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Silenor contains doxepin at a very low dose (3 mg or 6 mg). At these doses it works primarily by blocking histamine H1 receptors to reduce wakefulness, rather than by the sedative mechanisms of older, higher-dose doxepin antidepressants. It is specifically FDA-approved for sleep-maintenance insomnia, meaning it is designed to help you stay asleep rather than just fall asleep.

Silenor is approved for adults who have difficulty maintaining sleep. It may be particularly suitable for those who fall asleep reasonably well but wake during the night or too early in the morning. It is not recommended for patients with severe sleep apnea, urinary retention, or certain other medical conditions, which is why a physician evaluation is required.

The most commonly reported side effects in clinical trials were somnolence (drowsiness the next day) and nausea. Because of the risk of next-day drowsiness, patients should allow at least 7 to 8 hours of sleep time after taking Silenor before driving or operating machinery.

Silenor is available in 3 mg and 6 mg tablets taken once nightly within 30 minutes of bedtime. For adults 65 and older the recommended starting dose is 3 mg. Your physician will determine the appropriate dose based on your individual health profile.

Silenor can interact with certain medications, including monoamine oxidase inhibitors (MAOIs), other CNS depressants, and cimetidine. Your Doctronic physician will review your full medication list during your evaluation to check for interactions before prescribing.

Many patients notice improvement in sleep maintenance within the first few nights of use. Clinical studies demonstrated statistically significant improvements in sleep time in the second half of the night compared to placebo. Individual results can vary, and your physician may reassess your treatment plan after a few weeks.

Doctronic uses an AI-guided evaluation to gather detailed information about your symptoms and health history. That information is then reviewed by a licensed physician who creates a personalized treatment plan. If a prescription is appropriate, it is sent electronically to your pharmacy of choice.

Yes. Doctronic connects you with fully licensed physicians practicing in your state. All consultations are HIPAA-compliant, and every treatment decision is doctor-reviewed. Doctronic operates in compliance with applicable telemedicine laws and is available to adults 18 and older in any U.S. state.