Drug General Information (ID: DDIA945MZ7)
  Drug Name Cimetidine Drug Info Doxepin (topical) Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antiulcer Agents Antidepressants
  Structure

 Mechanism of Cimetidine-Doxepin (topical) Interaction (Severity Level: Moderate)
     Decreased metabolism (Unspecific) Click to Show/Hide Mechanism Graph
      Drug Name Cimetidine Doxepin (topical)
      Mechanism Inhibit the hepatic metabolism of doxepin Doxepin
      Key Mechanism Factor 1
Factor Name Pharmacokinetics
Factor Description Alters the metabolism of the drug, leading to changes in the plasma concentration of the drug and affecting the pharmacological effects.
      Mechanism Description
  • Decreased metabolism of Doxepin (topical) caused by Cimetidine 

Recommended Action
      Management Patients should be advised to notify their physician if they experience increased sedation, blurry vision, severe dry mouth, or urinary retention. Ranitidine has not been found to affect serum concentrations of tricyclic antidepressants and may be a better alternative.

References
1 Product Information. Zonalon (doxepin topical). Bioglan Pharmaceutical Inc, Malvern, PA.