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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Alternative Medication For Doxepin

I retired 09/01/17. I have United Healthcare RX. I have taken Doxepin for years. This now falls into a Tier 3 level of drugs which is costly. I was denied coverage to move the Doxepin to a Tier 2 which was more cost friendly. I was told Doxepin is a high-rist medication for patients over 65 and should be avoided in elderly patients. Can you recommend something similar to Doxepin for me? Thanks.
Sat, 21 Jul 2018
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Psychiatrist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

There are ample amount of medication which are safer to be taken in old age. These medication are started at a lower dose and increased gradually to maximum tolerable dose. Few of these medication are Escitalopram, Bupropion, Agomelatine etc. You can discuss the same with your practitioner and start on any of them.

Best wishes.
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Suggest Alternative Medication For Doxepin

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There are ample amount of medication which are safer to be taken in old age. These medication are started at a lower dose and increased gradually to maximum tolerable dose. Few of these medication are Escitalopram, Bupropion, Agomelatine etc. You can discuss the same with your practitioner and start on any of them. Best wishes.