Sorry ahead of time for a novel length review, but I think all following aspects are important to take into account with this medication as I take many medications and have many disorders. I also have never written a review for a medication, but after reading these scary reviews before taking Doxepin I felt the need to throw my two cents in to maybe encourage people to at least try it before flat out saying no to their doctor.
A bit of my background: I have bipolar, insomnia, general anxiety, panic disorder, and ADHD which of course all of those, and the corresponding medications taken for each disorder, make getting a good nights sleep a nightmare (no pun intended). I've had difficulty sleeping since I was a teenager, and after being diagnosed in my early 20s with all those issues it made sense why I have so much trouble sleeping. I have also been incredibly tired during the day every single day of my life (even while using stimulants in the daytime for my ADHD) since I can remember, and I started thinking I had a type of narcolepsy because I just felt like a zombie every day (hypochondriac much???).
I have taken so many different sleep aids over the years: Ambien, Lunesta, Hydroxyzine, Trazodone, you name it. All of which made me incredibly groggy the next day, or just gave me unwanted side effects (thank you Ambien for the four hour hallucinations that I didn't ask for of fairies flying around a forest that grew on my walls keeping me up which completely defeated the purpose of Ambien). I had brought up my sleep issues to my psychiatrist before, but never the chronic daytime sleepiness. I finally brought it up to her, and she thought that I may be constantly tired due to poor sleep. I didn't believe it at first because I rarely remember waking up during the night.
Now to the medication: She mentioned Silenor aka Doxepin this go around, and how at high doses it is used for depression, but in very low doses it is used to help people to sleep. I was very interested as it's not habit forming (I don't need or want more addictive medications than I already take), and at the low doses for sleep it has pretty minimal side effects. For reference, I currently take the lowest 3mg dose as that is enough for me, and I have not found the need to double up to 6mg.
However, I was incredibly worried about taking this medication because of one of the more scary side effects: sleep driving, walking, eating, etc. just like Ambien can potentially cause. For the first five days taking this medication I gave my car keys to my mom to hide at night, had potentially dangerous items stored away by my family where I wouldn't find them if I did sleep walk, and had my family keep an eye on me for any signs of sleep "doing" things.
When I woke up the following mornings there were absolutely no signs of sleep "doing" things, thank goodness. My doctor was right about why I was so tired during the day because I have even better news; I felt the most well rested I ever have, and I can't even remember the last time I woke up feeling this great. I woke up feeling weirdly amazing even before my alarm went off when I usually press snooze 10 times, no grogginess at all, had enough energy all day to get everything done that needed to be done.
I have now been taking this medication for about two months with no issues, and still wake up feeling great and well rested. I really hope this one doesn't stop randomly working for me like other medications have in the past. Some nights I will forget to take it, and I definitely notice a major difference the next day where I'm tired and groggy compared to when I do take it. I rated "ease of use" a four only due to having to take it on an empty stomach (at least 3 hours since you've last eaten), but sometimes I forget that I ate recently and haven't noticed a difference in efficacy of sleep. Not sure why you have to take it on an empty stomach, but that's a question to ask your doctor.
I highly recommend at least TRead More Read Less