Doxylamine

Also indexed as: Decapryn®, Nighttime Sleep Aid®, Sleep Aid®, Unisom®

Combination drugs: Nyquil®, Nyquil® Hot Therapy Powder

Doxylamine is an antihistamine used for short-term treatment of insomnia. Doxylamine is available alone in a nonprescription product for sleep and in combination with nonprescription drugs to treat symptoms of allergy, colds, and upper respiratory infections.

Safetychecker Summary for Doxylamine
(for details about the summarized interactions, read the full article)

Avoid Avoid: Adverse interaction—Avoid these supplements when taking this medication because taking them together may cause undesirable or dangerous results.

Henbane*

Depletion or interference

None known

Side effect reduction/prevention

None known

Supportive interaction

None known

Reduced drug absorption/bioavailability

None known

An asterisk (*) next to an item in the summary indicates that the interaction is supported only by weak, fragmentary, and/or contradictory scientific evidence.

Interactions with Herbs

Henbane (Hyoscyamus niger)
Antihistamines, including doxylamine, can cause “anticholinergic” side effects such as dryness of mouth and heart palpitations. Henbane also has anticholinergic activity and side effects. Therefore, use with doxylamine could increase the risk of anticholinergic side effects;1 however, apparently no interactions have yet been reported with doxylamine and henbane. Henbane should not be taken except by prescription from a physician trained in its use, as it is extremely toxic.

Interactions with Foods and Other Compounds

Alcohol
Doxylamine causes drowsiness.2 Alcohol may intensify this effect and increase the risk of accidental injury.3 To prevent problems, people taking doxylamine or doxylamine-containing products should avoid alcohol.

References:

1. Blumenthal M, ed. The Complete German Commission E Monographs. Austin, TX: American Botanical Council, 1998, 146.

2. Threlkeld DS, ed. Central Nervous System Drugs, Nonprescription Sleep Aids. In Facts and Comparisons Drug Information. St. Louis, MO: Facts and Comparisons, Dec 1993, 273e.

3. Threlkeld DS, ed. Central Nervous System Drugs, Nonprescription Sleep Aids. In Facts and Comparisons Drug Information. St. Louis, MO, Facts and Comparisons, Dec 1993, 273e.