anxol tablet - Doxylamine (25mg) medicine

Anxol Tablet (Doxylamine 25mg): Complete Medicine Guide

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🏭 Maneesh Pharmaceuticals Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 22, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for short-term insomnia and allergic rhinitis.
Reviewed by
SaathiMed Expert Panel | Sep 22, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction (rash, swelling, difficulty breathing)
  • Hallucinations or confusion
  • Seizures
  • Irregular heartbeat or palpitations
  • Yellowing of skin or eyes
  • Severe drowsiness or difficulty waking up
  • Urinary retention or inability to urinate

If experiencing severe symptoms, call emergency services immediately.

What is anxol tablet used for?

This medicine contains doxylamine 25 mg, an antihistamine used for short-term relief of insomnia and allergies. It works by blocking histamine in the brain, causing drowsiness. Take it 30 minutes before bedtime. Avoid alcohol and driving.

  • Generic Name: Doxylamine
  • Manufacturer: Maneesh Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 anxol tablet के बारे में (Hindi Summary)

उपयोग: यह दवा डॉक्सिलामाइन 25 मिलीग्राम युक्त एक ओरल टैबलेट है, जिसका उपयोग अल्पकालिक अनिद्रा (नींद न आना) और एलर्जी के लक्षणों जैसे छींक, बहती नाक और खुजली के इलाज के लिए किया जाता है। यह दिमाग में हिस्टामिन रिसेप्टर्स को ब्लॉक करके नींद लाने में मदद करती है। इसका उपयोग केवल कुछ दिनों के लिए ही करना चाहिए, लंबे समय तक नहीं।

साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, चक्कर आना, मुँह सूखना, कब्ज, धुंधली दृष्टि और पेशाब में रुकावट शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, भ्रम, दौरे और अनियमित दिल की धड़कन हो सकती है। यदि कोई गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। शराब और अन्य नींद लाने वाली दवाओं के साथ इसका सेवन न करें। इस दवा को लेने के बाद वाहन चलाने या मशीनरी चलाने से बचें। यदि आपको ग्लूकोमा, प्रोस्टेट की समस्या, अस्थमा या लीवर/किडनी की बीमारी है तो डॉक्टर को बताएं। दो सप्ताह से अधिक इसका उपयोग न करें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 anxol tablet Uses & Benefits

[{"condition":"Insomnia (short-term)","description":"Helps reduce the time to fall asleep and improves sleep quality in occasional sleeplessness.","evidence":"Well-established"},{"condition":"Allergic rhinitis","description":"Provides relief from sneezing, runny nose, and itching due to allergies.","evidence":"Well-established"},{"condition":"Nausea and vomiting (including morning sickness)","description":"Used in combination with pyridoxine for nausea and vomiting of pregnancy.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Motion sickness","description":"May be used off-label to prevent motion sickness due to its anticholinergic effects.","evidence":"Limited"},{"condition":"Pruritus","description":"Sometimes used for itching due to allergic conditions.","evidence":"Limited"}]

Primary treatment for: Insomnia

Also treats: Allergic rhinitis, Nausea and vomiting

📋 Drug Information

Generic Name(s)Doxylamine
Brand NameAnxol Tablet
ManufacturerManeesh Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassH1 Antihistaminics (First Generation)
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine 30 minutes before bedtime for best results.
2
Avoid alcohol and other sedatives while taking this medicine.
3
Do not drive or operate machinery after taking this medicine.
4
Use the lowest effective dose for the shortest duration possible.
5
Consult your doctor if insomnia persists beyond two weeks.
6
Inform your doctor if you have glaucoma, prostate issues, or breathing problems.
7
Elderly patients should start with a lower dose to avoid confusion and falls.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Difficulty falling asleep
This medicine is commonly prescribed for short-term insomnia.
Likely Use
Sneezing and runny nose
This medicine can relieve allergy symptoms.
Likely Use
Fever
This medicine is not a primary fever reducer.
Not Primary
Chronic pain
This medicine is not indicated for pain relief.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionRapidly absorbed from the gastrointestinal tract after oral administration.
DistributionWidely distributed in body tissues, including the central nervous system.
Protein BindingNot established from the available information.
MetabolismMetabolized in the liver, primarily by CYP2D6 and possibly other enzymes.
Half-LifeApproximately 10 to 12 hours.
ExcretionExcreted mainly in urine as metabolites.
BioavailabilityNot established from the available information.
Onset of ActionWithin 30 minutes to 1 hour.
Peak Plasma Time2 to 3 hours.
Duration of Action6 to 8 hours.

How It Works

Doxylamine is a first-generation antihistamine that competitively blocks histamine H1 receptors in the central nervous system and peripheral tissues. By blocking H1 receptors in the brain, it reduces wakefulness and promotes sleep. It also has anticholinergic effects by blocking muscarinic receptors, which contributes to dry mouth, constipation, and urinary retention. Its sedative effect is primarily due to central H1 receptor blockade and penetration into the brain.

Mechanism Steps

1
Blood-brain barrier penetration: Doxylamine crosses the blood-brain barrier due to its lipophilic nature.
2
H1 receptor blockade: It competitively binds to histamine H1 receptors in the brain, preventing histamine from binding.
3
Reduced wakefulness: Blockade of H1 receptors in the tuberomammillary nucleus reduces arousal and promotes sleep.
4
Anticholinergic effects: It also blocks muscarinic receptors, leading to dry mouth, constipation, and other anticholinergic effects.

💡 How to Take anxol tablet

Strength: Tablet, 25 mg

1Take this medicine by mouth with a glass of water.
2For sleep aid, take 30 minutes before bedtime.
3For allergies, take as directed by your doctor.
4Do not crush or chew the tablet; swallow it whole.
5Avoid taking with alcohol or other sedatives.

Dosage Information

Adult DosageFor insomnia: 25 mg to 50 mg taken 30 minutes before bedtime. For allergies: 25 mg every 4 to 6 hours as needed, not to exceed 100 mg per day. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Start with a lower dose (e.g., 12.5 mg) and monitor for confusion, dizziness, and falls. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Consult a doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult a doctor.
Maximum Daily DoseFor sleep aid: 50 mg per day. For allergies: up to 100 mg per day. Do not exceed the recommended dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals if stomach upset occurs
Reduces gastrointestinal discomfort.
Alcohol
Avoid
Increases sedation and impairs motor skills.
Grapefruit juice
Caution
May increase drug levels by inhibiting metabolism.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of anxol tablet

✅ Common Side Effects

Drowsiness (Common (10-30%))
Avoid driving or operating machinery. It usually diminishes with continued use.
Dry mouth (Common (10-20%))
Sip water, chew sugar-free gum, or use saliva substitutes.
Dizziness (Common (5-10%))
Rise slowly from sitting or lying position. Avoid alcohol.
Constipation (Common (5-10%))
Increase fiber and fluid intake. Consult doctor if persistent.
Blurred vision (Uncommon (1-5%))
Avoid driving. Usually temporary.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling, severe dizziness, or trouble breathing.
Hallucinations or confusion (Rare (<0.1%))
Contact your doctor immediately if you experience hallucinations, unusual thoughts, or confusion.
Seizures (Very rare (<0.01%))
Seek emergency medical help if seizures occur.
Irregular heartbeat (Rare (<0.1%))
Get immediate medical attention if you feel palpitations or irregular pulse.

⚠️ Rare Side Effects

Blood dyscrasias (e.g., agranulocytosis)
Report any unusual bruising, bleeding, or signs of infection to your doctor.
Liver dysfunction
Seek medical attention if you notice yellowing of skin or eyes, dark urine, or abdominal pain.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Alcohol Major
Benzodiazepines Major
Opioids Major
MAO inhibitors Major
Tricyclic antidepressants Moderate
Fluoxetine Moderate
Paroxetine Moderate
Antihypertensives Minor
Corticosteroids Minor
Grapefruit juice Minor

🚨 Major Interactions

  • Alcohol
  • Other CNS depressants (e.g., benzodiazepines, opioids, sleep aids)
  • MAO inhibitors

⚡ Moderate Interactions

  • Anticholinergic drugs (e.g., atropine, benztropine, tricyclic antidepressants)
  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine, quinidine)

🍷 Alcohol Interaction

Alcohol significantly increases the sedative and impairing effects of this medicine. Avoid alcohol completely while taking this medicine to prevent excessive drowsiness, respiratory depression, and accidents.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to doxylamine or any component of the formulation","Glaucoma (narrow-angle)","Enlarged prostate or bladder neck obstruction","Asthma or severe respiratory disease","MAO inhibitor therapy within 14 days"]

⚠️ Warnings & Precautions

["May cause severe drowsiness; avoid driving or operating machinery.","Avoid alcohol and other CNS depressants.","Use with caution in elderly patients due to increased risk of confusion and falls.","Do not use for longer than 2 weeks without medical advice.","Use with caution in patients with liver or kidney disease.","May cause anticholinergic effects; caution in patients with glaucoma, constipation, or urinary retention."]

🤱 Lactation Safety

Doxylamine may pass into breast milk and could cause drowsiness in the infant. Consult your doctor before use while breastfeeding.

💊 Overdose Management

Overdose may cause severe drowsiness, agitation, hallucinations, seizures, and respiratory depression. Seek emergency medical attention immediately. Treatment is supportive and symptomatic. There is no specific antidote.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Additional Safety Advice

General Safety

Take this medicine exactly as directed by your doctor. Do not exceed the recommended dose. Avoid alcohol and other central nervous system depressants while taking this medicine. Do not drive or operate heavy machinery until you know how this medicine affects you. Inform your doctor if you have glaucoma, prostate enlargement, asthma, or liver/kidney disease. Do not use for longer than two weeks without medical advice. Keep out of reach of children. Pregnant women should consult a doctor before use.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the sedative and anticholinergic effects of this medicine. They are at higher risk of confusion, dizziness, falls, and urinary retention. Start with a lower dose and monitor closely.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy or are pregnant, consult your doctor before using this medicine. Doxylamine is generally considered safe for nausea and vomiting in pregnancy, but always seek medical advice.

🏥 Post-Surgery Considerations

This medicine may interact with anesthetics and other post-operative medications. Inform your surgeon and anesthesiologist if you are taking this medicine before surgery.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may interact with sedatives or anesthetics used during dental procedures. It can also cause dry mouth, which may affect dental health.

💚 Lifestyle Tips for Better Results

🏃
Maintain a regular sleep schedule.
🥗
Create a relaxing bedtime routine.
😴
Avoid caffeine and electronics before bed.
💧
Exercise regularly but not close to bedtime.
🧘
Keep your bedroom dark, quiet, and cool.

🏋️ Exercise Considerations

Avoid strenuous exercise or activities requiring alertness after taking this medicine due to drowsiness. Light exercise earlier in the day is safe.

🥗 Diet Recommendations

Avoid heavy meals close to bedtime.
Limit caffeine and alcohol intake.
Stay hydrated throughout the day.
Include foods rich in tryptophan (e.g., milk, turkey) for sleep support.

💼 Impact on Daily Work & Life

This medicine can cause significant drowsiness, affecting your ability to drive, operate machinery, or perform tasks requiring alertness. It is best taken at night. Inform your employer if your job involves safety-sensitive tasks.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your sleep problems persist for more than two weeks, if you experience severe side effects, or if you develop signs of dependence. Do not stop abruptly if you have been using it for a long time without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to tolerance, dependence, and increased risk of side effects such as cognitive impairment and falls, especially in the elderly. It should not be used for more than two weeks without medical supervision. Regular review by a doctor is recommended if prolonged use is necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Cognitive behavioral therapy for insomnia (CBT-I)

A structured program to improve sleep habits and thoughts.

Evidence: Well-established
Relaxation techniques

Deep breathing, meditation, or progressive muscle relaxation.

Evidence: Well-established
Melatonin supplements

May help regulate sleep-wake cycle.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, if you are feeling unwell after vaccination, consult your doctor before taking this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from direct sunlight. If traveling across time zones, adjust dosing to local bedtime for sleep aid. Check customs regulations for carrying medications.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with occasional insomnia
She was prescribed this medicine for short-term sleep aid. She took 25 mg 30 minutes before bed and noticed improved sleep within an hour. She experienced mild dry mouth but it was manageable. She avoided alcohol and did not drive after taking it.
💡 Lesson: Taking the medicine as directed and avoiding alcohol ensures safety and effectiveness.
👤 A 60-year-old man with allergic rhinitis
He used this medicine for sneezing and runny nose. It relieved his symptoms but caused drowsiness during the day. His doctor advised him to take it only at night and to avoid driving. He found it effective for nighttime allergy relief.
💡 Lesson: Timing the dose at night can minimize daytime drowsiness while still providing allergy relief.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts working within 30 minutes to 1 hour after taking it.

Q: Can I take this medicine every night?

A: It is intended for short-term use only. Consult your doctor if you need it for more than two weeks.

Q: Is this medicine safe during pregnancy?

A: Doxylamine is generally considered safe in pregnancy when used as directed, but consult your doctor before use.

Q: What are the common side effects?

A: Common side effects include drowsiness, dry mouth, dizziness, and constipation.

Q: Can I drink alcohol while taking this medicine?

A: No, alcohol increases the sedative effects and can be dangerous.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?
  • Is it safe during pregnancy?
  • Can I take it with other allergy medicines?

🛑 Myths vs. Facts

  • Myth: This medicine is safe for long-term use.
    Fact: This medicine is intended for short-term use only. Prolonged use can lead to tolerance and dependence.
  • Myth: This medicine is a natural sleep aid.
    Fact: This medicine is a synthetic antihistamine and should be used with caution.
  • Myth: You can take this medicine with alcohol.
    Fact: Alcohol increases the sedative effects and can be dangerous.

🔄 Alternative Options

Generic Alternatives

  • Doxylamine succinate 25 mg tablets

Brand Alternatives

  • Anxol Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Doxylamine","class":"First-generation antihistamine","sedation":"High","duration":"6-8 hours","common_use":"Insomnia, allergies"},{"medicine":"Diphenhydramine","class":"First-generation antihistamine","sedation":"High","duration":"4-6 hours","common_use":"Allergies, insomnia"},{"medicine":"Promethazine","class":"First-generation antihistamine","sedation":"High","duration":"4-6 hours","common_use":"Allergies, nausea"}]

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