Precautions

It is very important that your doctor check the progress of you or your child at regular visits to allow for changes in the dose and to check for any unwanted effects.

For some children, teenagers, and young adults, this medicine can increase thoughts of suicide. Tell your doctor or your child’s doctor right away if you or your child start to feel more depressed and have thoughts about hurting yourself. Report any unusual thoughts or behaviors that trouble you or your child, especially if they are new or are getting worse quickly. Make sure the doctor knows if you or your child have trouble sleeping, get upset easily, have a big increase in energy, or start to act reckless. Also tell the doctor if you or your child have sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared. Let the doctor know if you or anyone in your family has bipolar disorder (manic-depressive illness) or has tried to commit suicide.

Do not take doxepin if you have taken a monoamine oxidase (MAO) inhibitor (eg, isocarboxazid [Marplan®], phenelzine [Nardil®], selegiline [Eldepryl®], or tranylcypromine [Parnate®]) in the past 2 weeks. If you do, you may have confusion, agitation, restlessness, stomach or intestinal symptoms, a sudden high body temperature, an extremely high blood pressure, or severe convulsions.

If you or your child are using this medicine for depression or anxiety, do not stop taking it without first checking with your doctor. Your doctor may want you to gradually reduce the amount you are using before stopping it completely. This may help prevent a possible worsening of your condition and reduce the possibility of withdrawal symptoms, such as headache, nausea, or a general feeling of discomfort or illness.how to buy Doxepin 25mg online uk

Silenor® tablets may cause sleep-related behaviors such as driving a car (sleep-driving), walking (sleep-walking), having sex, making phone calls, or preparing and eating food while asleep or not fully awake. If any of these reactions occur, tell your doctor right away.

If you think you need to take Silenor® tablets for 7 to 10 days, talk to your doctor.

This medicine may cause some people to become drowsy. Make sure you know how you react to this medicine before you drive, use medicines, or do anything else that could be dangerous if you are drowsy or not alert.

This medicine will add to the effects of alcohol and other CNS depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, allergies, or colds, sedatives, tranquilizers, or sleeping medicine, prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. This effect may last for a few days after you stop taking this medicine. Check with your doctor before taking any of the above while you or your child are using this medicine.

Tell your doctor if you are pregnant or planning to become pregnant during treatment with this medicine. This medicine may cause symptoms of sedation (eg, breathing problems, sluggishness, low muscle tone, feeding problems, or withdrawal symptoms) in the baby during the third trimester.

Talk with your doctor before using this medicine if you plan to have children. Some men and women who use this medicine have become infertile (unable to have children).

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines) and herbal or vitamin supplements.how to buy Doxepin 25mg online uk

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

  1. Agitation
  2. black, tarry stools
  3. bleeding gums
  4. blood in the urine or stools
  5. blurred vision
  6. burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings
  7. canker sores
  8. chest pain or tightness
  9. chills
  10. clay-colored stools
  11. cold sweats
  12. confusion about identity, place, and time
  13. cool, pale skin
  14. cough or hoarseness
  15. dark urine
  16. decrease in the frequency of urination
  17. decrease in urine volume
  18. decreased urine output
  19. depression
  20. difficulty in passing urine (dribbling)
  21. difficulty with breathing
  22. difficulty with speaking
  23. dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  24. drooling
  25. dry mouth
  26. fast, pounding, or irregular heartbeat or pulse
  27. feeling of warmth
  28. fever
  29. flushed, dry skin
  30. fruit-like breath odor
  31. general feeling of tiredness or weakness
  32. headache
  33. hearing loss
  34. hostility
  35. increased hunger
  36. increased thirst
  37. increased urination
  38. irritability
  39. itching or rash
  40. lethargy
  41. lip smacking or puckering
  42. loss of appetite
  43. loss of balance control
  44. loss of bladder control
  45. lower back or side pain
  46. mood or mental changes
  47. muscle spasm or jerking of all extremities
  48. muscle trembling, jerking, or stiffness
  49. muscle twitching
  50. nausea
  51. nervousness
  52. nightmares
  53. noisy breathing
  54. painful or difficult urination
  55. pinpoint red spots on the skin
  56. pounding in the ears
  57. puffing of the cheeks
  58. rapid or worm-like movements of the tongue
  59. rapid weight gain
  60. redness of the face, neck, arms, and occasionally, upper chest
  61. restlessness
  62. ringing or buzzing or other unexplained noise in the ears that continues
  63. seeing, hearing, or feeling things that are not there
  64. seizures
  65. shakiness and unsteady walk
  66. shakiness in the legs, arms, hands, or feet
  67. shuffling walk
  68. sore throat
  69. sores, ulcers, or white spots on the lips, tongue, or in the mouth
  70. slurred speech
  71. stiffness of the limbs
  72. stomach pain
  73. stupor
  74. sudden loss of consciousness
  75. sweating
  76. swelling of the face, ankles, or hands
  77. swollen glands
  78. trouble breathing
  79. twisting movements of the body
  80. uncontrolled chewing movements
  81. uncontrolled movements, especially of the arms, face, legs, neck, and back
  82. unexplained weight loss
  83. unpleasant breath odor
  84. unsteadiness, trembling, or other problems with muscle control or coordination
  85. unusual bleeding or bruising
  86. unusual tiredness or weakness
  87. vomiting of blood
  88. yellow eyes or skin

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

  1. Clumsiness
  2. disturbed concentration
  3. drowsiness
  4. enlarged pupils
  5. increased or excessive unconscious or jerking movements
  6. low body temperature
  7. muscle aches
  8. muscle weakness
  9. shivering
  10. sleepiness
  11. weak or feeble pulse
  12. weight gain

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Incidence not known

  1. Change in taste or bad, unusual or unpleasant (after) taste
  2. decreased interest in sexual intercourse
  3. diarrhea
  4. difficulty having a bowel movement (stool)
  5. enlargement of the breasts
  6. gas in the stomach
  7. hair loss or thinning of the hair
  8. heartburn
  9. inability to have or keep an erection
  10. increased in sexual ability, desire, drive, or performance
  11. increased interest in sexual intercourse
  12. increased sensitivity of the skin to sunlight
  13. loss in sexual ability, desire, drive, or performance
  14. redness or other discoloration of the skin
  15. severe sunburn
  16. swelling of the breasts or breast soreness in both females and males
  17. swelling of the testicles
  18. unexpected or excess milk flow from breasts
  19. weight loss

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.how to buy Doxepin 25mg online uk