To gain the most benefit, do not miss doses. Keep taking duloxetine as you have been told by your doctor or other health care provider, even if you feel well. Take with or without food. Take with food if it causes an upset stomach. Do not chew, break, or crush. Do not open the capsules. Do not stop taking this medicine all of a sudden without calling your doctor. You may have a greater risk of side effects. If you need to stop duloxetine, you will want to slowly stop it as ordered by your doctor.
What do I do if I miss a dose? Take a missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not take 2 doses at the same time or extra doses.
Dosage Information in more detail What are some side effects that I need to call my doctor about right away? Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug.
Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Signs of low sodium levels like headache, trouble focusing, memory problems, feeling confused, weakness, seizures, or change in balance.
Signs of bleeding like throwing up blood or throw up that looks like coffee grounds; coughing up blood; blood in the urine; black, red, or tarry stools; bleeding from the gums; vaginal bleeding that is not normal; bruises without a reason or that get bigger; or any bleeding that is very bad or that you cannot stop. In patients of all ages who are started on antidepressant therapy, monitor closely for worsening, and for emergence of suicidal thoughts and behaviors.
Advise families and caregivers of the need for close observation and communication with the prescriber [see Warnings and Precautions 5. Major Depressive Disorder [see Clinical Studies Do not chew or crush. Do not open the capsule and sprinkle its contents on food or mix with liquids. All of these might affect the enteric coating.
Generic Cymbalta Capsules are contraindicated in patients with a hypersensitivity to Duloxetine or any inactive ingredient present in Duzela capsules. Generic Cymbalta is contraindicated in patients with hepatic impairment. Generic Cymbalta should not be used in combination with potent CYP1A2 inhibitors Using Monoamine Oxidase Inhibitors MAOIs for treating psychiatric disorders with Generic Cymbalta or within five days of stopping treatment with Generic Cymbalta capsules is contraindicated because of an increased risk of serotonin syndrome.
Additionally the use of Duzela capsules within 14 days of stopping an MAOI intended to treat psychiatric disorders is also contraindicated. Starting treatment with Duzela capsules in a patient who is being treated with MAOIs such as linezolid or intravenous methylene blue is also contraindicated because of an increased risk of serotonin syndrome. Lilly Product of Turkey. Sun Pharma Product of India. All prices are in USD. Average shipping time is 2 to 3 weeks.
Full information about Cymbalta Basic Information On Cymbalta Cymbalta is used for the treating a condition known as major depressive disorder MDD and general anxiety disorder. Give patients the opportunity to discuss the contents of the Medication Guide and to obtain answers to any questions they may have.
The complete text of the Medication Guide is reprinted at the end of this document. Suicidal Thoughts and Behaviors - Encourage patients, their families, and their caregivers to be alert to the emergence of anxiety, agitation, panic attacks, insomnia, irritability, hostility, aggressiveness, impulsivity, akathisia psychomotor restlessness , hypomania, mania, other unusual changes in behavior, worsening of depression, and suicidal ideation, especially early during antidepressant treatment and when the dose is adjusted up or down.
Advise families and caregivers of patients to observe for the emergence of such symptoms on a day-to-day basis, since changes may be abrupt. CYMBALTA should be swallowed whole and should not be chewed or crushed, nor should the capsule be opened and its contents be sprinkled on food or mixed with liquids.
All of these might affect the enteric coating. Instruct patients to talk to their healthcare provider about their alcohol consumption. Serotonin Syndrome —Caution patients about the risk of serotonin syndrome with the concomitant use of CYMBALTA and other serotonergic agents including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, buspirone, tryptophan, amphetamines, and St. Advise patients of the signs and symptoms associated with serotonin syndrome that may include mental status changes e.
Caution patients to seek medical care immediately if they experience these symptoms. This may need to be treated in a hospital and may be life-threatening. Activation of Mania or Hypomania - Adequately screen patients with depressive symptoms for risk of bipolar disorder e.
Pre-existing glaucoma is almost always open-angle glaucoma because angle-closure glaucoma, when diagnosed, can be treated definitively with iridectomy. Open-angle glaucoma is not a risk factor for angle-closure glaucoma. Patients may wish to be examined to determine whether they are susceptible to angle-closure, and have a prophylactic procedure e. Pregnancy and Nursing Mothers Advise patients to notify their physician if they: Interference with Psychomotor Performance - Any psychoactive drug may impair judgment, thinking, or motor skills.
Although in controlled studies CYMBALTA has not been shown to impair psychomotor performance, cognitive function, or memory, it may be associated with sedation and dizziness. Therefore, caution patients about operating hazardous machinery including automobiles, until they are reasonably certain that CYMBALTA therapy does not affect their ability to engage in such activities. Nonclinical Toxicology Carcinogenesis, Mutagenesis, Impairment Of Fertility Carcinogenesis Duloxetine was administered in the diet to mice and rats for 2 years.
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© Copyright 2017 Sun pharma duloxetine hcl capsules / Sun Pharmaceutical Industries Ltd. Sun Pharma announces US FDA approval for generic Duloxetine Delayed-Release Capsules USP are indicated for the treatment of..