Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed. Who should not take Cymbalta? 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 arthritischronic back painor fibromyalgia a condition that causes widespread pain. Duloxetine may improve your mood, sleepappetite, 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.
This medication works by helping to restore the balance of certain natural substances serotonin and norepinephrine in the brain. 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 this medication by mouth as directed by your doctor, usually 1 or 2 times a day with or without food. If you have nauseacymbalta and alcohol problems, it may help to take this drug 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 cymbalta and alcohol problems. The dosage 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 this medication at a cymbalta and alcohol problems dose and gradually increase your dose.
Take this medication regularly to get the most cymbalta and alcohol problems from it. To help you remember, take it at the same time s each day. It is important to continue taking this medication as prescribed even if you feel well. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when this drug is suddenly stopped. Also, you may experience symptoms such as dizzinessconfusion, mood swings, headachetiredness, diarrheasleep 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. What conditions does Cymbalta treat? Nauseadry mouthconstipationloss of appetite, tiredness, drowsiness, or increased sweating may occur. If any of these effects persist or worsen, tell your doctor promptly. Dizziness or lightheadedness may occur, especially when you first start or increase your dose of this drug. To reduce the risk of dizziness, lightheadedness, cymbalta and alcohol problems, or falling, get up slowly when rising from a sitting or lying position.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects, cymbalta and alcohol problems. Many people using this medication do not have serious side effects. This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the results are high. Tell your doctor right away if any of these serious side effects occur: Get medical help right away if you have any very serious side effects, including: The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take see Drug Interactions section.
Get medical help right away if you develop some of the following symptoms: A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reactionincluding: This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Call your doctor for medical advice about side effects.
In Canada - Call your doctor for medical advice about side effects, cymbalta and alcohol problems. You may report side effects to Health Canada at List Cymbalta side effects by likelihood and severity. Before taking duloxetinetell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medicationtell your doctor or pharmacist your medical history, especially of: This drug may make you dizzy or drowsy. Alcohol or marijuana can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Talk to your doctor if you are using marijuana. If you have diabetes amoxicillin and urinary tract infection, 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 programor diet. Before having surgery, tell your doctor or dentist about all the products you use including prescription drugsnonprescription drugs, and herbal products.
Older adults may be more sensitive to the side effects of this drug, especially bleeding, dizzinesslightheadednessor loss of coordination. Older adults may also be more likely to develop a type of salt imbalance hyponatremiacymbalta and alcohol problems, especially if they are taking " water pills " diuretics.
Dizziness, lightheadedness, or loss of coordination can increase the risk of falling. Children may be more cymbalta and alcohol problems to the side effects of this drug, especially loss of appetite and weight loss. Monitor weight and height in children who are taking this drug. During pregnancythis medication should be used only when clearly needed.
It may harm an unborn baby. If you notice any of these symptoms in your newborntell the doctor promptly.
If you are planning pregnancy, become pregnantcymbalta and alcohol problems think you may be pregnant, immediately discuss the benefits and risks of using this medication during pregnancy with your doctor. This drug passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast -feeding. What should I know regarding pregnancy, nursing and administering Cymbalta to children or the elderly? 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. Some products that may interact with this drug include: Other medications can affect the removal of duloxetine from your body, which may affect how duloxetine works.
Examples include cimetidinecertain quinolone antibiotics such as ciprofloxacinenoxacinamong others, cymbalta and alcohol problems. This medication avelox and alocholic beverages 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, flecainidequinidine cymbalta and alcohol problems, antipsychotics such as thioridazinetricyclic antidepressants such as desipramineimipramineamong others. Taking MAO inhibitors with this medication may cause a serious possibly fatal drug interaction.
Avoid taking MAO inhibitors isocarboxazidlinezolidmethylene blue, moclobemide, phenelzineprocarbazinerasagilinesafinamide, selegiline, tranylcypromine during treatment with this medication.
Most MAO inhibitors should also not be taken for two weeks before and at least 5 days after treatment with this medication. Ask your doctor when to start or stop taking this medication. Tell your doctor or pharmacist if cymbalta and alcohol problems are taking other products that cause drowsiness including alcohol, marijuanaantihistamines such as cetirizinediphenhydraminedrugs for sleep or anxiety such as alprazolamdiazepamzolpidemmuscle relaxants, and narcotic 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 this medication. However, if your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention usually at dosages of milligrams a dayyou should continue taking it unless your doctor instructs you otherwise. Does Cymbalta interact with other medications?
If someone has overdosed and has cymbalta and alcohol problems symptoms such as passing out or trouble breathingcall Otherwise, call a poison control center right away. US residents can call their local poison control center at Cymbalta and alcohol problems residents can call a provincial poison control center.
Symptoms of overdose may include: Do not share this medication with others. Keep all regular medical and psychiatric appointments. Consult your doctor for more cymbalta and alcohol problems. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip themissed dose and resume your usual dosing schedule.
Do not double the dose to catch up. Store at room temperature away from light and moisture.