Patient/caregiver was educated on the precautions to be observed while taking doral as follows:
- Individuals using doral develop tolerance to the dose in due course of time, thus blunting the therapeutic effect. The dose of doral should probably be enhanced at this point, to derive the same therapeutic benefit, thus increasing the risk for addiction. The risk for addiction is even more in individuals with history of substance/drug abuse, as the craving for the desired effect in these individuals will be high. As doral intake can be habit forming and carries a potential for addiction, it is usually prescribed for short span of time only, for a maximum of 2 weeks. If symptoms of insomnia are not relieved or further worsen within this time period, notify your doctor on the same, to have your sleep disturbance further investigated into.
- Individuals can present with severe withdrawal symptoms, if doral were discontinued abruptly. Individuals can present with shakiness and nervousness, anxiety, aggression, mood disturbances, restlessness, and rebound insomnia, as part of the withdrawal syndrome. Reduce the dose of doral gradually over a period of time to avoid the withdrawal symptoms.
- A lot of other nonprescription products and prescription medications can also influence the activity of doral in the body. So, be sure to mention your physician and pharmacist regarding your history with doral and check with them regarding safety, in the event you are being started on any new medications.
