Anxol Tablet (Doxylamine) Used to Treat Nausea, Vomiting, Insomnia, and Vertigo

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Anxol Tablet (Doxylamine) is an antihistamine medication primarily used to treat insomnia (difficulty sleeping) and to relieve symptoms of nausea and vomiting, particularly morning sickness during pregnancy. It works by blocking histamine H1 receptors in the brain, producing a sedative effect that helps induce and maintain sleep.

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Anxol Tablet (Doxylamine 25mg)
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30 Tablet/s $10.38
60 Tablet/s $20.76
90 Tablet/s $31.14

Product Overview

Anxol Tablet is a highly effective, fast-acting medication containing Doxylamine, a potent first-generation histamine (H1) receptor antagonist belonging to the ethanolamine class. Characterized by its strong central nervous system penetrability, this medication delivers pronounced sedative and anti-allergic effects. Anxol Tablet is primarily utilized as a short-term clinical intervention for managing transient insomnia and sleep disturbances, while also serving as a valuable therapeutic option for relieving acute allergic reactions and upper respiratory symptoms.

Product Composition

  • Active Ingredient: Doxylamine Succinate (Commonly available in 25 mg tablet strengths)
  • Inactive Components: Typically includes lactose monohydrate, microcrystalline cellulose, dibasic calcium phosphate, sodium starch glycolate, and magnesium stearate.

Product Specification

FeatureDetails
Drug ClassFirst-Generation Antihistamine (Ethanolamine derivative)
Therapeutic CategoriesSedative-Hypnotic, Antihistamine, and Antiemetic Adjunct
FormulationOral Tablet
MetabolismHepatic (Extensively metabolized by liver enzymes)
Onset of ActionRapid (typically induces sleepiness within 30 minutes)

 

Mechanism of Action

  • The medication operates by reversibly binding to and blocking H1 receptors in both the peripheral tissues and the central nervous system.
  • By crossing the blood-brain barrier and inhibiting central H1 receptors, it suppresses the stimulating action of histamine on the brain's arousal center, producing a profound sedative effect that facilitates sleep onset.
  • Peripherally, it blocks the physiological actions of histamine, preventing the localized capillary dilation, swelling, and itching associated with allergic reactions.
  • It also exhibits significant competitive antagonism at central and peripheral muscarinic acetylcholine receptors.
  • This anticholinergic action dries up bodily secretions, reducing watery eyes and runny noses, while simultaneously contributing to its central sleep-inducing potency.

Key Benefits

  • Rapid Sleep Induction: Significantly shortens sleep latency, helping individuals who suffer from acute restlessness fall asleep much faster.
  • Improves Sleep Quality: Promotes a continuous, deeper sleep cycle, reducing frequent nighttime awakenings during periods of temporary stress.
  • Effective Allergy Alleviation: Provides prompt relief from systemic allergic symptoms, such as sneezing, hives, and itchy skin.
  • Dual-Action Cold Relief: Dries up excessive upper respiratory secretions, helping to clear congested airways associated with the common cold.
  • Non-Habit Forming Alternative: Serves as an effective, short-term non-benzodiazepine alternative for sleep management when used as directed.

Precautions

PrecautionDescription
DrowsinessMay cause significant sleepiness; avoid driving or machinery.
AlcoholAvoid alcohol as it increases sedation and side effects.
Respiratory ConditionsUse carefully in asthma or breathing disorders.
GlaucomaMay worsen increased eye pressure.
Urinary RetentionUse cautiously in patients with prostate enlargement.
PregnancyUse only if clearly advised by a healthcare professional.
BreastfeedingConsult a healthcare professional before use.
 

Important Points

  • Take exactly as prescribed, usually at bedtime.
  • Do not combine with other sedatives unless advised.
  • Avoid activities requiring alertness after taking the medicine.
  • Inform your doctor about all other medicines being used

Usage

Dosage and administration for this medication must be carefully timed, particularly when it is being used to manage sleep difficulties. Because Anxol Tablet has strong sedative and anticholinergic properties, following proper guidelines ensures maximum efficacy while preventing daytime drowsiness.

Uses

  • Transient Insomnia: Used as a short-term therapeutic option to treat temporary sleep disturbances, restlessness, and difficulty falling asleep due to stress or jet lag.

  • Acute Allergic Reactions: Provides systemic relief from allergy symptoms, including hives (urticaria), skin rashes, and intense localized itching.

  • Allergic Rhinitis Symptoms: Alleviates upper respiratory distress by reducing sneezing, an itchy or runny nose, and watery eyes caused by seasonal allergies.

  • Common Cold Discomfort: Utilized in comprehensive multi-symptom cold treatments to dry up excessive nasal secretions and post-nasal drip.

  • Nausea Management: Occasionally used off-label or in specific combination formulations to help manage severe nausea and vomiting.

Side Effects

Common Side Effects

  • Drowsiness
  • Dizziness
  • Dry mouth
  • Blurred vision
  • Constipation
  • Daytime sleepiness

Less Common Side Effects

  • Headache
  • Restlessness
  • Nausea
  • Difficulty concentrating
  • Mild confusion (especially in older adults)

Serious Side Effects

Serious Side EffectDescription
Severe drowsinessExtreme sleepiness or difficulty staying awake.
Breathing difficultyRare but serious respiratory depression (especially with other sedatives).
Severe allergic reactionRash, swelling of face, lips, or difficulty breathing.
Heart palpitationsIrregular or fast heartbeat.
Severe confusionDisorientation or agitation, especially in elderly patients.
 

Important Points

  • Most side effects are mild and temporary.
  • Avoid driving or alcohol during use.
  • Seek medical help if breathing difficulty or severe confusion occurs

FAQs

Q: What is Anxol Tablet used for?

A: Anxol (Doxylamine) is used to treat insomnia (difficulty sleeping) and to relieve nausea and vomiting, particularly morning sickness during pregnancy. It is also used in combination with Vitamin B6 (Pyridoxine) as a first-line treatment for pregnancy-related nausea and vomiting.

Q: How does Doxylamine work?

A: Doxylamine works by blocking histamine H1 receptors in the brain, producing a sedative effect that helps induce and maintain sleep. It also has anticholinergic properties that help reduce nausea and vomiting by blocking signals in the brain that trigger these symptoms.

Q: How should I take Anxol Tablet?

A: Anxol Tablet should be taken as prescribed by your doctor or as directed on the label. For insomnia, it is usually taken 30 minutes before bedtime. For morning sickness, it is commonly taken at night and sometimes in the morning as directed by your doctor.

Q: How long does it take for Anxol Tablet to work?

A: Anxol Tablet typically begins to produce its sedative effect within 30 minutes of taking the tablet, helping patients fall asleep more easily. For relief of nausea and vomiting, improvement is usually noticed within a few hours of taking the medication.

Q: Is Anxol Tablet safe to use during pregnancy?

A: Yes. Doxylamine is one of the few antihistamines considered safe for use during pregnancy when taken as directed by a doctor. It is commonly prescribed in combination with Vitamin B6 as a first-line treatment for nausea and vomiting associated with pregnancy. 

Q: Can Anxol Tablet be used for long-term insomnia?

A: Anxol Tablet is generally recommended for short-term management of insomnia. Long-term use is not advisable as the body may develop tolerance to its sedative effects over time. 

Q: What are the common side effects of Anxol Tablet?

A: Common side effects include drowsiness, dry mouth, blurred vision, constipation, urinary retention, dizziness, and headache. These effects are more pronounced in elderly patients. Contact your doctor if any side effects become severe or persistent.

Q: Can Anxol Tablet cause next-day drowsiness?

A: Yes. Doxylamine has a relatively long duration of action and may cause next-day drowsiness and impaired alertness in some patients. Avoid driving or operating heavy machinery the morning after taking Anxol Tablet until you are fully alert.

Q: Who should not take Anxol Tablet?

A: Anxol Tablet should not be taken by patients with glaucoma, urinary retention, severe liver disease, asthma, or those allergic to Doxylamine or other antihistamines. 

Q: Can Anxol Tablet interact with other medications?

A: Doxylamine may interact with other sedatives, sleeping pills, antidepressants, antipsychotics, MAOIs, muscle relaxants, and alcohol. Always inform your doctor or pharmacist about all medicines you are currently taking to avoid potentially serious interactions.

Interactions

Drug / GroupEffect with Anxol Tablet (Doxylamine)
AlcoholIncreases drowsiness and sedation significantly.
Sleeping pills / sedativesMay cause excessive sleepiness and respiratory depression.
AntidepressantsCan increase sedation and side effects.
AntipsychoticsMay enhance drowsiness and dizziness.
Pain medicines (opioids)Increases risk of severe sedation and breathing problems.
Other antihistaminesCan increase dry mouth, dizziness, and sedation.
Muscle relaxantsMay increase drowsiness and reduced alertness.
 

Important Points

  • Inform your healthcare provider about all medicines you are taking.
  • Avoid alcohol completely during treatment.
  • Do not combine with other sleep aids unless advised.
  • Be cautious with activities requiring alertness.
 
More Information
Manufacturer:A. Menarini India Pvt Ltdine HCL)
Trade Name:Unisom
Generic Search:Doxylamine
Strength:25mg
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