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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 recommended starting dose in patients with generalised anxiety disorder is 30 mg once daily with or without food. In patients with insufficient response the dose should be increased to 60 mg, which is the usual maintenance dose in most patients. In patients with co-morbid major depressive disorder, the starting and maintenance dose is 60 mg once daily please see also dosing recommendation above.
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Antidepressants increased the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term studies. In patients of all ages who are started on antidepressant therapy, monitor closely for worsening, and for emergence of suicidal thoughts and behaviors. 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. If it is almost time for the next dose, skip the missed dose and take the next dose at the regular time. 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.
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Discontinuing an antidepressant medication usually involves reducing your dose in increments, allowing two to six weeks or longer between dose reductions. Your clinician can instruct you in tapering your dose and prescribe the appropriate dosage pills.
However, the final decision will always be the prescriber's. Duloxetine is used for the treatment of depression and anxiety.
Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body. The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different eg.
Cymbalta buy robaxin cheap the active drug duloxetine. The active drug is the ingredient that makes a medication work. Drugs that are classified grouped together work in a similar way. Cymbalta comes as delayed-release capsules that you swallow. Delayed-release drugs release slowly into your body over time. Most medications, including Cymbalta, may cause side effects that can be serious or mild.
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