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Low-dose doxepin is labeled for the treatment of insomnia characterized by difficulty maintaining sleep. The exact mechanism by which the medication exerts its sleep maintenance effect is unknown, but is thought to be antagonism of histamine H 1 receptors. Doxepin is safe when used at low dosages. Doxepin should not be used in patients with severe urinary retention or in those who also take or who have recently stopped taking monoamine oxidase inhibitors. Abrupt discontinuation is not associated with a withdrawal syndrome.

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A small number of children, teenagers, and young adults up to 24 years of age who took antidepressants 'mood elevators' such as doxepin during clinical studies became suicidal thinking about harming or killing oneself or planning or trying to do so. Children, teenagers, and young adults who take antidepressants to treat depression or other mental illnesses may be more likely to become suicidal than children, teenagers, and young adults who do not take antidepressants to treat these conditions. However, experts are not sure about how great this risk is and how much it should be considered in deciding whether a child or teenager should take an antidepressant. Children younger than 18 years of age should not normally take doxepin, but in cheap sinequan cases, a doctor may decide that doxepin is the best medication to treat a child's condition. You should know that your mental health may change in unexpected ways when you take doxepin or other antidepressants even if you are an adult over age

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