Myungsepine Tablet 6 mg (Doxepin Hydrochloride)

Adult dose

Adults: The recommended dose of this medicine is 6mg once daily; for some patients, 3mg once daily may be appropriate as prescribed by a physician. Elderly patients aged 65 years and older: The recommended initial dose of this medicine is 3mg once daily. As prescribed by a physician, the dose may be increased to a maximum of 6mg daily. Do not take more than 6mg of this medicine per day. Take this medicine within 30 minutes before bedtime and do not take it within 3 hours after a meal to minimize its effects on the following day.

This medication may indicate that sleep disturbances are symptoms of physical or mental health conditions, so the patient's status must be thoroughly assessed before use. If insomnia does not improve after 7 to 10 days of use, other psychiatric or internal medicine conditions may be present, and consultation with a specialist is necessary. During the use of this medication, behaviors such as sleep-driving or actions in an altered state of consciousness may occur; thus, driving or operating dangerous machinery should be avoided. Taking this medication with alcohol or other central nervous system depressants increases these risks and should be avoided. Patients with depression should be particularly cautious as thoughts or behaviors related to suicide may worsen while taking this medication, and any new behavioral changes should be reported to healthcare professionals immediately. Before bedtime, necessary activities should be minimized, and after taking this medication, caution should be exercised as drowsiness or decreased concentration may occur during the day. Patients with allergies or hypersensitivity to this medication, or those with certain forms of glaucoma or severe urinary retention should not take this medication. During pregnancy or breastfeeding, careful use is advised considering the potential effects on the fetus or newborn, as safety has not been fully established. Elderly patients may experience stronger sedative effects, so starting with a lower dose and gradually adjusting is recommended. Patients with poor liver function may experience increased blood levels, requiring dose adjustment and careful monitoring. Severe side effects may occur with overdose, so the prescribed dosage must be strictly followed, and if an overdose is suspected, immediate medical attention should be sought. This medication may interact with other medications, so it is crucial to inform healthcare professionals of any other medications being taken.

Drowsiness, sedation, upper respiratory tract infection, pharyngitis, enteritis, nausea, hypertension, anemia, thrombocytosis, heart block, palpitations, tachycardia, ventricular premature contraction, ear pain, hearing loss, motion sickness, tinnitus, tympanic membrane perforation, congestion, blurred vision, eyelid spasm, double vision, eye pain, decreased tear production, abdominal pain, dry mouth, gastroesophageal reflux, vomiting, dyspepsia, constipation, gum swelling, bloody stools, oral herpes, weakness, chest pain, fatigue, chills, gait abnormalities, peripheral edema, hyperbilirubinemia, hypersensitivity reaction, bronchitis, fungal infection, laryngitis, sinusitis, dental infection, urinary tract infection, viral infection, soft tissue infection, eye infection, folliculitis, viral gastroenteritis, shingles, tenosynovitis, influenza, lower respiratory tract infection, onychomycosis, pharyngitis, pneumonia, abdominal injury, falls, joint sprain, fracture, skin laceration, increased blood sugar, ALT elevation, decreased blood pressure, increased blood pressure, abnormal ST-T segment in ECG, abnormal QRS complex in ECG, decreased heart rate, decreased neutrophil count, abnormal QRS axis in ECG, increased aminotransferase, decreased appetite, reduced appetite, hyperkalemia, hypermagnesemia, increased appetite, hypokalemia, joint pain, back pain, myalgia, cervical pain, limb pain, reduced joint range of motion, muscle cramps, lethargy, stage I lung adenocarcinoma, malignant melanoma, dizziness, taste disturbance, somnolence, tingling in hands and feet, syncope, loss of taste, ataxia, cerebrovascular accident, attention disorder, migraine, sleep paralysis, vasovagal syncope, tremor, abnormal dreams, adjustment disorder, anxiety, depression, confusional state, euphoric mood, insomnia, decreased libido, nightmares, breast cyst, dysmenorrhea, dysuria, nocturnal polyuria, hemoglobinuria, nocturia, congestion, throat pain, sinus congestion, wheezing, cough, malaise, pharyngeal disorder, runny nose, difficulty breathing, skin irritation, cold sweat, dermatitis, erythema, hyperhidrosis, pruritus, rash, erythema rosea, pallor, uncontrolled blood pressure, hematoma, facial flushing, constipation, urinary retention, disorientation, hallucinations, numbness, sensory disturbance, extrapyramidal symptoms, seizures, delayed onset of movement disorders, aphthous stomatitis, dyspepsia, increased libido, scrotal swelling, gynecomastia, galactorrhea, breast enlargement, increased blood sugar, decreased blood sugar, syndrome of inappropriate antidiuretic hormone secretion, tinnitus, weight gain, sweating, flushing, jaundice, hair loss, exacerbation of asthma, high fever, confusion, concentration disorder, transient hallucinations, pupil dilation, agitation, hyperactive reflexes, confusion, drowsiness, muscle rigidity, vomiting, hypothermia, high fever

This medication may be sensitive to air or moisture, so it must be stored in a tightly sealed container. It is best to maintain a storage temperature between 1°C and 30°C to prolong its efficacy and safety.

Appearance

Green oval tablet

Package unit

200 tablets/bottle