From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionModerate evidence
What is happening. Melatonin can add to doxepin-related sedation and next-day impairment.
Mechanism. Additive CNS depressant and sleep-promoting effects.
Recommendation. Use the lowest effective doses only with prescriber awareness; avoid alcohol and driving if impaired.
Stack Score
How it moves the number.
Effect on the composite score
If both Doxepin and Melatonin are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
1- 1U.S. National Library of Medicine. Doxepin tablets US Prescribing Information. 2025.Needs sourceNo link