Classes
DEA Class; OTC
Common Brand Names; Unisom
- Sedative/Hypnotics;
- Antihistamines, Ethanolamine Derivatives
Description
Oral first-generation, sedating antihistamine; significant sedative action and anticholinergic effects
Primarily used as a single agent in adults for short-term nonprescription (OTC) treatment of insomnia
Also available in products for allergy and cold symptoms in adult and pediatric patients 6 years of age and older
Indications
Contraindications
Hypersensitivity
Children <12 years
Coadministration with any other product containing doxylamine
Adverse Effects
- Tachycardia
- Dysuria
- Urinary retention
- Palpitations
- Constipation
- Diarrhea
- Epigastric pain
- Xerostomia
- Anorexia
- Dizziness
- Drowsiness
- Blurred vision
- Vertigo
- Paradoxical CNS stimulation
- Disorientation
- Diplopia
Warnings
May cause CNS depression, which may impair physical and mental activities
Not to exceed 2 weeks of use
Caution in asthma, glaucoma, enlarged prostate, cardiovascular disease, respiratory disease, or thyroid dysfunction
Use with caution in patients with increased intraocular pressure or angle closure glaucoma
Not for use to treat insomnia in children <12 years; may cause paradoxical excitation in young children
CNS effects may be potentiated when used with other sedative drugs or ethanol
Not for use unless patient has enough time for a full night’s sleep
Ask healthcare professional before use if taking sedative or any other sleep-aid, tranquilizers, any other antihistamines, any other drugs
When using this product avoid alcoholic beverages, do not drive a motor vehicle or operate machinery, take only at bedtime
Pregnancy and Lactation
Pregnancy Category: B
Lactation: excretion in milk unknown
Maximum Dosage
25 mg/day PO for insomnia; 60 mg/day for allergic rhinitis.
25 mg/day PO for insomnia; 60 mg/day PO for allergic rhinitis.
25 mg/day PO for insomnia; 60 mg/day PO for allergic rhinitis.
12 years: 25 mg/day PO for insomnia; 60 mg/day PO for allergic rhinitis.
6 to 11 years: 30 mg/day PO for allergic rhinitis.
Less than 6 years: Safety and efficacy have not been established.
Safety and efficacy have not been established.
Safety and efficacy have not been established.
How supplied
Doxylamine succinate
tablet
- 25mg