And.... there is no difference between tablets and capsules. This is just another factor for Silenor to ensure $$$$ and use of their product. There are no tablets in the generic listings, and so pharmacies cannot exchange the order to the affordable product because none of the generics are "identical" to the tablet form of Silenor. Doxepin has historically been a capsule because the SINEQUAN brand was a capsule. Once swallowed there is no difference. If Silenor tablets were extended release, then there would be a difference, but from what I see on RXlist.com they are just regular tablet immediate release formulation.

I know this is a bunch of details, and difficult to grasp, but just try to learn it all before your doctor's appointment. The patient (consumer) is always the last to know, and therefore gets fleeced in some way in the end. Loses, most often and does not get affordable treatment.

I am really appreciative. thank you so much. "And as an antidepressant, and a member of the tricyclic family of drugs, it may just cause a tolerance after a couple of months.
Keep that in mind too. " I don't understand this part. also silenor made me happy. I was shocked at how good I felt for no reason. I have been going through an especially hard time with the stroke,its after affects and the surgery and procedure. My neck still hurts from the cutting.
"
bobby

Tolerance
 

Tolerance affects some people. It did not happen to me.
Especially the sleep part: Sinequan made me sleepy and probably helped with my depression for all the
years I was on it (1980s and very early 1990s). Eventually, I begged my pdoc to take me off it
because I was tired of the sleepy brain fog during the day.

Tolerance and Resistance to Drugs - Drugs - Merck Manuals Consumer Version

I wish you were getting more help.
You need a team. :heartthrob:

M

thanks. I am coming out of the shock of the stroke and the hospitalizations and growing more and more depressed.Knowing what it was like to be happy while on silenor was a punctuation mark.I am afraid my pdoc won't go along with me. I had broken sleep last night but got about six hours. I am finally reading a junky novel. Last night Cecilia and i went out to dinner and i had a great hamburger and delicious french fries. no diet but so good. doesn't sound like living a depressed life.
bobby

Dear Bobby,

You can let your pdoc know that you think it's time to change your meds. You have been on some of them for a long time, and you haven't been getting great results. You're also dealing with new challenges now, so I think he will be understanding :hug::hug::hug:

The best advice, and options for a workable med plan you can get, is from your pdoc. But all decisions are ultimately up to you. You can always say no, and ask for other options.

Give him the chance to work with you.

Love,

Kay