Supplement × Prescription·a caution·Moderate evidence

Doxepin + Melatonin

Caution Moderate evidence

Melatonin can add to doxepin-related sedation and next-day impairment.

From the database

What the row says.

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Substances
Pair type
Caution
Evidence
Moderate
Source citations
1
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.

Sources

Sources, 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

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