Does Doxepin Hydrochloride Interact with Paroxetine?
Doxepin Hydrochloride and Paroxetine have a moderate drug interaction according to U.S. FDA drug labeling data. SSRI that inhibits P450 2D6. Caution is indicated in coadministration with doxepin; may require dose adjustment and plasma level monitoring. The mechanism involves p450 2d6 inhibition. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This information is based on official FDA drug labeling sourced from OpenFDA and the NIH National Library of Medicine.
- Severity
- Moderate
- Management
- Monitor for effects
- Data Source
- U.S. FDA via OpenFDA
How This Interaction Works
The interaction between Doxepin Hydrochloride and Paroxetine occurs because p450 2d6 inhibition. Clinically, this means ssri that inhibits p450 2d6. caution is indicated in coadministration with doxepin; may require dose adjustment and plasma level monitoring. This is classified as a moderate interaction. While it may not require stopping either medication, your healthcare provider should be aware you are taking both so they can monitor for potential effects and adjust treatment if necessary.
What To Tell Your Doctor or Pharmacist
If you are taking Doxepin Hydrochloride and your doctor is considering prescribing Paroxetine (or vice versa), make sure to:
- Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
- Ask whether the benefits of combining these medications outweigh the risks for your specific situation
- Ask what symptoms to watch for that would indicate the interaction is causing problems
- Ask whether any dosage adjustments are needed
- Never stop or change either medication without first consulting your healthcare provider