 Home / Antidepressants / Cymbalta, duloxetine |
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Buy Cymbalta duloxetineBuy Cymbalta (duloxetine) to treat major depressive disorder and general anxiety disorder. It is also used to treat a chronic pain disorder called fibromyalgia, and to treat pain caused by nerve damage in people with diabetes (Diabetic Peripheral Neuropathic Pain). The initial dosage is 40 mg/day (taken as 20 mg twice daily) up to 60 mg/day. Some patients may want to start at a lower dosage of 30 mg/dayContraindications: Consult a doctor before taking Cymbalta if you are pregnant or breastfeeding, if you are allergic to any of its ingredients, if you are taking any other medications (especially MAO inhibitors, or any type of pain killers) or if you have or have a history of glaucoma. You should tell your doctor your whole medical history especially history of: liver or kidney disease, seizures or epilepsy, a bleeding or blood clotting disorder, glaucoma, bi-polar disorder (manic depression), or a history of drug abuse or suicidal thoughts. To read more about Cymbalta side effects, Cymbalta dosage, and for more useful information about Cymbalta (duloxetine), please click the product information link below.  PRODUCT INFORMATION |
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Other name(s): Yentreve, Xeristar |
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Often prescribed for major depression, anxiety disorder, stress incontinence, peripheral neuropathy, fibromyalgia |
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READ MORE ABOUT ANTIDEPRESSANTS
Cymbalta, duloxetineChemical NamesDuloxetine Ingredients Active Ingredients: Duloxetine Non-Active Ingredients: FD&C Blue No. 2, gelatin, hypromellose, hydroxypropyl methylcellulose acetate succinate, sodium lauryl sulfate, sucrose, sugar spheres, talc, titanium dioxide, and triethyl citrate. The 20 and 60 mg capsules also contain iron oxide yellow. Indications Cymbalta is indicated in the treatment of major depressive disorder and general anxiety disorder. It is also used to treat a chronic pain disorder called fibromyalgia, and to treat pain caused by nerve damage in people with diabetes (Diabetic Peripheral Neuropathic Pain) How It Works Duloxetine is an antidepressant in a group of drugs called selective serotonin and norepinephrine re-uptake inhibitors (SSNRIs). Duloxetine affects chemicals in the brain that may become unbalanced and cause depression. Dosage Available in: 20 mg, 30 mg, 40 mg, or 60 mg capsules The dosage for Cymbalta should be 40 mg/day (taken as 20 mg twice daily) up to 60 mg/day. Some patients may want to start at a lower dosage of 30 mg/day for a week and allow their bodies to adjust to the medication as they work up to 40-60 mg/day dose. Precautions Consult a doctor before taking Cymbalta if you are pregnant or breastfeeding. Duloxetine may be harmful to an unborn baby, and should not be used, especially towards the end of pregnancy. Tell your doctor if you are pregnant or plan to become pregnant during treatment.Duloxetine can pass into breast milk and may be harmful to a baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication if you are allergic to duloxetine, or if you have untreated or uncontrolled glaucoma. You should tell your doctor your whole medical history especially history of: liver or kidney disease, seizures or epilepsy, a bleeding or blood clotting disorder, glaucoma, bipolar disorder (manic depression), or a history of drug abuse or suicidal thoughts. If you are younger then 24 years old there is an increased possibility of having suicidal thoughts when you first start taking antidepressants. Tell your doctor if you are experiencing symptoms of depression or suicidal thoughts during the first couple weeks of treatment. Family and friends should be aware of potential changes in your mood or other alert symptoms. Your doctor should check with you at regular intervals for the first 12 weeks. Call your doctor immediately if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. You should not drink alcohol while taking duloxetine, Alcohol can increase the risk of liver damage. Be careful when driveing or do anythinng that requires being alert and awake.
Drug Interactions
Do not start, stop, or change the dosage of Cymbalta medicine before checking with your doctor. Certain medications taken with this product could result in serious drug interactions. Do not take MAO inhibitors (Furazolidone, Isocarboxazid, Linezolid, Moclobemide, Phenelzine, Procarbazine, Rasagiline, Selegiline, Tranylcypromine) before treatment, during treatment, or for at least a week after finishing treatment of Duloxetine. This drug should also not be used with the following medications because very serious (possibly fatal) interactions may occur: Fluvoxamine, Sibutramine, Thioridazine, Tryptophan. If you are currently using these medications tell your doctor or pharmacist before starting duloxetine. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially: drugs removed from your body by the liver: (Cimetidine, Antipsychotics such as Perphenazine, antiarrhythmics such as Propafenone/Flecainide/Quinidine, certain quinolone antibiotics such as Ciprofloxacin, antidepressants such as Desipramine/Fluoxetine /Imipramine/Paroxetine), drugs to treat high blood pressure (Clonidine, Guanethidine), "water pills" (diuretics), drugs that can cause bleeding/bruising (Aspirin, antiplatelet drugs such as Clopidogrel, NSAIDs such as Ibuprofen, "blood thinners" such as Heparin/Warfarin). Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), Diclofenac (Voltaren), Indomethacin, Piroxicam (Feldene), Nabumetone (Relafen), Etodolac (Lodine), and others. Taking any of these drugs with Duloxetine may cause you to bruise or bleed easily. If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention you should continue taking it unless your doctor instructs you not to. Discuss the risks and benefits with your doctor. Adverse/Side Effects If you have any signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat contact your doctor immediately. Call your doctor at once if any new or worsening side effects/ symptoms such as occur: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. Call your doctor at once if you have any of these serious side effects: nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); painful or difficult urination; easy bruising or bleeding, nosebleeds; black, bloody, or tarry stools; very stiff (rigid) muscles, high fever, vomiting, diarrhea, sweating, fast or uneven heartbeats, tremors, overactive reflexes; headache, trouble concentrating, memory problems, confusion, hallucinations; or weakness, feeling unsteady, loss of coordination, fainting, seizure, shallow breathing or breathing that stops. Less serious side effects that will usually clear up on their own may include: dry mouth, blurred vision; drowsiness, dizziness, spinning sensation; mild nausea, constipation, gas; sleep problems (insomnia); joint or muscle pain; weight changes; or decreased sex drive, impotence, or difficulty having an orgasm. If these symptoms persist or become bothersome consult a doctor. Overdose Symptoms of overdose include nausea, vomiting, diarrhea, agitation, confusion, hallucinations, fast heart rate, feeling light-headed, or fainting. If you suspect overdose, contact your local poison control center or emergency room immediately. Storage Instructions Store at room temperature, keep away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets. |
