If serotonin symptoms occur, health care practitioners need to consider having the patient stop taking Duloxetine. Although, people with end-stage renal disease can use the drug at lower dosages safely it seems. The FDA mentions that depression and other serious psychiatric illnesses are a common cause of suicide. So close monitoring is advised from mental health professionals when patients use various psychiatric medications. Duloxetine, as well as other prescribed psychotropic medications, are given out with an information pamphlet that indicates risks and usages.
Some side effects, while taking Cymbalta and the generic Duloxetine, include dizzy spells, upset stomach, dry mouth, sleepiness, lack of appetite, fatigue and sweating. The FDA assures consumers that the generic Duloxetine drugs have the same strength and quality of brand name products, and that all generics have to pass the same quality regime. So Duloxetine, the FDA approved Cymbalta generic, will soon be prescribed to patients even though some caution continues to exist.
Once the patient has been diagnosed with depression, their doctor may prescribe Cymbalta to them. Recommended doses for depression range between 20mg and 60 mg a day and it is important for the patient to follow the dosage instructions precisely and consult with their doctor before making any changes to their prescription.
Special Precautions to Note when Using Cymbalta Because Cymbalta can affect certain pre-existing conditions, it is important for the patient to advise their doctor if they suffer from Glaucoma, Bipolar disorder, seizures, high or low blood pressure, cirrhosis of the liver, kidney conditions, bladder conditions, diabetic gastro paresis, heart conditions or a history of suicidal thoughts. Patients who have recently suffered from a heart attack should also advise their doctor before using Cymbalta.
Any allergies to food or medications should also be reported to a doctor before using this medication. If the patient is using any other form of herbal or prescription medication, they should inform their doctor before starting to use Cymbalta.
If patients are currently using any MAO inhibitor drugs such as Furoxone, Nardil or Parnate, they should wait at least two weeks before starting to use Cymbalta in order to avoid experiencing any dangerous drug interactions.
Although not everyone suffers from side effects, patients have experienced muscle pain, sore throats, heartburn, blurred vision, tremors, and decreased sex drive, hot flashes, anxiety, coughing, nausea, dizziness, diarrhea, abdominal pain, insomnia, drowsiness, dry mouth, appetite loss, fatigue, sweating, constipation and vomiting while using Cymbalta.
If any allergic reactions such as swelling of the throat or mouth occur or if they experience breathing difficulties while using this medication, they should seek immediate medical attention.
Patients who are started on therapy should be closely observed for clinical worsening, suicidality, or unusual changes in behavior. The recommended dose for treating depression is 20 or 30 mg twice daily or 60 mg once daily. Patients may be started with 30 mg once daily for one week before the dose is advanced to 60 mg daily. The recommended dose for anxiety disorder, pain associated with diabetic neuropathy , fibromyalgia , or chronic musculoskeletal pain is 60 mg daily.
Starting at 30 mg daily for one week before increasing to 60 mg daily may help patients adjust to the drug. What drugs interact with duloxetine? Duloxetine should not be used in combination with a monoamine oxidase inhibitor MAOI such as phenelzine Nardil , tranylcypromine Parnate , isocarboxazid Marplan , and selegiline Eldepryl , or within 14 days of discontinuing the MAOI.
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