Brief Answer:
Doses of Doxepin should be reduced gradually

Detailed Answer:
Hello thanks for asking from HCM

You have been taking Doxepin since 1986. Doxepin is a tricyclic antidepressant drug and to quit drug one must taper the doses gradually over 8-12 weeks.

I would advise you to reduce the doses by about 20-25% every 2 weeks and then stop completely at about 8-10 weeks. If you would reduce the doses gradually serious withdrawal symptoms would not be observed and you will be able to quit the drug easily. If insomnia occurs due to reducing the dose for some time low dose benzodiazepines can be used on SOS basis to minimise withdrawal. Visit your psychiatrist for prescription.

The drug is known to induce sleep and this could be the reason for sleepiness and tiredness after eating. Sleepiness and tiredness could also occur due to some depressive symptoms.

Thanks, hope this helps you. If you have more doubts please ask again in follow up question.

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Brief Answer:
Tapering of doses of Doxepin over 8-10 weeks

Detailed Answer:
Thanks for asking again

If you have 25 and 10 mg strengths then you can start taking 35 mg after about 2 weeks and then reduce to 25 mg for next two weeks and then for next two weeks go with half of 25 mg tablet to 20 mg doses and then finally 10 mg doses for 2-3 weeks followed by taking tablet on alternate basis for 1-2 weeks and then stopping completely. In this way you can go with smooth tapering. Alternatively you can start with taking 3/4 th tablet then half then 1/4th and then on alternate days followed by complete stoppage.

Both ways will prevent withdrawal symptoms. Take the drugs with proper prescription only.

Thanks, still have more doubts don't hesitate to ask again.

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Brief Answer:
You can start with 25 mg and 10 mg doses if available

Detailed Answer:
Hello again

If you have capsular form of drug then you can take 25 mg and 10 mg doses to taper the dose for next two weeks and then with 25 mg doses. If possible try to get 10 mg tablets. Yes capsule cant be broken. Taking Lorazepam while tapering the dose of Doxepin will reduce the anxiety and will result in smooth withdrawal.

Even if you are not able to get 10 mg doses then you can start with taking 50 mg on one day and then 25 on next day and then alternately for next two weeks and after that reduce the dose to 25 mg and so on. Although it would not be completely smooth but still can be helpful in your case.

Discuss with your doctor before making any change in prescription.

Thanks

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Brief Answer:
The drug should be used with caution in individuals with more than 60 age

Detailed Answer:
Hello

Yes the drug should be used with caution in individuals of more than 60 years of age because of associated side effects. Please try to taper it down and you will be free from the drug. Thanks, hope this helps you.

Take care

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Brief Answer:
Wish you a good health

Detailed Answer:

Thanks for appreciation. Wish you a good health.

Take care, thanks

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