
Rare: may affect up to 1 in 1,000 people
Not known: frequency cannot be estimated from the available data
If you are elderly, you may be more likely to be troubled by agitation or confusion
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme, Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the carton and blister after EXP. The expiry date refers to the last day of that month.
Store below 25ºC. Store in the original package in order to protect from light.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
The capsules are free of gluten and sucrose.
Doxepin 25 mg capsules are blue and white coloured capsules.
Doxepin 25 mg capsules are available in packs of 28 capsules - PVC/PVdC/aluminium blister strips; 2 rows of 7 capsules per strip, 2 strips in a carton box.
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The Leaflet was last revised in 08/2021
For information in large print, Braille or on CD, telephone 0800 198 5000.