It is my understsnding that although Doxipin is a significant ingredient in Silenor, there are other attributes that contribute to the sleep aspect. Doxipen taken in the antidepressant form in higher dosages of approximately 150 milligrams is considerably different than the 3 milligrams or 6 milligrams of Silenor prescribed for sleep. It is imperative that you consult with your doctor and discuss this issue thoroughly before changing medications strictly based on cost. I would be interested in what your Dr. says.
They are the same drug. However, the lowest dose Doxepin comes in is 10 mg. To get the sleep benefit, the lower dose Silenor comes in does the trick due to drug receptor issues. Doxepin does come in a liquid and is cheap, so you don't need to pay for the expense of Silenor. Get you MD to prescribe liquid doxepin 10 mg/ml. It comes in a 120 ml bottle. This will last 6-12 mos and cost maybe $30. Ask the pharmacist for a TB syringe to draw 0.3-0.6 ml in (which is equal to 3-6 mg) and put it in 1/3 cup water. Drink. Sleep.
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