Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Maprotiline and doxepin (Silenor) are both medications used to treat depression and anxiety, but they belong to different classes. Doxepin is a tricyclic antidepressant. It's also FDA-approved to treat insomnia under the brand name Silenor. Maprotiline was a tetracyclic antidepressant, but is no longer available in the U.S. Doxepin is available in both brand-name and generic forms. Doxepin should not be taken with food, as it can delay the medication's effects and increase the risk of daytime sleepiness. Additionally, doxepin has specific contraindications, such as not being taken with monoamine oxidase inhibitors (MAOIs) or by people with narrow-angle glaucoma.
Maprotiline
Doxepin (Silenor)
Maprotiline
Doxepin (Silenor)
Summary of Maprotiline vs. Silenor
Summary for Tetracyclic antidepressant
Prescription only
Maprotiline is an antidepressant used to treat depression and anxiety associated with depression. It's no longer available in the United States because it was discontinued.
Summary for Tricyclic antidepressant
Prescription only
Doxepin (Silenor) is a tricyclic antidepressant that's used to help adults who have insomnia (trouble sleeping) stay asleep. Doxepin (Silenor) is a tablet that you take by mouth 30 minutes before bedtime. As expected, the most common side effects are sleepiness and tiredness, so only take the medication when you're ready to fall asleep for the night. Unlike some other sleep medications, doxepin (Silenor) isn't considered a controlled substance. Doxepin (Silenor) is available as brand-name and generic versions.