Doxepin

Dosage Forms 

• This medicine is available  as a capsule,  a cream, and  a liquid. 

• Antidepressant, Tricyclic (Tertiary Amine) 
• Topical Skin Product 

• Watch  your child closely for signs or symptoms of depression  or a desire to harm him/herself. These feelings  may last until  the depression  is completely treated. Ask  your child to talk with you  if he/she is  planning to harm him/herself. Take  your child to  the nearest emergency room if he/she wants  to harm him/herself. Talk with healthcare provider. 
• Sometimes depression can worsen after starting treatment. Watch  your child closely for signs of this. Talk with  healthcare provider now if  you notice this change. 
• This medicine does not mix well with many medicines. Serious reactions may occur. Check  all medicines  with child's healthcare provider. 
• Please read  the medication guide. 

• Not if  your child has  an allergy  to doxepin  or any other part  of this medicine. 
• Be sure to let healthcare provider  know if your child has any allergies  or reactions  to medicine, food preservatives,  or dyes. Make sure  to tell  about the allergy  and how it affected  your child. This includes telling about rash; hives; itching; shortness  of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved. 
• Not if your child  is unable to pass urine. 

• This medicine is used to relieve chronic pain conditions. 
• This medicine  is used to treat anxiety.
• This medicine  is used to treat depression. 
• This medicine is used to treat itching. 

• Doxepin increases chemicals in the brain. 

• Give this medicine at bedtime if it causes sleepiness. 
• Give this medicine  with or without food. Give with food if it causes an upset stomach. 
• A liquid (concentrate) is available if your child cannot swallow pills. 
• Children who have feeding tubes can also use  the liquid. Flush  the feeding tube before  and after medicine is given. 
• Measure liquid doses carefully. Use measuring device that  comes with the medicine. If none is available, get an oral syringe,  a medicine dropper, a medicine spoon, or a medicine cup (only  for older children) from  your pharmacist. 

• Your child may start feeling better several weeks after starting this medicine. 
• It may take 6 weeks to see the full effect. 

• Give a missed dose as soon as possible. 
• If it is almost time  for the next dose, skip the missed dose and return to your child's regular schedule. 
• Do not give a double dose or extra doses. 

• If your child has been taking this medicine for several weeks, talk with healthcare provider before stopping. You may want to gradually withdraw this medicine. 
• Check your child's medicines with healthcare provider. This medicine may not mix well with other medicines. 
• Avoid giving your child other medicines and natural products that slow actions and reactions. 
• Avoid giving your child grapefruit and grapefruit juice. 
• If your child has heart disease, talk with healthcare provider. 
• If your child has liver disease, talk with healthcare provider. 
• If your child has an overactive thyroid, talk with healthcare provider. 
• If your child has seizures, talk with healthcare provider. 
• This medicine may cause your child to  be less alert. Have  your child avoid tasks  or activities that require alertness. These include playing (for example, riding a bicycle, rollerblading, contact sports) or using items that require concentration or coordination (for example, scissors, lawnmower, electric scooters, or toy cars). Your child's activities should be closely monitored until you see how this medicine affects him/her. School work may be  more difficult for your child to focus on and complete. 
• Your child can get sunburned more easily. Avoid lots of sun, sunlamps, and tanning beds. Use sunscreen; dress your child in protective clothing and encourage use of protective eyewear. 

• Feeling lightheaded, sleepy, having blurred vision, or a change in thinking clearly. Have your child avoid tasks or activities that require alertness or clear vision until you see how this medicine affects him/her. 
• Feeling dizzy. Rising slowly over several minutes from sitting or lying position is recommended. Children should be extra careful climbing stairs. 
• Blurred vision. Have your child use caution when doing activities that require clear vision. 
• Constipation. More liquids, regular exercise, or a fiber-containing diet may help. Talk with healthcare provider about a stool softener or laxative. 
• Dry mouth. Frequent mouth care may help. Older children may suck hard, sugar-free candy. 
• Unexpected excitement can rarely occur. 

• Change  in condition being treated. Is  it better, worse,  or about the same? 
• For the occurrence  of side effects.
• Dry mouth may cause an increase in cavities. Take good care  of your child's teeth. See a dentist regularly. 

• If any  of this information causes you to be concerned, any of the common side effects occur, or if your child's symptoms do not improve after taking this medicine. 
• If you suspect an overdose, call your local poison control center or emergency department immediately. 
• If your child shows signs of a life-threatening reaction, call healthcare provider or emergency department immediately. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; swelling of face, lips, tongue, or throat; or if your child exhibits any other unusual behavior. 
• If your child is planning to harm him/herself.  If the desire to harm him/herself increases. 
• If your child  has a fast heartbeat. 
• If your child shows signs of severe dizziness  or passes out. 
• If your child has significant change in thinking clearly and logically. 
• If your child is feeling extremely nervous and excitable. 
• If your child is feeling extremely tired or weak. 
• If your child develops a rash. 
• No improvement in condition or if you believe your child's condition is worse. 

• Store at room temperature. 
• Protect from light. 
• Protect capsules from moisture. Do not store in a bathroom or kitchen. 

• If your child has a life-threatening allergy, he/she should wear an allergy identification bracelet at  all times. 
• This medicine is available by prescription only. If there are refills, contact  your pharmacy. If no refills remain, you may need to contact your child's healthcare provider. 
• This medicine should be thrown out when your child no longer needs it or if the medicine becomes outdated. 
• Most medicines can be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag. 
• Do not share your child's medicine with others and do not give  anyone else's medicine to  your child. 
• Keep all medicine out of the reach of children and pets. 
• Many medications interact with other medications. Keep a list of all  your child's medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to your child's healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant). 
• Call your doctor for medical advice  about side effects. You may report side effects to FDA at 1-800-FDA-1088 or in Canada to Health Canada's Canada Vigilance Program 
• Talk with  your child's healthcare provider before giving him/her any new medicine, including over-the-counter, natural products, or vitamins. 
• Medicine can be dangerous if used incorrectly. Follow directions given by healthcare provider.