Doxepin may not be the right choice for every patient. In such cases, it is important to discuss with a doctor potential doxepin alternatives.
What are your options when it comes to alternatives for doxepin?
For Sleep and Insomnia
Many tricyclic antidepressants will help with insomnia. If doxepin is not a good choice, there is mirtazapine (Remeron); it works in much the same way as doxepin does. There are also other classes of medications that may be appropriate, such as melatonin agonists like ramelteon (Rozerem).
There are many medications available for the treatment of anxiety disorders, including SSRIs like Prozac. There are also other tricyclic antidepressants that will serve this purpose, such as amitriptyline (Elavil) or nortriptyline (Pamelor).
Antidepressants like doxepin are sometimes used as a tool in chronic pain management. However, there are plenty of choices—including other tricyclics like imipramine (Tofranil), desipramine (Norpramin), and nortriptyline (Pamelor)—that can help.
For Nerve Pain
SNRIs and tricyclics might help, such as desipramine (Norpramin) or duloxetine (Cymbalta).