doxepin interactions with wellbutrin

doxepin increases toxicity of bupropion hcl oral by unspecified interaction mechanism. Your list includes two medicines belonging to the 'antidepressants' category: Note: In certain circumstances, the benefits of taking this combination of drugs may outweigh any risks. Tell the doctor right away if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Most An official website of the United States government. Other (see comment). tapentadol and doxepin both increase sedation. Use Caution/Monitor. Monitor Closely (1)loxapine inhaled and doxepin both increase sedation. This can be intentional in cases where drugs with similar actions are used together for demonstrated therapeutic benefit. cyclizine and doxepin both increase sedation. Avoid or Use Alternate Drug. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Reserve concomitant prescribing of these drugs in patients for whom other treatment options are inadequate. doxepin and dofetilide both increase QTc interval. Based on the mechanism of action of iobenguane, drugs that reduce catecholamine uptake or that deplete catecholamine stores may interfere with iobenguane uptake into cells, and thus, reduce iobenguane efficacy. Monitor Closely (1)meperidine and doxepin both increase sedation. doxepin and fluconazole both increase QTc interval. Avoid or Use Alternate Drug. Other (see comment). phenelzine and doxepin both increase serotonin levels. National Library of Medicine Modify Therapy/Monitor Closely. doxepin and escitalopram both increase QTc interval. Avoid or Use Alternate Drug. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron. Monitor Closely (3)fenfluramine, doxepin. Mechanism: unspecified interaction mechanism. sufentanil and doxepin both increase sedation. Modify Therapy/Monitor Closely. Serious - Use Alternative (1)doxepin will decrease the level or effect of iobenguane I 131 by Other (see comment). Monitor Closely (1)diphenoxylate hcl and doxepin both increase sedation. Minor/Significance Unknown. doxepin and pentamidine both increase QTc interval. Use Caution/Monitor. Use Caution/Monitor. (Trintellix), vilazodone (Viibryd) and bupropion (Forfivo XL, Wellbutrin SR, others). Available for Android and iOS devices. Avoid or Use Alternate Drug. Monitor Closely (1)doxepin and oxaliplatin both increase QTc interval. Depression basics. Comment: Barbiturates may increase adverse effects, including respiratory depression, produced by toxic doses of TCAs. include protected health information. Coadministration of lasmiditan and other CNS depressant drugs, including alcohol have not been evaluated in clinical studies. doxepin and posaconazole both increase QTc interval. Minor/Significance Unknown. Discontinue interfering drugs for at least 5 half-lives before administration of either the dosimetry or an iobenguane dose. Avoid taking selinexor with other medications that may cause dizziness or confusion. Use Caution/Monitor. AUC and Cmax increased by 66% and 69% respectively. Avoid or Use Alternate Drug. Minor/Significance Unknown. Monitor Closely (1)doxepin and paroxetine both increase QTc interval. Serious - Use Alternative (1)selegiline transdermal and doxepin both increase serotonin levels. clonazepam and doxepin both increase sedation. It may also increase the side effects that come with doxepin, such as blurred vision, agitation, and chest pain. Select a condition to view a list of medication options. Avoid or Use Alternate Drug. Monitor Closely (2)doxepin and trimipramine both decrease cholinergic effects/transmission. Effect of interaction is not clear, use caution. Avoid or Use Alternate Drug. Use Caution/Monitor.Minor (1)doxepin increases levels of atropine by unknown mechanism. Publication types Clinical Trial Comparative Study Controlled Clinical Trial Effect of interaction is not clear, use caution. Monitor Closely (1)huperzine A increases and doxepin decreases cholinergic effects/transmission. This content does not have an English version. Serious - Use Alternative (1)doxepin, vilazodone. doxepin, thioridazine. Either increases levels of the other by pharmacodynamic synergism. Modify Therapy/Monitor Closely. Avoid or Use Alternate Drug. Modify Therapy/Monitor Closely. doxepin and moxonidine both increase sedation. Estrogens and progestins may decr tricyclic antidepressant effects, while increasing TCA plasma concentration and adverse effects. doxepin and nortriptyline both decrease cholinergic effects/transmission. Weight gain can be short or long term. Use Caution/Monitor. trifluoperazine and doxepin both increase sedation. Other (see comment). This information is not individual medical advice and does not substitute for the advice of your health care professional. Monitor Closely (2)doxepin and lithium both increase QTc interval. Minor/Significance Unknown. Use Caution/Monitor. Modify Therapy/Monitor Closely. Use Caution/Monitor. Avoid or Use Alternate Drug.Minor (1)dronedarone will increase the level or effect of doxepin by affecting hepatic enzyme CYP2D6 metabolism. Monitor Closely (1)dextromoramide and doxepin both increase sedation. doxepin, xylometazoline. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Do not store in the bathroom. Minor/Significance Unknown. Coadministration of CNS depressants can result in serious, life-threatening, and fatal respiratory depression. FOIA fexinidazole will increase the level or effect of doxepin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Either increases effects of the other by pharmacodynamic synergism. Monitor Closely (1)gadobenate and doxepin both increase QTc interval. Avoid or Use Alternate Drug. West-Ward Pharmaceuticals Corp.; 2016. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=700abc58-9362-4ef5-9d7a-dd3c4d364d0a. Medications that cause weight gain and alternatives in Canada: a narrative review. Serious - Use Alternative (1)doxepin and lenvatinib both increase QTc interval. Use Caution/Monitor. Minor/Significance Unknown. Use Caution/Monitor. Use Caution/Monitor. Effect of interaction is not clear, use caution. Minor (1)estrogens conjugated synthetic, doxepin. Certain circumstances may increase risk of torsade de pointes and/or sudden death in association with drugs that prolong the QTc interval (eg, bradycardia, hypokalemia or hypomagnesemia, coadministration with other drugs that prolong QTc interval, presence of congenital QT prolongation). doxepin and pimavanserin both increase QTc interval. doxepin and anagrelide both increase QTc interval. Modify Therapy/Monitor Closely. Monitor Closely (1)itraconazole and doxepin both increase QTc interval. Avoid or Use Alternate Drug. pregabalin, doxepin. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron. Minor/Significance Unknown. doxepin increases and dexfenfluramine decreases sedation. doxepin increases levels of glycopyrrolate inhaled by unknown mechanism. Use Caution/Monitor. Minor/Significance Unknown. both increase serotonin levels; increased risk of serotonin syndrome. thyroid desiccated increases effects of doxepin by Other (see comment). hydroxyzine and doxepin both increase sedation. Effect of interaction is not clear, use caution. Monitor Closely (1)metaxalone and doxepin both increase sedation. Use Caution/Monitor. Avoid or Use Alternate Drug. Monitor Closely (1)doxepin and venlafaxine both increase QTc interval. Use Caution/Monitor. Use Caution/Monitor. Risk of arrhythmias or hypotension. DrugGenius225 S. Mermac AveUnit 832TClayton, MO 63131. Effect of interaction is not clear, use caution. Monitor Closely (1)benztropine and doxepin both decrease cholinergic effects/transmission. Additive anticholinergic effects. Cobicistat is a CYP2D6 inhibitor; caution with CYP2D6 substrates for which elevated plasma concentrations are associated with serious and/or life-threatening events. Either increases effects of the other by serotonin levels. Modify Therapy/Monitor Closely. Use Caution/Monitor.Serious - Use Alternative (1)doxepin, pirbuterol. Contraindicated. Monitor Closely (1)rolapitant will increase the level or effect of doxepin by affecting hepatic enzyme CYP2D6 metabolism. Effect of interaction is not clear, use caution. government site. Effect of interaction is not clear, use caution. Monitor Closely (1)doxepin and goserelin both increase QTc interval. doxepin and melatonin both increase sedation. In certain cases, they relieve depression . Antidepressant drugs. Modify Therapy/Monitor Closely. Effect of interaction is not clear, use caution. Monitor Closely (1)galantamine increases and doxepin decreases cholinergic effects/transmission. Monitor Closely (1)doxepin and marijuana both increase sedation. Limit dosages and durations to the minimum required. Monitor Closely (2)lasmiditan, doxepin. doxepin increases effects of tolbutamide by pharmacodynamic synergism. Monitor Closely (1)doxepin and entrectinib both increase QTc interval. doxepin, methamphetamine. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron. Avoid or Use Alternate Drug. Either increases levels of the other by pharmacodynamic synergism. Use Caution/Monitor. doxepin increases and epinephrine racemic decreases sedation. Avoid or Use Alternate Drug. doxepin and octreotide (Antidote) both increase QTc interval. Monitor Closely (1)doxepin and dolasetron both increase QTc interval. privacy practices. It can help prevent suicidal thoughts/attempts and provide other important benefits. doxepin and isoflurane both increase QTc interval. provider for the most current information. Avoid or Use Alternate Drug. With therapeutic doses of TCAs, barbiturates increase metabolism and decrease blood concentrations of TCAs. Avoid or Use Alternate Drug. These medications may interact and cause very harmful effects. Monitor Closely (1)doxepin increases and caffeine decreases sedation. Mechanism: unspecified interaction mechanism. Migraine treatment: Can antidepressants help? Potential risk for QT prolongation. Either increases toxicity of the other by sedation. QTc interval. Use Caution/Monitor.Serious - Use Alternative (1)doxepin, salmeterol. Monitor Closely (1)homatropine and doxepin both decrease cholinergic effects/transmission. STORAGE: Store at room temperature away from light and moisture. It is also used as part of a support program to help people stop smoking. Wharton S, Raiber L, Serodio KJ, Lee J, Christensen RA. How to tell if a loved one is abusing opioids. Effect of interaction is not clear, use caution. doxepin and lorcaserin both increase serotonin levels. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Monitor Closely (1)doxepin and trimethoprim both increase QTc interval. Avoid or Use Alternate Drug. Monitor Closely (1)lorazepam and doxepin both increase sedation. Use Caution/Monitor. Linezolid may increase serotonin as a result of MAO-A inhibition. Use Caution/Monitor. Avoid or Use Alternate Drug. Interaction with other medicines. Minor/Significance Unknown. Modify Therapy/Monitor Closely. Monitor Closely (1)neostigmine increases and doxepin decreases cholinergic effects/transmission. Use Caution/Monitor. Concomitant use could result in life-threatening serotonin syndrome. doxepin and glasdegib both increase QTc interval. Contraindicated. This content does not have an English version. doxepin and ofloxacin both increase QTc interval. Highly clinically significant. Use Caution/Monitor. Other (see comment). Modify Therapy/Monitor Closely. Minor/Significance Unknown. Avoid or Use Alternate Drug. Either increases toxicity of the other by serotonin levels. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron.Minor (1)dexmethylphenidate increases effects of doxepin by decreasing metabolism. Avoid or Use Alternate Drug. Minor/Significance Unknown. Minor/Significance Unknown. A Mayo Clinic expert explains. doxepin and ondansetron both increase QTc interval. Cymbalta and doxepin both increase serotonin levels. Minor/Significance Unknown. Use Caution/Monitor. Unauthorized use of these marks is strictly prohibited. Careers. Avoid or Use Alternate Drug.doxepin and trimipramine both increase serotonin levels. The https:// ensures that you are connecting to the Other (see comment). Informational purposes only. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Use Caution/Monitor. Effect of interaction is not clear, use caution. Avoid or Use Alternate Drug. Minor/Significance Unknown. Avoid or Use Alternate Drug. Monitor Closely (1)flurazepam and doxepin both increase sedation. Monitor Closely (1)butorphanol and doxepin both increase sedation. doxepin and hydroxychloroquine sulfate both increase QTc interval. Breckenridge Pharmaceutical, Inc.; 2019. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=4f31df66-7dc2-1f04-e054-00144ff88e88. Avoid or Use Alternate Drug. Monitor Closely (1)doxepin and SAMe both increase serotonin levels. Effect of interaction is not clear, use caution. haloperidol will increase the level or effect of doxepin by affecting hepatic enzyme CYP2D6 metabolism. doxepin and erythromycin base both increase QTc interval. doxepin and pimozide both increase QTc interval. triclofos and doxepin both increase sedation. Things to remember when you fill your prescription. Use Caution/Monitor. doxepin increases levels of atropine IV/IM by unknown mechanism. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Minor/Significance Unknown. Use Caution/Monitor. Initiate with lower doses and monitor for signs and symptoms of serotonin syndrome, particularly during initiation or dosage increase. serdexmethylphenidate/dexmethylphenidate increases effects of doxepin by decreasing metabolism. MeSH Avoid or Use Alternate Drug. Talk to your doctor before using buPROPion together with doxepin. If you are a Mayo Clinic patient, this could Coadministration of drugs that affect the serotonergic neurotransmitter system may result in serotonin syndrome. Many people using this medication do not have serious side effects.Rarely, after taking this drug, people have gotten out of bed and driven vehicles while not fully awake ("sleep-driving"). What is pancreatic cancer? doxepin, perphenazine. Use Caution/Monitor.Serious - Use Alternative (1)perphenazine and doxepin both increase QTc interval. Avoid or Use Alternate Drug.doxepin and escitalopram both increase QTc interval. May also increase risk of serotonin syndrome. Mayo Clinic. Use Caution/Monitor. selegiline transdermal and doxepin both increase serotonin levels. Minor/Significance Unknown. Serious - Use Alternative (1)duloxetine and doxepin both increase serotonin levels. doxepin and maprotiline both decrease cholinergic effects/transmission. Minor/Significance Unknown. Avoid or Use Alternate Drug. Monitor Closely (1)doxepin and motherwort both increase sedation. Potential for increased TCA adverse effects. It can also be unintentional in cases where a patient has been treated by more than one doctor, or had prescriptions filled at more than one pharmacy, However, cyclic antidepressants may be a good option for some people. Modify Therapy/Monitor Closely. Use Caution/Monitor. Either increases levels of the other by decreasing metabolism. The .gov means its official. View interaction reports for doxepin and the medicines listed below. Therefore, coadministration of ozanimod with drugs that can increase norepinephrine or serotonin is not recommended. Contraindicated (1)quinidine and doxepin both increase QTc interval. doxepin and trimipramine both increase sedation. What should I know regarding pregnancy, nursing and administering Doxepin HCL to children or the elderly. doxepin and voclosporin both increase QTc interval. doxepin and alfuzosin both increase QTc interval. Compare formulary status to other drugs in the same class. meperidine and doxepin both increase sedation. Modify Therapy/Monitor Closely. ondansetron, doxepin. Available for Android and iOS devices. Avoid or Use Alternate Drug. Minor/Significance Unknown. Never take doxepin without proper medical advice as it can cause severe adverse effects. Use Caution/Monitor. Avoid or Use Alternate Drug. Either increases levels of the other by decreasing metabolism. Monitor Closely (1)doxepin and moxonidine both increase sedation. acrivastine and doxepin both increase sedation. Monitor Closely (1)papaveretum and doxepin both increase sedation. Coadministration may increase risk of serotonin syndrome. Accessed Aug. 19, 2019. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron. Using buPROPion with alcohol may increase the risk of uncommon side effects such as seizures, hallucinations, delusions, paranoia, mood and behavioral changes, depression, suicidal thoughts, anxiety, and panic attacks. Effect of interaction is not clear, use caution. Contraindicated. Monitor Closely (1)doxepin and leuprolide both increase QTc interval. Other (see comment). Coadministration of drugs that affect the serotonergic neurotransmitter system may result in serotonin syndrome. Monitor Closely (2)darifenacin and doxepin both decrease cholinergic effects/transmission. Cyclic antidepressants block the reabsorption (reuptake) of the neurotransmitters serotonin (ser-o-TOE-nin) and norepinephrine (nor-ep-ih-NEF-rin), increasing the levels of these two neurotransmitters in the brain. Risk of arrhythmias or hypotension. Monitor Closely (1)trihexyphenidyl and doxepin both decrease cholinergic effects/transmission. diphenhydramine will increase the level or effect of doxepin by affecting hepatic enzyme CYP2D6 metabolism. Serious - Use Alternative (1)doxepin and encorafenib both increase QTc interval. Mefloquine may enhance the QTc prolonging effect of high risk QTc prolonging agents. onabotulinumtoxinA and doxepin both decrease cholinergic effects/transmission. Use Caution/Monitor. Use Caution/Monitor. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron. Carefully titrate dose of the antidepressant to the desired effect, including using the lowest feasible initial or maintenance dose, and monitor its response during coadministration with TCAs and cobicistat. Either increases toxicity of the other by serotonin levels. Use Caution/Monitor. Doxepin systemic 10 mg (MYLAN 1049 MYLAN 1049). doxepin, chlorpromazine. Use Caution/Monitor. Estrogens may inhibit hepatic metabolism of tricyclic antidepressants. Contraindicated. Minor/Significance Unknown. doxepin increases and terbutaline decreases sedation. Minor/Significance Unknown. panax ginseng increases effects of doxepin by pharmacodynamic synergism. Avoid or Use Alternate Drug. Monitor Closely (1)sodium sulfate/potassium sulfate/magnesium sulfate increases effects of doxepin by unknown mechanism. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. gabapentin, doxepin. Monitor Closely (1)diamorphine and doxepin both increase sedation. Monitor Closely (2)donepezil increases and doxepin decreases cholinergic effects/transmission. doxepin and tropisetron both increase QTc interval. Avoid or Use Alternate Drug.Minor (3)perphenazine will increase the level or effect of doxepin by affecting hepatic enzyme CYP2D6 metabolism. Modify Therapy/Monitor Closely. pentazocine and doxepin both increase sedation. Avoid or Use Alternate Drug. Drug information provided by: IBM Micromedex. Other (see comment). nalbuphine and doxepin both increase sedation. Use Caution/Monitor. Other (see comment). Use Caution/Monitor. Monitor Closely (2)doxepin and hydroxyzine both increase QTc interval. Use Caution/Monitor. Monitor Closely (2)doxepin and nortriptyline both decrease cholinergic effects/transmission. Monitor Closely (1)benzhydrocodone/acetaminophen, doxepin. doi: 10.1002/mco2.156. Modify Therapy/Monitor Closely. Use Caution/Monitor. doxepin and maprotiline both increase QTc interval. doxepin and eucalyptus both increase sedation. Monitor Closely (2)doxepin and deutetrabenazine both increase sedation. doxepin and marijuana both increase sedation. Minor/Significance Unknown. Monitor Closely (1)rivastigmine increases and doxepin decreases cholinergic effects/transmission. Properly discard this product when it is expired or no longer needed. If you find out that you have done any of these activities after taking this medication, tell your doctor right away. Monitor Closely (1)doxepin and daridorexant both increase sedation. Use Caution/Monitor. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron. sevoflurane and doxepin both increase sedation. Either increases levels of the other by decreasing metabolism. bazedoxifene/conjugated estrogens, doxepin. ECG monitoring is recommended if coadministered. doxepin and sertraline both increase QTc interval. Modify Therapy/Monitor Closely. doxepin and vorinostat both increase QTc interval. Mylan Pharmaceuticals Inc.; 2014. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c3ca69e6-1ea0-4c2c-abcb-7264b2e79a87. Drugs that prolong the QTc interval and may potentiate the effects of beta2 agonists on the cardiovascular system; increased risk of ventricular arrhythmias. doxepin increases and norepinephrine decreases sedation. donepezil and doxepin both increase QTc interval. Monitor Closely (2)solifenacin and doxepin both decrease cholinergic effects/transmission. Coadministration of glycopyrronium tosylate topical with other anticholinergic medications may result in additive anticholinergic adverse effects. At the maximum recommended dose, deutetrabenazine does not prolong QT interval to a clinically relevant extent. Make sure you tell your doctor if you have any other medical problems, especially: There is a problem with With therapeutic doses of TCAs, barbiturates increase metabolism and decrease blood concentrations of TCAs. Mental health medications. Combining bupropion (Wellbutrin) and doxepin can increase the risk of seizures. Minor (1)mestranol, doxepin. doxepin and propafenone both increase QTc interval. Moderately clinically significant. Use Caution/Monitor. atropine and doxepin both decrease cholinergic effects/transmission. Use Caution/Monitor. Insomnia Treatment Update With a Focus on Orexin Receptor Antagonists. Use Caution/Monitor. Use Caution/Monitor. Avoid or Use Alternate Drug. Other (see comment). Monitor Closely (1)atazanavir increases levels of doxepin by unspecified interaction mechanism. perphenazine will increase the level or effect of doxepin by affecting hepatic enzyme CYP2D6 metabolism. oxycodone and doxepin both increase sedation. paroxetine will increase the level or effect of doxepin by affecting hepatic enzyme CYP2D6 metabolism. doxepin, methylphenidate. Share cases and questions with Physicians on Medscape consult. Use Caution/Monitor. Minor/Significance Unknown. Use Caution/Monitor.doxepin increases effects of epinephrine racemic by unknown mechanism. remimazolam, doxepin. If interruption not possible, patients requiring therapy with a drug that prolongs QT should be closely monitored. hydroxyprogesterone caproate, doxepin. Use Caution/Monitor. Use Caution/Monitor.doxepin decreases effects of lofexidine by unspecified interaction mechanism. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. An alternative to this medication should be prescribed or you should stop breastfeeding while using this medicine. deutetrabenazine and doxepin both increase QTc interval. doxepin, propylhexedrine. Monitor Closely (1)doxepin increases effects of oxymetazoline intranasal by pharmacodynamic synergism. Avoid or Use Alternate Drug. Minor/Significance Unknown. Either increases levels of the other by decreasing metabolism. Developing drugs is a complicated process, because no two people . Severe CNS toxicity associated with hyperpyrexia has been reported with the combined treatment of an antidepressant and rasagiline. Estrogens and progestins may decr tricyclic antidepressant effects, while increasing TCA plasma concentration and adverse effects. Serious - Use Alternative (1)tucatinib will increase the level or effect of doxepin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown. This drug is available at a higher level co-pay. Modify Therapy/Monitor Closely. Either increases effects of the other by serotonin levels. Please note that this list may not be complete, and other interactions with drugs not listed here may occur. citalopram and doxepin both increase serotonin levels. Use Caution/Monitor. doxepin and ketotifen, ophthalmic both increase sedation. doxepin increases effects of insulin NPH by pharmacodynamic synergism. Estrogens and progestins may decr tricyclic antidepressant effects, while increasing TCA plasma concentration and adverse effects. Use Caution/Monitor. Use Caution/Monitor. Use Caution/Monitor. procarbazine and doxepin both increase serotonin levels. Contraindicated (1)doxepin and ibutilide both increase QTc interval. Minor/Significance Unknown. To view formulary information first create a list of plans. temazepam and doxepin both increase sedation. doxepin and clarithromycin both increase QTc interval. Benzodiazepines boost another neurotransmitter's effectiveness. Avoid or Use Alternate Drug. Epub 2012 Jun 15. Use Caution/Monitor. Use Caution/Monitor.donepezil and doxepin both increase QTc interval. Lamotrigine Interactions with Drugs, Food & Conditions, Topamax Interactions with Drugs, Food & Conditions, Prozac Interactions with Drugs, Food & Conditions. Use Caution/Monitor. Modify Therapy/Monitor Closely.Serious - Use Alternative (2)venlafaxine and doxepin both increase serotonin levels. Avoid or Use Alternate Drug. Minor/Significance Unknown. For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Genetics Home Reference. Use Caution/Monitor.Serious - Use Alternative (1)doxepin, dopexamine. Avoid or Use Alternate Drug. Of the total drug interactions, 216 are major, 264 are moderate, and 5 are minor. Avoid or Use Alternate Drug. Use Caution/Monitor.Serious - Use Alternative (1)doxepin, phentermine. Additive anticholinergic effects. fluoxetine will increase the level or effect of doxepin by affecting hepatic enzyme CYP2D6 metabolism. Modify Therapy/Monitor Closely. Use Caution/Monitor. Avoid or Use Alternate Drug. Comment: Barbiturates may increase adverse effects, including respiratory depression, produced by toxic doses of TCAs. Other (see comment). Either increases effects of the other by pharmacodynamic synergism. doxepin, phenylephrine PO. Avoid or Use Alternate Drug. Use Caution/Monitor. Use Caution/Monitor. Minor/Significance Unknown. Other (see comment). Use Caution/Monitor. Comment: Tricyclic antidepressants increase or decrease effects of sympathomimetics, by blocking reuptake of NE, or blocking uptake of indirect sympathomimetics into the adrenergic neuron. doxepin and epinephrine inhaled both increase sympathetic (adrenergic) effects, including increased blood pressure and heart rate. Avoid or Use Alternate Drug.doxepin and sertraline both increase QTc interval. Monitor Closely (1)lormetazepam and doxepin both increase sedation. Use Caution/Monitor.Serious - Use Alternative (1)doxepin, fenfluramine. doxepin, phentermine. Increased risk of serotonin syndrome or neuroleptic malignant syndrome. Either increases levels of the other by pharmacodynamic synergism. Use Caution/Monitor. Minor (1)bazedoxifene/conjugated estrogens, doxepin. doxepin, phenylephrine ophthalmic. Monitor Closely (1)dantrolene and doxepin both increase sedation. Either increases toxicity of the other by serotonin levels. doxepin increases and salmeterol decreases sedation. Use Caution/Monitor. Exp Clin Psychopharmacol. doxepin increases and phendimetrazine decreases sedation.

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