The Strut Sleep Capsule

The Strut Sleep Capsule is a prescription 5-in-1 compounded oral capsule that may help people fall asleep sooner and stay asleep longer. It is taken at bedtime. Compounded medications are not FDA-approved.

Doxepin is a prescription medication that is used for insomnia.*

Hydroxyzine is a prescription anti-anxiety medication. It is sometimes used to help promote drowsiness.

Trazodone is a prescription antidepressant medication. It is sometimes used to help promote drowsiness.

Ramelteon is a prescription medication that is used for insomnia.* Ramelteon works on the melatonin receptors in the body.

Magnesium glycinate is a form of the mineral magnesium. It is often taken for its calming effect, and some people find it helps with sleep when taken before bed.

This compounded capsule combines Doxepin, Hydroxyzine, Trazodone, Ramelteon, and Magnesium Glycinate in a 5-in-1 prescription approach to sleep. Doxepin may help with insomnia by avoiding middle-of-the-night awakenings. Hydroxyzine may reduce anxiety and promote drowsiness. Trazodone has sedating effects that may promote calmness and relaxation. Ramelteon works on the melatonin receptor and may help with trouble falling asleep. Magnesium Glycinate is a mineral that may help calm the nervous system and relax your muscles.*

Take this medication as directed by your healthcare provider by swallowing 1 capsule whole with a large glass of water. You will want to take this medication about 30 minutes before you plan on going to sleep. Do not take more than one dose per day. Only take the amount of medication that your healthcare provider directed you to take; taking more than directed may cause an increased risk of side effects. Only use this medication right before you plan on going to sleep for a full night’s rest. Do not drive or operate machinery or perform other tasks that require alertness after taking this medication.

Store this medication in the original container in a cool, dry environment, at a controlled room temperature (68F-77F).

These capsule are meant to be taken at bedtime and may act within the first hour. How well you sleep, and how quickly that changes, varies from person to person.*

The sleep-promoting effects of the Strut Sleep Capsule may last 8 hours or longer, which may support a full night of sleep.* Because of this, do not take more than one dose nightly to avoid too much sleep medication in your system and an increased risk of side effects. Talk to your healthcare provider if the effects of this sleep medication are lasting too long and making you feel drowsy during the day.

Before taking the Strut Sleep Capsule make sure your healthcare provider knows about any of the following health conditions: Heart conditions including arrhythmias or heart disease, liver and kidney conditions, mental health conditions including depression anxiety bipolar disorder or hallucinations, sleep conditions including sleep apnea or sleepwalking, eye conditions including glaucoma, urinary retention, low blood pressure, bleeding disorders, priapism, low sodium levels, or any previous anaphylactic reactions. Tell your healthcare provider about all your current medications, especially: Other medications that can cause drowsiness or sedation including antihistamines, any other sleep aids, MAOI antidepressant medications, antianxiety medications, medications that can increase serotonin, medications that can increase the QT interval, cimetidine, Tolazamide, digoxin, phenytoin, blood thinning medications including warfarin, fluvoxamine, rifampin, ketoconazole, fluconazole, donepezil. Tell your healthcare provider if you are pregnant, breastfeeding, or trying to get pregnant. This medication is not appropriate for use in these situations and should not be used.

Drinking alcohol with Strut Sleep Capsules can cause side effects, including oversedation, and dangerously enhanced effects of alcohol. Alcohol should be avoided entirely while using this medication. Avoid taking Strut Sleep Capsules along with other medications or illicit drugs that can cause sedation, including other sleep aids, opiates, and anti-anxiety medications. Do not take Strut Sleep Capsules with MAOI antidepressants, medications that can affect your QT interval, and medications that interact with the CYP3A4 enzyme. If you have questions about whether something should be avoided while using this medication, speak with your prescribing provider first.

Below are the active ingredients inside the Strut Sleep Capsules and their common side effects. The common side effects of Doxepin are: Sedation, nausea, and respiratory tract infections. The common side effects of Hydroxyzine are: Drowsiness, headache, dry mouth, confusion, and dizziness. The common side effects of Trazodone are: Sedation, dizziness, blurred vision, and constipation. The common side effects of Ramelteon are: Sleepiness, dizziness, nausea, fatigue, and worsened insomnia. The common side effects of Magnesium Glycinate are: Stomach upset, and diarrhea. There may be withdrawal symptoms when stopping this medication including anxiety, agitation, and sleep disturbances: The dose should be gradually reduced before complete discontinuation of the treatment. Talk with your healthcare provider before stopping or pausing treatment. For a full list of possible side effects, see the important safety information.

Taking too many Strut Sleep Capsules can increase adverse side effects of the medication, including severe side effects. If you have taken more than prescribed by your healthcare provider, or you took the directed amount but you are still having severe side effects, seek emergency medical attention.