Cymbalta is used for healing depression and generalized anxiety disorder. It is useful for managing pain caused by fibromyalgia and diabetic peripheral neuropathy (DPNP). Cymbalta is a serotonin and norepinephrine reuptake inhibitor (SNRI). It works by restoring the stability of certain natural materials in the brain (serotonin and norepinephrine), which helps you to improve certain mood problems.

Use Cymbalta as instructed by your physician.
Take Cymbalta orally with or without food. Using it with food might help to reduce the probability of sickness or indigestion.
Swallow Cymbalta entire. Don't break, crush, or chew before swallowing. Do not open the capsule and sprinkle the contents on food or in liquid.
Take Cymbalta on a routine schedule to get the most gain from this. Using Cymbalta at the same time daily can help you remember to go.
Continue to take Cymbalta even though you're feeling well. Don't skip any dose.
Don't suddenly cease taking Cymbalta without consulting your doctor. Side effects might occur. They might include mental or mood changes, numbness or tingling of skin, diarrhea, dizziness, confusion, headaches, increased sweating, vomiting, headache, calling within the ears, convulsions, sleep disorders, unusual fatigue, or vomiting. You're going to be carefully supervised if you start Cymbalta and each time a change in dosage is made.
In case you skip a dose of Cymbalta, take it as as soon as you can. If it's almost time for your subsequent dose, skip the missed dose and return to your regular dosing timetable. Don't take more than one dose at the same time.
Ask your health care provider any questions that might have regarding just how to work with Cymbalta.
Retailer Cymbalta at 77 degrees F (25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Cymbalta out of the range of kids and away from pets.
Don't use Cymbalta if:
You're sensitive to any element in Cymbalta
you have uncontrolled narrow angle glaucoma
you have liver problems or acute kidney problems, or you're having dialysis
You're taking or took a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) in the last 14 days
You're taking a quinolone antibiotic (eg, ciprofloxacin), a selective this reuptake inhibitor (SSRI) (eg, fluoxetine, fluvoxamine), an SNRI (eg, venlafaxine), thioridazine, or tryptophan.
Contact your physician or health care provider right away if any of these apply to you.
Some health conditions may interact with Cymbalta. If you got any health conditions, especially if any of these apply to you tell your doctor or pharmacist:
In case you are pregnant, planning to become pregnant, or are breast feeding
if you are using any prescription or nonprescription medicine, herbal preparation, or supplement
For those who are allergic to medications, foods, or other materials
In the event that you or even a family member has a brief history of bi-polar disorder (manic-depression), other mental or mood problems, suicidal ideas or attempts, or alcohol or substance abuse
For those who have a background of convulsions, heart problems (eg, heart failure, irregular pulse), recent heart attack, high blood pressure, kidney problems, diabetes, gut or bowel problems (eg, slowed emptying), or elevated eye pressure (eg, glaucoma)
If you are dehydrated, have difficulty urinating, have low blood salt levels, or consume alcohol.
Some medicines may interact with Cymbalta. Tell your doctor if you're getting any other medicines, particularly any of the following:
5-HT1 receptor agonists (eg, sumatriptan), linezolid, lithium, MAOIs (eg, phenelzine), quinidine, rasagiline, SNRIs (eg, venlafaxine), SSRIs (eg, fluoxetine, fluvoxamine), Street. John's wort, tramadol, or tryptophan because serious unwanted side effects, such as a reaction which could include temperature, stiff muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur
Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory medications (NSAIDs) (eg, motrin) because the risk of bleeding, including stomach bleeding, can be raised
Diuretics (eg, furosemide, hydrochlorothiazide) as the danger of reduced blood salt levels might be increased
Cimetidine, medicines for hypertension, or quinolone antibiotics (eg, ciprofloxacin) because they may increase the danger of Cymbalta's side effects
Certain antiarrhythmics (eg, flecainide, propafenone), phenothiazines (eg, chlorpromazine, thioridazine), or tricyclic antidepressants (eg, amitriptyline) because the risk of these side effects can be increased by Cymbalta.
This may not be a complete record of all interactions that might occur. Ask your doctor if Cymbalta might interact with other medicines that you take. Check with your own health care provider before you begin, stop, or adjust the dose of any medication.
Important security advice:
Cymbalta can cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or particular medications. Use Cymbalta with caution. Do not drive or execute other potential unsafe jobs until you realize how you respond to it.
Cymbalta may cause lightheadedness, light-headedness, or fainting; booze, hot weather, exercise, or fever may increase these effects. To prevent them, sit-up or stand slowly, particularly in the morning. Sit or lay down at the very first hint of at least one of these effects.
Talk with your doctor before you consume alcohol or use medications that might cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Cymbalta; it can increase their effects. Ask your druggist if you've got questions about which medicines may cause drowsiness.
Many weeks may pass prior to your symptoms improve. Don't consider much more than the advised serving or utilize for longer than prescribed without checking with your physician.
Do not abruptly stop using Cymbalta. Some conditions may become worse as soon as the medication is suddenly halted or the dose of Cymbalta is decreased. Your dosage may have to be slowly lowered to reduce the danger of side effects.
Kids and teens who take Cymbalta might be at increased danger of suicidal ideas or actions. Adults can even be affected. The danger may be greater in patients that have had suicidal thoughts or actions before. The risk could also be greater in individuals that have had bi-polar (manicdepressive) illness, or if their family members have had it. Observe patients who take Cymbalta closely. Contact the physician at the same time if new, worsened, or unanticipated symptoms like depressed mood; troubled, restless, or irritable behavior; panic disorder; or any strange change in disposition or behavior occur. Contact the doctor right away if any hints of suicidal thoughts or steps happen.
Serotonin syndrome is a potentially deadly syndrome that can be effected by Cymbalta. Your risk might be higher in the event that you simply take Cymbalta with certain other medications (eg, MAOIs, SSRIs, "triptans"). Signs may include agitation; coma; confusion; excessive perspiration; rapid or irregular pulse; temperature; hallucinations; nausea, nausea, or diarrhea; tremor. Get in touch with your doctor at once if you have any of these signs.
Neuroleptic malignant syndrome (NMS) is a possibly lethal syndrome which can be caused by Cymbalta. Signs can include fever; stiff muscles; confusion; strange thinking; quickly or irregular heartbeat; and perspiration. Contact your physician right away if you have some of these signs.
Diabetes patients - Cymbalta may affect your blood sugar. Always check blood sugar carefully. Request your doctor before you change the dosage of your diabetes medicine.
You're going to have to wait for at least 5 days before starting to take certain other medications (eg, MAOIs, if your physician tells you to really stop taking Cymbalta). Ask your physician when you should begin to bring your new medications after you have stopped taking Cymbalta.
Laboratory checks, including liver function and blood pressure, might be done while you use Cymbalta. These s might be used to track your condition or check for side effects. Be sure to keep all doctor and laboratory appointments.
Use Cymbalta with caution in the elderly; they may become more sensitive to the effects, notably low blood sodium levels.
Caution is advised when working with Cymbalta in kids; they may be more sensitive to the effects, especially heightened risk of suicidal thoughts or actions.
Cymbalta must be utilized with extreme caution in children; security and effectiveness in children have not yet been validated.
Pregnancy and breast-feeding: Cymbalta may cause injury to the fetus if it is used during the last 3 months of pregnancy. In case you become pregnant, contact your doctor. You're going to need to talk about the dangers and advantages of using Cymbalta while you're pregnant. Cymbalta can be found in breast milk. Don't breastfeed while using Cymbalta.

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