{"id":56798,"date":"2024-02-27T17:08:07","date_gmt":"2024-02-27T17:08:07","guid":{"rendered":"https:\/\/medsname.com\/doxin\/"},"modified":"2026-04-30T10:24:34","modified_gmt":"2026-04-30T10:24:34","slug":"doxin","status":"publish","type":"product","link":"https:\/\/medsbase.com\/nl\/doxin\/","title":{"rendered":"Doxin"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8d6;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">\u26a1 Snel antwoord<\/h3>\n<p style=\"margin-bottom:0;\">Doxin (Doxepin 10 \/ 25 \/ 75 mg) is a tricyclic antidepressant. Most modern use is at low doses for chronic insomnia (3\u20136 mg) or full antidepressant doses (75\u2013300 mg) for sedating\/anxiolytic depression.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Wat u krijgt bij MedsBase:<\/strong> WHO-GMP gecertificeerde fabrikant \u00b7 Discrete verpakking \u00b7 Wereldwijde verzending \u00b7 1.400+ geverifieerde <a href=\"https:\/\/medsbase.com\/nl\/reviews\/\">klantbeoordelingen<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Elke bestelling is gedekt door onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.<\/p>\n<h3>Waarom bestellen bij MedsBase<\/h3>\n<p>Doxin at MedsBase is supplied directly from a WHO-GMP certified manufacturer in plain, discreet packaging. Every order is covered by our <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance Policy<\/a> \u2014 20 werkdagen levertermijn of wij sturen kosteloos opnieuw \u2014 en komt in aanmerking voor ons <a href=\"https:\/\/medsbase.com\/nl\/loyalty-points\/\">klantenloyaliteitsprogramma<\/a>. Wereldwijde verzending is beschikbaar naar de meeste bestemmingen.<\/p>\n<h2>What Doxin is and how it works<\/h2>\n<p>Doxin is a Doxepin-containing tablet supplied by Sun Pharma. Available strengths: <strong>10 \/ 25 \/ 75 mg<\/strong>.<\/p>\n<p>Doxepin is unusual among TCAs in that its <strong>primary modern use is at low doses (3\u20136 mg) for chronic insomnia<\/strong> \u2014 its profound H1 antihistamine action is the strongest of any tricyclic and produces sleep-maintenance benefit without the addictive profile of benzodiazepines or Z-drugs. At full antidepressant doses (75\u2013300 mg), it functions as a classic mixed serotonin-noradrenaline TCA with sedating, anxiolytic, and analgesic properties.<\/p>\n<p>Tricyclic antidepressants block the reuptake of serotonin and noradrenaline at presynaptic transporters, similar to SSRIs and SNRIs. Their tolerability disadvantage comes from <strong>off-target receptor blockade<\/strong>: muscarinic (anticholinergic side effects), histaminergic H1 (sedation, weight gain), and \u03b11-adrenergic (orthostatic hypotension). They also block fast sodium channels in cardiac tissue \u2014 the basis for both their analgesic action and their cardiac toxicity in overdose.<\/p>\n<p>The 3\u20136 mg insomnia indication is the only TCA dose range that does not require ECG and TCA-class anticholinergic counselling \u2014 at those doses, systemic exposure is negligible.<\/p>\n<h2>Indicaties en dosering<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indicatie<\/th>\n<th>Startdosering<\/th>\n<th>Streefdosering<\/th>\n<th>Maximaal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Major depression \/ anxiety<\/td>\n<td>25\u201375 mg HS<\/td>\n<td>75\u2013300 mg\/day<\/td>\n<td>300 mg<\/td>\n<\/tr>\n<tr>\n<td>Chronic insomnia (low-dose)<\/td>\n<td>3 mg HS<\/td>\n<td>3\u20136 mg HS<\/td>\n<td>6 mg<\/td>\n<\/tr>\n<tr>\n<td>Chronic urticaria \/ pruritus<\/td>\n<td>10 mg TID<\/td>\n<td>10\u201325 mg TID<\/td>\n<td>by tolerability<\/td>\n<\/tr>\n<tr>\n<td>Older adults<\/td>\n<td>10 mg HS<\/td>\n<td>30\u201375 mg\/day<\/td>\n<td>150 mg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Belangrijke veiligheidsoverwegingen<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Cardiac risk and overdose toxicity<\/strong><\/p>\n<p style=\"margin-bottom:0;\">TCAs prolong QRS and QT, and overdose is <strong>life-threatening<\/strong> \u2014 historically the most common cause of antidepressant fatalities. Baseline ECG before initiating in patients with known cardiac disease, on QT-prolonging therapy, or in older adults. Do not start in recent MI, conduction abnormality, uncompensated heart failure, or congenital long QT. Limit dispense quantities in patients at suicide risk \u2014 the therapeutic-to-toxic ratio is narrow.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Anticholinergic burden<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Dry mouth, constipation, blurred vision, urinary hesitancy, cognitive slowing \u2014 universal at therapeutic doses. Avoid in narrow-angle glaucoma, BPH with significant retention, and dementia. Pair with chewing gum \/ sugar-free lozenges, fibre + fluid, and stool softeners.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Zwarte waarschuwing voor su\u00efcidaliteit (onder 25)<\/strong><\/p>\n<p style=\"margin-bottom:0;\">All antidepressants carry an FDA black-box warning for increased suicidal ideation in patients under 25 \u2014 particularly relevant for clomipramine in adolescent OCD.<\/p>\n<\/div>\n<h2>Veelvoorkomende bijwerkingen<\/h2>\n<ul>\n<li><strong>Anticholinergic:<\/strong> dry mouth, constipation, blurred vision, urinary hesitancy.<\/li>\n<li><strong>Sedation:<\/strong> particularly doxepin and clomipramine; bedtime dosing helps.<\/li>\n<li><strong>Cardiovasculair:<\/strong> orthostatic hypotension (\u03b11 block), tachycardia, conduction-interval prolongation.<\/li>\n<li><strong>Metabool:<\/strong> weight gain (5\u201310 kg over 12 months in many patients), increased appetite.<\/li>\n<li><strong>Sexual:<\/strong> reduced libido, delayed ejaculation (sometimes used clinically for premature ejaculation), erectile difficulty.<\/li>\n<li><strong>Withdrawal:<\/strong> taper over 4 weeks; abrupt cessation produces flu-like symptoms, GI upset, and sleep disturbance.<\/li>\n<\/ul>\n<h2>Geneesmiddelinteracties<\/h2>\n<ul>\n<li><strong>MAO-remmers<\/strong> \u2014 absolute contraindication. 14-day washout each direction.<\/li>\n<li><strong>SSRIs \/ SNRIs<\/strong> \u2014 additive serotonergic risk; CYP2D6 inhibition by fluoxetine and paroxetine raises TCA levels.<\/li>\n<li><strong>QT-verlengende geneesmiddelen<\/strong> (azoles, macrolides, amiodarone, sotalol, methadone, ondansetron, antipsychotics) \u2014 additive risk.<\/li>\n<li><strong>Andere anticholinergica<\/strong> (oxybutynin, benztropine, antihistamines, clozapine, olanzapine) \u2014 additive burden in older adults.<\/li>\n<li><strong>CNS depressants<\/strong> \u2014 additive sedation.<\/li>\n<li><strong>Tramadol, bupropion, fluoroquinolones<\/strong> \u2014 lower seizure threshold; additive seizure risk.<\/li>\n<\/ul>\n<h2>Zwangerschap, borstvoeding, pediatrie<\/h2>\n<p>TCAs are FDA pregnancy <strong>categorie C<\/strong>. Late-pregnancy exposure can produce neonatal anticholinergic withdrawal. Lactation: TCAs pass into breast milk in small amounts; nortriptyline and imipramine are the most-studied. Paediatric: imipramine is licensed from age 6 (enuresis) and clomipramine from age 10 (OCD); doxepin in adolescents only with specialist input.<\/p>\n<h2>Opslag<\/h2>\n<p>Store at 15\u201330 \u00b0C, away from direct sunlight, in original packaging. Keep out of reach of children \u2014 TCA paediatric ingestion is a medical emergency.<\/p>\n<h2 id=\"faqs\">Veelgestelde vragen<\/h2>\n<h3>How long until Doxin works?<\/h3>\n<p>TCAs typically show benefit within 2\u20134 weeks. The sleep and anxiety improvements often appear in week 1; the antidepressant effect builds over 4\u20136 weeks. <\/p>\n<h3>Why bedtime dosing?<\/h3>\n<p>Doxepin, clomipramine, and imipramine are all sedating. Bedtime dosing recruits the sedation as a side-effect benefit (sleep) instead of a side-effect burden (daytime drowsiness). It also reduces orthostatic hypotension by sleeping through the peak.<\/p>\n<h3>Is Doxin safe in older adults?<\/h3>\n<p>TCAs are on the Beers Criteria list of potentially inappropriate medications in older adults because of anticholinergic burden, orthostatic hypotension, and cardiac risk. They are not absolutely contraindicated but are generally second-line \u2014 SSRIs\/SNRIs are preferred unless a specific benefit (e.g. pain, sleep) outweighs the risks.<\/p>\n<h3>Can I drink alcohol on Doxin?<\/h3>\n<p>Alcohol amplifies TCA sedation and orthostatic effects. Limit to occasional and modest consumption; avoid binge drinking entirely. The combination is not usually dangerous in moderation but feels worse than either alone.<\/p>\n<h3>What is the overdose risk?<\/h3>\n<p>TCAs are among the most lethal classes of medication in overdose \u2014 <strong>cardiac conduction collapse, seizures, and coma<\/strong> can occur at relatively low multiples of the therapeutic dose. Limit dispense quantities in patients at any suicide risk. If overdose is suspected, present to emergency immediately \u2014 sodium bicarbonate is the antidote for the cardiac toxicity but timing matters.<\/p>\n<h3>Will Doxin affect my driving?<\/h3>\n<p>Sedation and reaction-time impairment are common in the first 1\u20132 weeks. Avoid driving until steady-state tolerability is known. Some patients tolerate full doses indefinitely without driving impairment; others remain too sedated even at low doses.<\/p>\n<h3>Can Doxin be combined with an SSRI?<\/h3>\n<p>Generally no \u2014 combination raises serotonin syndrome risk and serum TCA levels (particularly with fluoxetine and paroxetine). The combination is sometimes used in refractory OCD or depression under specialist supervision with TDM, never empirically.<\/p>\n<h3>How do I taper Doxin?<\/h3>\n<p>Reduce by approximately 25\u201350% of the dose every 2 weeks. Withdrawal (sometimes called &ldquo;TCA flu&rdquo;) produces malaise, GI upset, and sleep disturbance \u2014 manageable with slower tapers. Talk to the prescriber before stopping.<\/p>\n<h3>Does Doxin cause weight gain?<\/h3>\n<p>Yes \u2014 most TCAs cause meaningful weight gain over 6\u201312 months, often 5\u201310 kg. Doxepin and amitriptyline are the worst; nortriptyline less so. If this is a major concern, raise it before initiation \u2014 an SSRI\/SNRI may be a better fit.<\/p>\n<h3>Can Doxin be used for chronic pain?<\/h3>\n<p>Yes \u2014 TCAs (especially amitriptyline, nortriptyline, and imipramine) at low doses (10\u201375 mg) are first-line for diabetic peripheral neuropathy, post-herpetic neuralgia, and tension-type chronic headache. Sodium-channel blockade is the dominant mechanism. The analgesic effect is independent of the antidepressant effect and appears earlier (1\u20132 weeks).<\/p>\n<h2>Andere medicijnen voor geestelijke gezondheid<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/spectra\/\">Spectra (Doxepin TCA)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/doxin\/\">Doxin (Doxepin TCA)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/antidep\/\">Antidep (Imipramine TCA)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/flunil\/\">Flunil (Fluoxetine SSRI)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/duvanta\/\">Duvanta (Duloxetine SNRI)<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:0.9em;\">\n<strong>Medisch disclaimer.<\/strong> Deze pagina is educatief en geen vervanging voor persoonlijk medisch advies. Farmacotherapie voor geestelijke gezondheid dient te worden gestart, gecontroleerd en aangepast onder begeleiding van een gekwalificeerde clinicus. Als u of iemand die u kent in een su\u00efcidale crisis verkeert, neem dan onmiddellijk contact op met de plaatselijke hulpdiensten, of bel de su\u00efcidepreventielijn van uw land (VS\/Canada: 988; VK: Samaritans 116 123; internationale lijst: <a href=\"https:\/\/findahelpline.com\/\" rel=\"nofollow noopener\" target=\"_blank\">findahelpline.com<\/a>).\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Doxin (Doxepin 10\/25\/75 mg) \u2014 TCA with strongest H1 sedation for depression, anxiety, chronic insomnia, urticaria. 3\u20136 mg HS for insomnia bypasses TCA-class warnings.<\/p>","protected":false},"featured_media":56799,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3906],"product_tag":[4174,4175],"class_list":{"0":"post-56798","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-mental-health-and-psychiatric-medications","9":"product_tag-doxepine","10":"product_tag-doxin","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product\/56798","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/comments?post=56798"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media\/56799"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media?parent=56798"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_brand?post=56798"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat?post=56798"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_tag?post=56798"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}