Cymbalta is used for treating depression and generalized anxiety disorder. It is useful for managing pain caused by fms and diabetic peripheral neuropathy (DPNP). Cymbalta is really a serotonin and norepinephrine reuptake inhibitor (SNRI). It functions by restoring the stability of certain natural materials in the mind (norepinephrine and serotonin), which helps you to improve certain mood problems.
Use Cymbalta as directed by your physician.
Take Cymbalta orally with or without food. Taking it with food may help to decrease the chance of sickness or stomach upset.
Swallow Cymbalta whole. Do not break, crush, or chew before swallowing. Do not open the capsule and sprinkle the items on meals or in fluid.
Take Cymbalta on a routine schedule to get the most advantage from it. Taking Cymbalta simultaneously each day can help you make sure to go.
Carry on to bring Cymbalta even though you feel well. Do not miss any dose.
Don't suddenly stop using Cymbalta without checking with your doctor. Side effects might occur. They might include psychological or mood changes, numbness or prickling of the skin, diarrhoea, dizziness, confusion, headache, increased sweating, sickness, headache, ringing within the ears, convulsions, sleep disorders, unusual fatigue, or vomit. You're going to be carefully supervised once you start Cymbalta and each time an alteration in dosage is created.
Go as soon as possible, in the event you skip a dose of Cymbalta. When it is nearly time for your next dose, omit the missed dosage and return to your typical dosing schedule. Don't take more than one dose at once.
Ask your physician any questions you might have about how to work with Cymbalta.
Shop Cymbalta at 77 degrees F (25 degrees C). Keep away from heat, dampness, and light. Don't store in the bathroom. Keep Cymbalta outside of the range of kids and from pets.
Do NOT use Cymbalta if:
You're allergic to any element in Cymbalta
you have uncontrolled narrow angle glaucoma
You've got liver problems or severe kidney difficulties, or you are having dialysis
you are taking or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) in the last 14 days
You're having a quinolone antibiotic (eg, ciprofloxacin), a selective serotonin re-uptake inhibitor (SSRI) (eg, fluoxetine, fluvoxamine), an SNRI (eg, venlafaxine), thioridazine, or tryptophan.
Contact your physician or health care provider at once if any of these affect you.
Some medical conditions might interact with Cymbalta. Tell your physician or pharmacist if you have any health problems, particularly if any of these apply to you:
In case you are pregnant, planning to become pregnant, or are breast-feeding
If you're using any prescription or nonprescription medication, herbal preparation, or dietary supplement
In case you are allergic to medications, foods, or other substances
if you or a family member has a history of bipolar disorder (manicdepression), other mental or mood problems, suicidal thoughts or attempts, or even alcohol or substance misuse
In case you have a history of seizures, heart problems (eg, heart failure, abnormal pulse), recent heart attack, high blood pressure, kidney problems, diabetes, stomach or bowel problems (eg, slowed emptying), or increased eye stress (eg, glaucoma)
If you are dehydrated, have trouble urinating, have low blood sodium levels, or drink alcohol.
Some medicines may interact with Cymbalta. Communicate to your doctor in case you are getting any other medicines, particularly some of the following:
5-HT1 receptor agonists (eg, sumatriptan), linezolid, lithium, MAOIs (eg, phenelzine), quinidine, rasagiline, SNRIs (eg, venlafaxine), SSRIs (eg, fluoxetine, fluvoxamine), St. John's wort, tramadol, or tryptophan because severe side effects, like a reaction that will include temperature, rigid muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, or coma, may happen
Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti inflammatory medicines (NSAIDs) (eg, advil) because the risk of bleeding, including stomach bleeding, may be raised
Diuretics (eg, furosemide, hydrochlorothiazide) as the chance of low blood salt levels could be raised
Cimetidine, medications for high blood pressure, or quinolone antibiotics (eg, ciprofloxacin) because they may raise the danger of Cymbalta's side effects
Certain antiarrhythmics (eg, flecainide, propafenone), phenothiazines (eg, chlorpromazine, thioridazine), or tricyclic antidepressants (eg, amitriptyline) because the danger of their side effects may be increased by Cymbalta.
This may not be a whole list of all interactions that might occur. Ask your doctor if Cymbalta may interact with other medications that you take. Check with your own doctor before you begin, stop, or change the dosage of any medication.
Important security tips:
Cymbalta can cause drowsiness, dizziness, or blurred vision. These effects might be worse if you take it with alcohol or specific medicines. Use Cymbalta with caution. Don't drive or execute other possible dangerous jobs until you realize how you react to it.
Cymbalta may cause dizziness, light-headedness, or fainting; booze, hot-weather, exercise, or fever may increase these effects. To prevent them, sit-up or stand slowly, especially in the morning. Sit or lay down at the first indication of these outcomes.
Talk with your doctor before you drink alcohol or use medicines that might lead to drowsiness (eg, sleep aids, muscle relaxers) while you're using Cymbalta; it might add to their results. Request your druggist if you have questions about which medications might cause drowsiness.
Weeks might move prior to your symptoms boost. Do NOT take more than the advised dosage or utilize for longer than prescribed without checking with your physician.
Do not suddenly stop taking Cymbalta. Some circumstances may become worse if the medicine is abruptly halted or the dosage of Cymbalta is decreased. Your dose might need to be gradually lowered to decrease the chance of negative effects.
Children and teenagers who take Cymbalta could be at higher risk for suicidal ideas or actions. Adults can also be influenced. The danger may be greater in individuals that have had suicidal thoughts or actions previously. The risk could likewise be greater in patients who have had bipolar (manicdepressive) illness, or whether their relatives have had it. Watch patients who simply take Cymbalta carefully. Contact the doctor at the same time if new, worsened, or abrupt signs such as depressed mood; nervous, unsettled, or irritable behavior; panic disorder; or any unusual change in feeling or behavior occur. Contact the physician at once if any hints of suicidal thoughts or steps happen.
Serotonin syndrome is a possibly deadly syndrome that may be brought about by Cymbalta. Your risk could be greater in the event you take Cymbalta with particular other medicines (eg, MAOIs, SSRIs, "triptans"). Signs might include agitation; coma; confusion; excessive perspiration; quick or irregular pulse; fever; hallucinations; nausea, nausea, or diarrhoea; tremor. Get in touch with your doctor immediately if you have some of these symptoms.
Neuroleptic malignant syndrome (NMS) is a possibly lethal syndrome that may be brought about by Cymbalta. Symptoms may include confusion; stiff muscles; fever; abnormal thinking; fast or irregular pulse; and perspiration. Contact your physician right away if you have any of these symptoms.
Diabetes patients - Cymbalta might change your blood sugar. Examine blood sugar closely. Request your physician before you change the dose of your diabetes medicine.
You'll have to wait for five or more times before starting to have certain other medications (eg, MAOIs, if your physician informs you to truly quit taking Cymbalta). Ask your doctor once you should start to have your new medicines after you have stopped taking Cymbalta.
Laboratory tests, including blood pressure and liver function, might be performed while you use Cymbalta. These tests may be used to monitor your condition or check for side effects. Make sure you keep all physician and lab appointments.
Use Cymbalta with caution in the elderly; they may be more sensitive to its effects, particularly low blood sodium levels.
Caution is advised when working with Cymbalta in children; they might become more sensitive to its effects, notably increased risk of suicidal thoughts or actions.
Cymbalta should be utilized with extreme caution in children; security and effectiveness in children have not been validated.
Pregnancy and breastfeeding: If it's used during the last 3 weeks of pregnancy Cymbalta may cause harm to the fetus. If you become pregnant, contact your doctor. You will have to talk about the benefits and hazards of using Cymbalta while you are pregnant. Cymbalta can be found in breast milk. Don't breast-feed while using Cymbalta.
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