I can't see doxepin 10mg generic being 400 dollars a month...

Check out this Walgreen's listing... much much lower, if you pay cash for it. Doxepin 10mg shows as Tier 2 under the "mental" category.

21 dollars and some cents for the cash price. thank you. maybe i will ask my pdoc..a far cry from 424 dollars
Doxepin - Wikipedia, the free encyclopedia

i don't understand https://stevebmd.files.wordpress.com...sdoxepin10.pdf
Sinequan (Doxepin) Drug Information: Indications, Dosage and How ...
www.rxlist.com › ... › drugs az list › sinequan (doxepin) side effects drug center
RxList
Clinical experience has shown that SINEQUAN is safe and well tolerated even in the elderly patient. Owing to lack of clinical experience in the pediatric ...

Doxepin has been the main drug dispensed for over 20 yrs.

Doctors only get detailed by drug reps for BRAND name items like your Silenor. I would bet they don't know what doxepin even is, how it works, etc.(unless they are old timers).

Pharmacies cannot substitute doxepin 10mg for Silenor 6. The milligrams have to match. This is why the brand name is so expensive as there is "no generic" for it in 6mg. Your doctor has to write the RX as "doxepin 10mg" for you to get it that way. These loopholes are in place to make sure Big Pharma gets its $$$$.

thank you so much. I hope my pdoc goes along. have a nice weekend
bobby

I found coupons for 60 pills of 10mg caps of doxepin for as low as $12.68 at one retailer on GoodRX.com. You can't go through your insurance company if you use the coupons though. Silenor hovers around $400 even with coupons.

The dosages of Silenor, and the generic doxepin come in very different doses. Silenor is only available in 3 or 6 mg tablets, and doxepin is available in 10, 25, 50, 75, 100, and 150mg capsules. The generic is much cheaper, but the cost depends on the dosage and quantity of pills you are prescribed.

I've found that most patient assistance programs exclude Medicare patients, which sucks

I hope you catch a break here Bobby and can get the med and a decent copay. The generic is definitely cheap enough!!!

i didn't know about goodrx.com- i didn't see the 60 pills. I wonder if my doctor will go along.. Yesterday or last night i had three hours of sleep. I will be tired all day. Most pills dont work on me. I am serious about stopping zoloft and the other one. I felt so different with silenor. besides its helping me to get extra sleep. My pdoc never contacted me yesterday about the form for silenor from the insurance company. rats

Doxepin 10mg is the very low end of action for any antidepressant that runs on serotonin effects (like your Zoloft)

Every drug has a low end in dose for any effectiveness.

There is not much difference between 6mg and 10 with Doxepin.
But I would not suggest you take another serotonin type drug like Zoloft with it.

thank you. I wonder what my psychiatrist will say. I stopped today taking zoloft since i don't think it was doing any good. same with the other antidepressant butropion. I didn't know what it was like to feel happy until i took the silenor.
bobby

That is amazing, Bobby. It is good news that a drug exists for you,
I hope that your pdoc can get you what you need.


M

Keep this thought in your mind when you see your shrink...

Sinequan (doxepin) hasn't been used for depression for over 2 DECADES. I would not expect that any current shrink would understand this drug.

It originally came out as a "me-too" to compete with Elavil and Pamelor. That was long before SSRIs came out or the SNRIs which were later.

Today, Elavil (amitriptyline) and Pamelor (nortriptyline) and Doxepin (Sinequan) are now used for pain management, nerve damage in those with neuropathies ( in low subtherapeutic doses). Shrinks as a rule do not treat PNs so they are not aware of these drugs for the most part anymore.
The new Silenor is being detailed to them now for sleeping. Its dose is way below the doses shrinks used for depression treatments.

You will have to be calm and clever and ask for what you want based on your net research so far. If you leave this totally in the lap of your shrink, you may get NOTHING, because they are narrow and protective of their liability. If they don't know this drug and how it works, they will not give you what you are asking for. The bottom line is Sinequan brand = doxepin=Silenor. The only factor here is 4 measly milligrams which is below the therapeutic index for doxepin as an antidepressant.

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.

Good luck.