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Common side effects include dry mouth, nausea, feeling tired, dizziness, agitation, sexual problems, and increased sweating.
In doing so, we hope to provide data that can assist both toxicologists and forensic pathologists with assessing duloxetine toxicity in the future. It has regulatory approval for the management of a number of central nervous system CNS conditions, including as an analgesic for diabetic peripheral neuropathic pain, fibromyalgia and chronic musculoskeletal pain. Duloxetine has been associated with serotonin toxicity in combination with certain drugs, but there are still few known cases of toxicity only due to duloxetine overdose 3. Duloxetine overdose symptoms can include somnolence, coma, serotonin syndrome, seizures, syncope, tachycardia, hypotension, hypertension and vomiting 2. The maximum plasma concentration occurs after 6 h, and steady state is reached within 3 days. Despite this fact, relatively few cases of fatal duloxetine toxicity have been described in the literature. She was awake, but confused, and complained of a dry mouth and also voiced that she had been on the floor since earlier that morning.
Antidepressants increased the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term studies. Duloxetine hydrochloride is a white to slightly brownish white solid, which is slightly soluble in water. The 20 and 60 mg capsules also contain iron oxide yellow. For some patients, it may be desirable to start at 30 mg once daily for 1 week, to allow patients to adjust to the medication before increasing to 60 mg once daily. Nevertheless, if a decision is made to increase the dose beyond 60 mg once daily, increase dose in increments of 30 mg once daily. The safety of doses above mg once daily has not been adequately evaluated.
Strength This refers to the amount of the active medicinal ingredient e. Benefit Status Open - Drugs which are reimbursed with no criteria or prior approval. Note: a drug may have limitations that restrict usage. Limitations Drugs which are restricted to those individuals who meet the defined restriction requirements. Limitation based on age such as children under 12 years of age. Interchangeable Drug Products Interchangeable drug products means pharmaceutical equivalents or pharmaceutical alternatives that are the therapeutic equivalents of and that have the same route of administration as a reference product. ATC The Anatomical Therapeutic Chemical ATC is a classification system, where the active substances are divided into different groups according to the organ or system on which they act and their therapeutic, pharmacological and chemical properties. Brand Name: Brand Name This is the name under which the drug product is marketed.
The starting and recommended maintenance dose is 60 mg once daily with or without food. Dosages above 60 mg once daily, up to a maximum dose of mg per day have been evaluated from a safety perspective in clinical trials. However, there is no clinical evidence suggesting that patients not responding to the initial recommended dose may benefit from dose up-titrations. After consolidation of the antidepressive response, it is recommended to continue treatment for several months, in order to avoid relapse. The cymbalta 30 mg duloxetine starting dose in patients with generalised anxiety disorder is 30 mg once daily with or without food.
Duloxetine sold under the brand name Cymbalta helps relieve excessive worry and tension. Duloxetine affects chemicals in the brain that may become unbalanced and cause depression or anxiety symptoms. It also is used to treat pain and tingling caused by diabetic neuropathy, as well as fibromyalgia. Duloxetine helps most people with depression, but it may take several weeks before you feel its full effects. Duloxetine can be used alone or in combination with other medications, and it is used to treat adults and children who are at least 7 years old.
Cymbalta contains the active drug duloxetine. A drug class is a group of medications that work in a similar way. Cymbalta comes as a capsule that you take by mouth. The capsules are available in three strengths: 20 milligrams mg, 30 mg, and 60 mg. A generic drug is an exact copy of the active drug in a brand-name medication. The generic is considered to be as safe and effective as the original drug.
In addition to depression, doctors can prescribe Cymbalta to treat anxiety that lasts for at least six months, pain from diabetic nerve damage, fibromyalgia, and long-term muscle or bone pain. It works by increasing the levels of the neurotransmitters serotonin and norepinephrine, which help regulate mood and may block pain signals traveling through the brain. The researchers noted that use of Cymbalta could result in fewer side effects than the drugs traditionally used for the condition, such as non-steroidal anti-inflammatory drugs, or NSAIDs, which can lead to gastrointestinal bleeding, and opioids like, which often lead to constipation. They concluded that doctors may consider adding antidepressants, such as Cymbalta to the treatment regimens for patients with osteoarthritis. The FDA requires that Cymbalta carry a black-box warning about the risk of suicide among people who use the antidepressant.
Author: Eli Lilly Nederland B. Your doctor may continue to give you Cymbalta when you are feeling better to prevent your depression or anxiety from returning. Talk to your doctor if you have high blood pressure or heart disease. Your doctor will tell you if you should be taking Cymbalta. Talk to your doctor before you take the medicine if you
Cymbalta duloxetine hydrochloride is a selective serotonin and norepinephrine reuptake inhibitor SNRI. Cymbalta was first approved by the U. Subsequently, it was also approved for treatment of anxiety, pain caused by diabetic neuropathy, and pain caused by fibromyalgia before gaining FDA approval for chronic musculoskeletal pain in Cymbalta increases the action of serotonin and norepinephrine, which are natural neurotransmitters produced by the body. This effect of Cymbalta alleviates depression and anxiety and decrease pain signals in the brain, spinal cord, and nerves.