Cymbalta 20mg(Duloxetine Hydrochloride)
Please Note: Manufactured by Lilly in the USA.
What is a generic medication?
Generic medications are significantly discounted copies of brand name medication that have the same active ingredients, intended use, dosage, side effects, effects, and route of administration as the original brand name medication. In other words, generic medications have the same pharmacological effects as their brand-name counterparts. Over half of all prescribed medications are for generic medications.
Cymbalta Drug Information
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You can easily place an order on our website in under 5 minutes. First you need to set up an account with us, create a payment method, and send us your prescriptions. Alternatively, you can order by downloading our order form or by placing an order over the phone. Delivery can take approximately 2 weeks to North America, and 4 weeks to other countries.
Duloxetine is used to treat depression and anxiety. In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). Cymbalta 20mg works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain.
Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, a small number of people (especially people younger than 25) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for people younger than 25), even if treatment is not for a mental/mood condition. Tell the doctor right away if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.
How to Use Cymbalta
Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start using duloxetine and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Take Cymbalta 20mg by mouth as directed by your doctor, usually 1 or 2 times a day with or without food. If you have nausea, it may help to take Cymbalta 20mg with food. Swallow the capsule whole. Do not crush or chew the capsule or mix the contents with food or liquid. Doing so can release all of the drug at once, increasing the risk of side effects. The Dosage of Cymbalta 20mg is based on your age, medical condition and response to treatment. To reduce your risk of side effects, your doctor may direct you to start Cymbalta 20mg at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Take Cymbalta 20mg regularly to get the most benefit from it. To help you remember, take it at the same time(s) each day. Keep taking Cymbalta 20mg even if you feel well. Do not stop taking Cymbalta 20mg without consulting your doctor. Some conditions may become worse when Cymbalta 20mg is suddenly stopped. Also, you may experience symptoms such as dizziness, confusion, mood swings, headache, tiredness, diarrhea, sleep changes, and brief feelings similar to electric shock. Your dose may need to be gradually decreased to reduce side effects. Report any new or worsening symptoms right away. Tell your doctor if your condition persists or worsens.
Before taking duloxetine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. Cymbalta 20mg may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using Cymbalta 20mg, tell your doctor or pharmacist your medical history,personal or family history of psychiatric disorders (such as bipolar/manic-depressive disorder), personal or family history of suicide attempts, bleeding problems, personal or family history of glaucoma (angle-closure type), high blood pressure, kidney disease, liver disease, seizure disorder, stomach problems (such as slow emptying of the stomach), use/abuse of alcohol. Cymbalta 20mg may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis). If you have diabetes, duloxetine may affect your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Your doctor may need to adjust your diabetes medication, exercise program, or diet. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Older adults may be more sensitive to the side effects of Cymbalta 20mg, especially bleeding, dizziness, lightheadedness, or loss of coordination. Older adults may also be more likely to develop a type of salt imbalance (hyponatremia), especially if they are taking "water pills" (diuretics). Dizziness, lightheadedness, or loss of coordination can increase the risk of falling. Children may be more sensitive to the side effects of Cymbalta 20mg, especially loss of appetite and weight loss. Monitor weight and height in children who are taking Cymbalta 20mg. See also Warning. During pregnancy, Cymbalta 20mg should be used only when clearly needed. When Cymbalta 20mg is taken during the last 30 days of pregnancy, the mother may be at an increased risk of bleeding at birth. Cymbalta 20mg may also harm an unborn baby. Babies born to mothers who have used Cymbalta 20mg during the last 3 months of pregnancy may rarely develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. If you notice any of these symptoms in your newborn, tell the doctor promptly. Since untreated mental/mood problems (such as depression, anxiety) can be a serious condition, do not stop taking Cymbalta 20mg unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss the benefits and risks of using Cymbalta 20mg during pregnancy with your doctor. Cymbalta 20mg passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.
If you miss a dose of Cymbalta 20mg, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.other drugs that can cause bleeding/bruising (including antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen, "blood thinners" such as warfarin). Other medications can affect the removal of duloxetine from your body, which may affect how duloxetine works. Examples include cimetidine, certain quinolone antibiotics (such as ciprofloxacin, enoxacin), among others. Cymbalta 20mg can slow down the removal of other medications from your body, which may affect how they work. Examples of affected drugs include antiarrhythmic drugs (such as propafenone, flecainide, quinidine), antipsychotics (such as thioridazine), tricyclic antidepressants (such as desipramine, imipramine), among others. Taking MAO inhibitors with Cymbalta 20mg may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with Cymbalta 20mg. Most MAO inhibitors should also not be taken for two weeks before and at least 5 days after treatment with Cymbalta 20mg. Ask your doctor when to start or stop taking Cymbalta 20mg. The risk of serotonin syndrome/toxicity increases if you are also taking other drugs that increase serotonin. Examples include street drugs such as MDMA/"ecstasy," St. John's wort, certain antidepressants (including SSRIs such as fluoxetine/paroxetine, other SNRIs such as desvenlafaxine/venlafaxine), tryptophan, among others. The risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs. Tell your doctor or pharmacist if you are taking other products that cause drowsiness including alcohol, marijuana (cannabis), antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants, and opioid pain relievers (such as codeine). Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely. Aspirin can increase the risk of bleeding when used with Cymbalta 20mg. However, if your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise.
Cymbalta Side Effects
What are Cymbalta side effects?
Side effects are physical, mental or emotional symptoms which occur in addition to or outside of the desired effect of a therapeutic treatment such as an over-the-counter or prescribed drug or medication. Side effects from Cymbalta may occur at the beginning or at the end of treatment and may also depend on the length of time an individual remains on the treatment. Side effects, also known as adverse effects, are generally more likely to occur when starting treatment. Individuals may also experience side effects from Cymbalta as a result of an interaction with other medications.
Side Effects of Cymbalta
The side effects of Cymbalta may vary in number and intensity for many different reasons. Factors such as age, weight, gender and ethnicity may influence the side effects of Cymbalta. Also, an individual’s state of general physical health and seriousness of the disease or illness as well as an increase or decrease in dosage may lead to side effects. Further, side effects from Cymbalta may also occur as a result of an interaction with certain herbal supplements, foods or drinks.
Prescription drug side effects can be serious and may cause patients to stop the treatment. However, when side effects from the use of a prescription drug, such as Cymbalta, do occur a patient should consult their physician. A physician may prescribe an additional treatment in order to control the symptoms or an adjustment in the dosage may be made. In addition, changes to diet, exercise or other lifestyle activities may help to lessen the side effects of Cymbalta.
By understanding side effects and the factors which may influence the occurrence of side effects patients are empowered to take an active role in their care. Patients who have specific questions about the side effects of Cymbalta, or any other medication, should contact their physician. General information about Cymbalta and the side effects associated with Cymbalta are described in the following:
Common Cymbalta Side Effects
Less Frequent Cymbalta Side Effects
- symptoms of anxiety
- libido changes
- orgasm disorder
- disorder of ejaculation
- blurred vision
- weight gain
- dream disorder
- sleep disorder
- erectile dysfunction
- pruritus of skin
- muscle spasm
- general weakness
- weight loss
- headache disorder
Rare or Very Rare Cymbalta Side Effects
- SIADH syndrome
- manic disorder
- suicidal ideation
- serotonin syndrome
- gastric ulcer
- obstructive hyperbilirubinemia
- Stevens-Johnson syndrome
- abnormal hepatic function tests
- hepatic failure
- seizure disorder
- acute myocardial infarction
- gastrointestinal hemorrhage
- erythema multiforme
- increased risk of bleeding
- extrapyramidal disease
- cutaneous vasculitis
- supraventricular tachycardia
- secondary angle-closure glaucoma
- throat constriction
- acute pancreatitis
- Takotsubo cardiomyopathy
- increased aspartate transaminase
- increased alanine transaminase
- hepatocellular damage
- accidental fall
- hypertensive crisis
- urinary retention
- mood changes
- orthostatic hypotension
- urinary urgency
- skin photosensitivity
- abdominal pain with cramps
- skin rash
- gait abnormality
- contact dermatitis
- aggressive behavior
- abnormal vaginal bleeding
- restless leg syndrome
- galactorrhea not associated with childbirth
- dry eye
- acute confusion
- sensation of cold
- night sweats
- sore throat
- testicular pain
- muscle fasciculation
- musculoskeletal pain
- urinary hesitancy
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard Cymbalta 20mg when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
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