Before you begin using Silenor (Doxepin), be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Silenor (Doxepin).
Behaviour changes: Silenor (Doxepin) may worsen symptoms of depression, including thoughts of suicide or wanting to harm others. It may also cause agitated or aggressive behaviour. If you experience these symptoms or any other behaviour change while taking Silenor (Doxepin), contact your doctor immediately.
Family members or caregivers of people who are taking Silenor (Doxepin) should contact the person's doctor immediately if they notice unusual behaviour changes.
Drowsiness/reduced alertness: Silenor (Doxepin) can cause drowsiness and decreased mental alertness. Do not operate heavy machinery or drive after taking Silenor (Doxepin) until you know how Silenor (Doxepin) affects you. Do not use Silenor (Doxepin) if you drink alcohol.
Liver problems: If you have liver problems, discuss with your doctor how Silenor (Doxepin) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Silenor (Doxepin), and whether any special monitoring is needed.
Performing activities while not fully awake: People taking Silenor (Doxepin) may perform activities such as sleepwalking, driving, preparing and eating food, and making phone calls while not fully awake and unaware of their actions. The next morning, they may not remember what happened. This may be more likely to occur if you use alcohol or other sedative medications. If you discover this has happened to you, contact your doctor immediately.
Sleep Apnea: The safety of using Silenor (Doxepin) for people with sleep apnea has not been established.
Pregnancy: Silenor (Doxepin) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking Silenor (Doxepin), contact your doctor immediately.
Breast-feeding: This passes into breast milk. If you are a breast-feeding mother and are taking Silenor (Doxepin), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using Silenor (Doxepin) have not been established for children under the age of 18.
Seniors: Seniors may be more likely to experience drowsiness or confusion while taking Silenor (Doxepin).