Silenor is used to relieve insomnia. The active ingredient in Silenor, Doxepin, is an antidepressant. The amount of Doxepin in Silenor is significantly small, so it may have little effect on depression, but it does bring sleep.
Silenor does not work immediately like most sedatives. It often takes several days of taking before Silenor works for insomnia.
Silenor requires a prescription and must be used only as prescribed by the doctor.
Note that sleep problems may have underlying physical or mental cause, which may not be relieved by sleep-inducing drugs like Silenor. Silenor may also induce abnormal behavior like driving, preparing food, using the phone or other activities in the half-asleep state, and in some cases, the patient often does not recall doing these activities. Like in most antidepressants, Silenor may increase the risk of suicidal behavior in patients with depression.
2 What to Know Before Using
You must understand the following information first before receiving Silenor.
You cannot use Silenor if you have allergies to Doxepin. You also cannot take Silenor if you have allergies to antidepressants such as Amitriptyline, Amoxapine, Clomipramine, Desipramine, Imipramine, Nortriptyline, Protriptyline, Or Trimipramine. If you experienced allergies to Silenor or Doxepin before, tell it to your doctor.
Tell your doctor if you have or have a history of glaucoma. Glaucoma is a condition caused by increased pressure inside the eyes. You cannot use Silenor if you have untreated narrow-angle glaucoma.
Tell all your health problems to the doctor before starting to use Silenor. You cannot take Silenor if you have glaucoma or severe urination problems. The doctor needs to know if you have the following medical conditions before prescribing Silenor:
Silenor is an FDA pregnancy category C drug, which means it is not proven completely safe for the fetus when given to pregnant patients. Tell your doctor if you are pregnant before taking Silenor.
Tell your doctor if you are breastfeeding before taking Silenor. Doxepin in Silenor is known to be passed into the breast milk.
Silenor should not be given to children. Silenor is not proven effective or safe in children.
Silenor can be given to elderly patients, but they require closer monitoring because they are more likely to experience confusion and over-sedation.
Alcohol may enhance drowsiness caused by Silenor and may also increase the risk of side effects. Do not consume alcohol if you are taking Silenor.
Tell all the medicines you take to your doctor before starting to take Silenor. Silenor may interact with certain drugs and cause undesirable effects. The doctor needs to know if you take the following medicines:
MAO inhitor drugs such as Isocarboxazid, Tranylcypromine, Selegiline, Linezolid, and Phenelzine
Supplements such as 5-hydroxytryptophan
Medicines for cough and colds, including over-the-counter drugs
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