Doxepin Hcl Concentrate

— THERAPEUTIC CATEGORIES —
  • Anxiety/OCD
  • Mood disorders

Doxepin Hcl Concentrate Generic Name & Formulations

General Description

Doxepin (as HCl) 10mg/mL.

Pharmacological Class

Tricyclic.

How Supplied

Contact supplier.

Doxepin Hcl Concentrate Indications

Indications

Anxiety.

Doxepin Hcl Concentrate Dosage and Administration

Adult

Soln: dilute with 4oz juice, water, or milk. Mild: 25–50mg/day. Mild-to-moderate: initially 75mg/day; range 75–150mg/day. Severe: max 300mg/day. May give as single (up to 150mg) or divided doses; 150mg caps for maintenance only.

Children

Not recommended.

Doxepin Hcl Concentrate Contraindications

Contraindications

Urinary retention. Glaucoma.

Doxepin Hcl Concentrate Boxed Warnings

Not Applicable

Doxepin Hcl Concentrate Warnings/Precautions

Warnings/Precautions

Increased risk of suicidal thinking and behavior in children, adolescents, and young adults; monitor for clinical worsening and unusual changes. Screen for bipolar disorder. Cardiovascular disease. Angle-closure glaucoma. Seizures. Psychosis. Poor metabolizers (those with reduced CYP2D6 activity). Avoid abrupt cessation. Write ℞ for smallest practical amount. Elderly. Pregnancy. Nursing mothers.

Doxepin Hcl Concentrate Pharmacokinetics

See Literature

Doxepin Hcl Concentrate Interactions

Interactions

Hyperpyretic crisis, convulsions, death with MAOIs; discontinue at least 14 days prior to initiating doxepin. Potentiated by CYP2D6 inhibitors (eg, quinidine, cimetidine, phenothiazines, SSRIs, Type IC antiarrhythmics); may need dose reduction. Do not initiate within 5 weeks of discontinuing fluoxetine. Avoid alcohol. May block guanethidine.

Doxepin Hcl Concentrate Adverse Reactions

Adverse Reactions

CNS effects (eg, drowsiness, overstimulation, extrapyramidal symptoms), anticholinergic effects, hypotension, GI upset, photosensitivity, endocrine effects.

Doxepin Hcl Concentrate Clinical Trials

See Literature

Doxepin Hcl Concentrate Note

Notes

Formerly known under the brand name Sinequan.

Doxepin Hcl Concentrate Patient Counseling

See Literature

Doxepin Hcl Concentrate Generic Name & Formulations

General Description

Doxepin (as HCl) 10mg/mL.

Pharmacological Class

Tricyclic.

How Supplied

Contact supplier.

Doxepin Hcl Concentrate Indications

Indications

Depression.

Doxepin Hcl Concentrate Dosage and Administration

Adult

Soln: dilute with 4oz juice, water, or milk. Mild: 25–50mg/day. Mild-to-moderate: initially 75mg/day; range 75–150mg/day. Severe: max 300mg/day. May give as single (up to 150mg) or divided doses; 150mg caps for maintenance only.

Children

Not recommended.

Doxepin Hcl Concentrate Contraindications

Contraindications

Urinary retention. Glaucoma.

Doxepin Hcl Concentrate Boxed Warnings

Not Applicable

Doxepin Hcl Concentrate Warnings/Precautions

Warnings/Precautions

Increased risk of suicidal thinking and behavior in children, adolescents, and young adults; monitor for clinical worsening and unusual changes. Screen for bipolar disorder. Cardiovascular disease. Angle-closure glaucoma. Seizures. Psychosis. Poor metabolizers (those with reduced CYP2D6 activity). Avoid abrupt cessation. Write ℞ for smallest practical amount. Elderly. Pregnancy. Nursing mothers.

Doxepin Hcl Concentrate Pharmacokinetics

See Literature

Doxepin Hcl Concentrate Interactions

Interactions

Hyperpyretic crisis, convulsions, death with MAOIs; discontinue at least 14 days prior to initiating doxepin. Potentiated by CYP2D6 inhibitors (eg, quinidine, cimetidine, phenothiazines, SSRIs, Type IC antiarrhythmics); may need dose reduction. Do not initiate within 5 weeks of discontinuing fluoxetine. Avoid alcohol. May block guanethidine.

Doxepin Hcl Concentrate Adverse Reactions

Adverse Reactions

CNS effects (eg, drowsiness, overstimulation, extrapyramidal symptoms), anticholinergic effects, hypotension, GI upset, photosensitivity, endocrine effects.

Doxepin Hcl Concentrate Clinical Trials

See Literature

Doxepin Hcl Concentrate Note

Notes

Formerly known under the brand name Sinequan.

Doxepin Hcl Concentrate Patient Counseling

See Literature