Most doctors recommend that you take antidepressants for 6 months to a year after you no longer feel depressed or anxious.
Stopping your medicine too soon can make depression and anxiety come back. For nerve pain or urinary incontinence - if duloxetine is helping your symptoms, you can continue taking it long term. Your doctor may check that you're still having relief from the pain or urinary incontinence every few months. If you have been feeling better for 6 months or more, your doctor may suggest coming off duloxetine. Your doctor will probably recommend reducing your dose gradually over several weeks, or longer if you have been taking duloxetine for a long time.
This is to help prevent any extra side effects you might get as a reaction to coming off the medicine. Do not stop taking duloxetine suddenly or without talking to your doctor first. Taking antidepressants, including duloxetine, is just one of many ways to treat depression and anxiety. If duloxetine is not working for you, speak to your doctor - there may be other treatments you can try. If you start to have problems with your weight while taking duloxetine, talk to your doctor or pharmacist.
During the first few days of taking duloxetine, it might be best to stop drinking alcohol until you see how the medicine affects you. There's no firm evidence to suggest that taking duloxetine will reduce fertility in either men or women. But speak to a pharmacist or your doctor before taking it if you're trying to get pregnant. Speak to your doctor if you're planning to get pregnant while taking duloxetine.
Duloxetine will not affect any type of contraception, including the combined pill or emergency contraception. Some people cannot concentrate properly while they're taking duloxetine. When you first start taking duloxetine, it's a good idea to stop driving and cycling, and avoid using machines or tools, for the first few days until you know how this medicine makes you feel. Cannabis can affect the levels of duloxetine and make you more likely to get side effects. Talk to your doctor if you think you might use recreational drugs while taking duloxetine.
Page last reviewed: 31 January Next review due: 31 January Duloxetine On this page About duloxetine Key facts Who can and can't take it How and when to take it Side effects How to cope with side effects Pregnancy and breastfeeding Cautions with other medicines Common questions. About duloxetine Duloxetine is an antidepressant medicine.
Duloxetine comes as capsules and is only available on prescription. Help us improve our website Can you answer a quick question about your visit today? Duloxetine normally takes 2 to 4 weeks to work. It may take longer if you're taking it for nerve pain. Common side effects include feeling sick, a dry mouth, headache, constipation and feeling sleepy.
These side effects are usually mild and go away after a couple of weeks. If you and your doctor decide to take you off duloxetine, your doctor may recommend reducing your dose gradually to help prevent extra side effects.
Duloxetine is also called by the brand names Cymbalta and Yentreve. Duloxetine can be taken by adults aged 18 years and over. For stress urinary incontenince, duloxetine can only be used by women. To make sure it's safe for you, tell your doctor if you: have had an allergic reaction to duloxetine or any other medicines in the past have kidney or liver problems have a heart problem are taking or have taken other medicines for depression within the last 14 days have an eye condition called glaucoma - duloxetine can increase the pressure in your eye have or have had fits, manic episodes or bipolar disorder bruise easily are trying to become pregnant, are already pregnant, or you're breastfeeding.
How much will I take? How much you take will depend on what you're taking it for: depression - the starting dose is 60mg a day and can be increased to mg a day anxiety - the starting dose is 30mg a day and can be increased to 60mg a day nerve pain - the starting dose is 60mg a day and can be increased to 60mg twice a day stress urinary incontinence - the starting dose is 20mg twice a day and can be increased to 40mg twice a day after 2 weeks What if I forget to take it?
If you usually take duloxetine: once a day - take the missed dose as soon as you remember, unless it's less than 12 hours until your next dose, in which case skip the missed dose twice a day - take the missed dose as soon as you remember, unless it's less than 4 hours until your next dose, in which case skip the missed dose Never take 2 doses at the same time to make up for a forgotten one.
If you forget doses often, it may help to set an alarm to remind you. What if I take too much? Urgent advice: Call your doctor straight away if you take too much duloxetine and:. Common side effects These side effects happen in more than 1 in people.
These are not all the side effects of duloxetine. For a full list, see the leaflet inside your medicines packet. Information: You can report any suspected side effect to the UK safety scheme. What to do about: difficulty sleeping - try taking duloxetine first thing in the morning headaches - make sure you rest and drink plenty of fluids. Do not drink too much alcohol. Ask your pharmacist to recommend a painkiller. Multiple clinical trials show that Cymbalta can reduce fibromyalgia pain, both with and without comorbid depression.
Studies also show that the drug continues to be effective for at least one year. Researchers don't understand exactly how this drug works. However, a study Wang suggests that dampens spontaneous pain signals that result from nerve damage neuropathy. One theory of fibromyalgia pain is that it involves neuropathy in the small nerves near the surface of your skin. If that's true, it could be why Cymbalta is often effective against our pain.
In that study, Cymbalta appeared to alleviate two pain types that are typical of fibromyalgia: hyperalgesia and allodynia. The recommended Cymbalta dosage is 60 mg, taken once a day. It's generally started at 30 mg a day and then increased to 60 mg after about a week.
Doses higher than this aren't believed to be more effective for fibromyalgia, and they are associated with a higher risk of side effects. People who want to stop taking this drug should talk to their healthcare provider about the proper way to gradually wean off of it; stopping suddenly is dangerous.
Your healthcare provider may also be able to help you lessen withdrawal symptoms. Cymbalta is associated with numerous possible side effects. Those that you should report to your healthcare provider right away include:. Side effects of Cymbalta that don't usually require medical attention include:. If you're interested in trying Cymbalta, talk to your healthcare provider. Be sure to carefully weigh the pros and cons and look into any possible negative interactions with other drugs you're taking.
It's a good idea, with any medication, to have a list of possible side effects handy. You may want to let people close to you know about serious side effects, such as seizures, loss of contact with reality, or suicidal thoughts, so that they know what's happening, just in case. Learn about treatment and lifestyle changes to cope with fibromyalgia and chronic fatigue syndrome.
Chronic musculoskeletal pain: review of mechanisms and biochemical biomarkers as assessed by the microdialysis technique. J Pain Res. Shelton RC. Serotonin and Norepinephrine Reuptake Inhibitors. Handb Exp Pharmacol. Allodynia and hyperalgesia in neuropathic pain: clinical manifestations and mechanisms. Continue taking the medication regularly even if you feel well, do not stop taking it unless advised by your doctor as some conditions may worsen if the medication is stopped abruptly.
Side effects of Cymbalta may include electric shock like sensation, sleep changes, dizziness and confusion. It should not be used if you have narrow angle glaucoma, a condition in which there is sudden buildup of fluid behind the iris in eye, and may require emergency medical eye treatment.
Disclaimer: The information and content posted on this website is intended for informational purposes only and is not intended to be used as a replacement for medical advice. This card will give you and your family discounts for all prescription medications. Click here to see if your current pharmacy is in the network. Call Now Check Drug Prices. How to take it The medication is usually taken orally one or two times a day.
0コメント