How Fast Does Cymbalta Work For Anxiety

Suicidal Thoughts And Actions

In 2007, the U.S. Food and Drug Administration decided to include a warning on SNRIs and other antidepressants. Known as a black box warning, the FDA cautions that these medications can potentially increase the risk for suicidal thoughts and actions.

Children, teens, and young adults were found to be especially at risk for this. Your doctor should use caution and closely monitor you if youre taking SNRIs for a decline in your mood and/or suicidal thoughts, especially if youre in this at-risk age group.

If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 1-800-273-8255 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.

For more mental health resources, see our National Helpline Database.

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How Long Will I Have To Take Duloxetine For

You and your doctor should talk about how long you need to take duloxetine before you begin your treatment.

If there has been no good effect after four weeks on duloxetine, it is probably not the best medicine for your condition.

People normally take duloxetine until they feel better then continue to take it for a further six to 12 months, as advised by their doctor, to avoid symptoms returning.

Safety Of Duloxetine In The Treatment Of Ads

The duloxetine treatment was generally well tolerated in the three studies of GAD where data on tolerability were available . Nausea was the most frequent adverse effect reported by the patients in the studies of GAD. Treatment groups did not differ significantly in their overall study completion rates, which were 64.8% for duloxetine and 68.1% for placebo. The rate of discontinuation due to adverse event was 15.6% for the duloxetine group . No significant effect on weight was reported with the duloxetine treatment.

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Questions About Taking Duloxetine Oral Capsule

Heres a list of common questions related to taking duloxetine oral capsules.

Questions for your doctor

You may have questions about duloxetine oral capsules and your treatment plan. Its important to discuss all your concerns with your doctor.

Here are a few tips that might help guide your discussion:

• Before your appointment, write down questions such as:
• How will duloxetine oral capsules affect my body, mood, or lifestyle?

Bring someone with you to your appointment if doing so will help you feel more comfortable.

If you dont understand something related to your condition or treatment, ask your doctor to explain it to you.

Remember, your doctor and other healthcare professionals are available to help you. And they want you to get the best care possible. So dont be afraid to ask questions or offer feedback on your treatment.

Find answers to some commonly asked questions about duloxetine oral capsules.

Possible Side Effects Of Duloxetine

Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects known to be associated with duloxetine. Just because a side effect is stated here doesnt mean that all people taking duloxetine or Cymbalta capsules will experience that or any side effect.

Very common

• Increased tendency to bruise or bleed, eg nosebleeds, heavy periods, bleeding in the gut.
• Increased sensitivity of the skin to sunlight .
• Liver problems such as inflammation of the liver .

Rare

• Mania, hallucinations, anger or aggression.
• Raised pressure in the eyeball . See a doctor straight away if you get symptoms of this, which include a painful red eye, blurred vision, sudden severe headache and seeing haloes around lights.
• Underactive thyroid gland.
• Low level of sodium in the blood. This can cause symptoms such as drowsiness, confusion, muscle twitching or convulsions. Elderly people may be particularly susceptible to this effect. Consult your doctor if you develop any of these symptoms while taking duloxetine, so that your blood sodium level can be checked if necessary.
• Serotonin syndrome . See a doctor straight away if you get these symptoms.

You should read the patient information leaflet that is supplied with your medication for more information about side effects associated with duloxetine. You can find a copy of this here

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Duloxetine Oral Capsule Basics

Duloxetine is classified as a selective norepinephrine reuptake inhibitor .

Youll take duloxetine oral capsules by swallowing them whole.

Note: Duloxetine also comes as sprinkle capsules that you can open and pour onto food. Only the capsule form of duloxetine thats swallowed whole is described in this article. If youd like to learn about duloxetines other forms, talk with your doctor or pharmacist.

Cymbalta For Diabetic Nerve Pain

Cymbalta is FDA-approved to treat pain from diabetic neuropathy .

Diabetic neuropathy is a common condition in people with type 1 and type 2 diabetes. People with diabetes have high levels of glucose in their blood. Over time, having increased glucose levels can cause nerve damage. Symptoms of diabetic neuropathy include numbness, pain, tingling, or weakness in your hands or feet.

It isnt exactly known how Cymbalta works to treat diabetic nerve pain.

Effectiveness for diabetic nerve pain

Clinical studies have shown Cymbalta to be effective for treating pain from diabetic neuropathy.

Researchers in one study randomly assigned adults with diabetic nerve pain to take either Cymbalta or a placebo every day for 12 weeks. Before the study, researchers measured peoples pain on a scale of 0 to 10 . They assessed pain again after the study to compare how Cymbalta and a placebo affected pain.

At the end of the study:

• 60% of people who took Cymbalta had at least a 30% reduction in their pain score
• 40% of people who took a placebo had at least a 30% reduction in their pain score

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How Do You Take Cymbalta

When prescribed for anxiety, the dose of Cymbalta can range from 30 to 120 mg per day. However, some studies suggest that there is no benefit to taking 120 mg per day.

Youll likely be given a starting dose of around 60 mg per day however, older adults and children between the ages of 7 and 17 years old should start with 30 mg per day, gradually increasing the dose if needed.

Your dose may be influenced by factors such as pre-existing medical conditions, other medications you are using, and any side effects you may have had from previous medicines.

Always read the manufacturers information on the packet and follow your doctors instructions. However, as a general guide:

• Cymbalta is usually taken as a pill once a day.

• It can be taken with or without food.

• You can take Cymbalta in the morning or the evening, depending on whether you feel alert or drowsy, but make sure to stick with a specific time once you find out what works for you.

If you forget to take a dose, you should take it as soon as you remember to prevent withdrawal symptoms. However, if its close to the time of your next dose, you should skip it because a double dose can be dangerous.

How long should you take it for?

Generally, youll need to take Cymbalta for at least six months after youve noticed significant improvements. However, its also safe to take it for longer periods should you want or need to.

Dosage For Chronic Musculoskeletal Pain

The recommended Cymbalta dose for treating chronic musculoskeletal pain* in adults is 60 mg once daily.

Youll start by taking 30 mg once daily for a week. Then, assuming you respond well to the drug, your doctor will increase your dose to 60 mg once daily. Doses above 60 mg arent recommended for treating this condition.

* With chronic musculoskeletal pain, you have ongoing pain in your bones, muscles, ligaments, nerves, and tendons.

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You Should Only Take Duloxetine As Agreed With Your Doctor

You will get the best effect from duloxetine if you take it regularly at the dose prescribed by your doctor.

Make sure that you know your dose. If it is not written on the label, check with your pharmacist or doctor.

People usually take duloxetine once a day at the same time. This could be a mealtime, or when you brush your teeth.

If you are taking duloxetine for depression, you are likely to start taking it at the standard treatment dose. If you are taking it for anxiety, you may be started on a lower dose, which gets increased gradually.

You can take duloxetine before or after food. Swallow the capsule with a drink of water if you chew it, it tastes bitter.

Common Side Effects Of Cymbalta Vs Lexapro

Cymbalta and Lexapro have the potential to cause similar side effects, though some are more likely with one or the other agent. Nausea, for example, was only reported in 5% of patients taking Lexapro in clinical trials versus 23% of patients taking Cymbalta. While the nausea is not always a long-lasting side effect, it can impact a personâs quality of life. It is more likely to happen in the first few weeks of therapy, and given that these drugs generally take anywhere from two to six weeks to show an impact on depression or anxiety symptoms, nausea could be a reason for early discontinuation before the true benefit of the drug is known.

Perspiration, or sweating, occurs at a similar rate between the two drugs. This side effect may also impact a personâs daily life and self-esteem, and it could be a reason patients choose to discontinue the drug.

The following list is not intended to be a complete list of adverse events. Please consult a pharmacist, doctor, or another medical professional for a complete list of possible side effects.

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What Should I Avoid While Taking Cymbalta

Avoid taking nonsteroidal anti-inflammatory drugs , such as aspirin, Motrin, Aleve, and Advil, before consulting a doctor first. It may cause bleeding and bruising.

Cymbalta can make some people drowsy and affect coordination. Avoid any hazardous activity, such as driving or operating heavy machinery, until you know how the medication affects you.

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Financial And Insurance Assistance

If you need financial support to pay for Cymbalta, or if you need help understanding your insurance coverage, help is available.

Eli Lilly and Company, the manufacturer of Cymbalta, offers a program called Lilly Cares. For more information and to find out if youre eligible for support, call 800-545-6962 or visit the program website.

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More Ways To Manage Your Symptoms

If you still have questions about Cymbalta after reading this article, we recommend that you talk with your medical professional. Together you can decide if Cymbalta might be a good choice for you.

You can also discuss other treatments, forms of support, and resources that may benefit you. Weve listed some helpful suggestions below.

Who Should Not Take Cymbalta

You should not take Cymbalta if you:

• Are taking a medication called thioridazine
• Are taking a medicine called MAOI or have used one in the last 14 days
• Have uncontrolled narrow-angle glaucoma

In animal studies Cymbalta has demonstrated adverse effects on a developing fetus. No adequate or well-controlled studies of the drug have been performed in pregnant or breastfeeding women. Women who are breastfeeding, pregnant, or planning to become pregnant should talk to their doctor about whether or not Cymbalta is right for them. You should only take Cymbalta if the benefits outweigh the risks.

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Of all the antidepressants, only fluoxetine has been FDA approved to treat pediatric depression. For obsessive compulsive disorder in children and teenagers, FDA has approved only fluoxetine , sertraline , fluvoxamine, and clomipramine .

Likewise, what percentage of teenagers are on antidepressants? Antidepressant use increases with age. These medications are used by 16.6 percent of people ages 40 to 59, 7.8 percent of those ages 20 to 39, and 3.4 percent of adolescents ages 12 to 19.

In this regard, can teenagers go on antidepressants?

Antidepressants for children and teens. Antidepressant drugs are often an effective way to treat depression and anxiety in children and teenagers. However, antidepressant use in children and teens must be monitored carefully, as rarely there can be severe side effects.

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Is It Safe To Take Duloxetine If Pregnant

Duloxetine should be avoided during pregnancy. However, it may be necessary for some women to take duloxetine during their pregnancy in order for them to remain well during the pregnancy and be able to care for their baby. It is important to talk to your doctor about the risks and benefits of taking duloxetine during the pregnancy compared with stopping treatment or using other treatments.

It is important to get medical advice from your doctor if you think you could be pregnant or want to plan a pregnancy while taking duloxetine.

If you decide to stop taking duloxetine you doctor will advise you how to do this. Remember that you should not stop taking duloxetine suddenly, as this can cause withdrawal symptoms such as dizziness, sleep disturbances , headache, feeling sick or weak, pins and needles and anxiety. Your doctor will give you instructions on how to stop treatment gradually to avoid these effects.

Read more about using duloxetine during pregnancy here

What Are Some Alternatives To Cymbalta

Below are some other medications that may be prescribed to treat conditions Cymbalta is used for.

This list doesnt include all alternatives. Also, some of the medications may be prescribed off-label for treating these conditions. Off label use is when a medication is prescribed for a condition that it isnt approved to treat.

• alternatives for chronic musculoskeletal pain include:

You can find more alternatives to Cymbalta in this article. Your medical professional and pharmacist may also be able to suggest alternatives.

Here are some answers to some commonly asked questions about Cymbalta.

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Is Cymbalta An Ssri

No, Cymbalta isnt a selective serotonin reuptake inhibitor . However, its similar to an SSRI.

Cymbalta belongs to a class of medications known as serotonin-norepinephrine reuptake inhibitors . It affects your levels of both serotonin and norepinephrine. SSRIs, on the other hand, only affect your serotonin levels.

If you have questions about whether an SSRI or SNRI is right for treating your condition, talk with your doctor.

Is It Safe To Take Duloxetine If Breastfeeding

Duloxetine passes into breast milk in small amounts. The effect of this on a nursing infant hasn’t been fully established, so duloxetine is not usually recommended for women who are breastfeeding. However, if you were taking duloxetine during your pregnancy and are stabilised on this medicine, it may be possible for you to breastfeed your baby while staying on the treatment, providing the benefits outweigh any risks. It’s important to get medical advice from your doctor.

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Takeaway And Helpful Resources

The dosages in this article are typical dosages provided by the drug manufacturer. If your doctor recommends Cymbalta for you, theyll prescribe the dosage thats right for you. Always follow the dosage that your doctor prescribes for you.

As with any drug, never change your dosage of Cymbalta without your doctors recommendation. If you have questions about the dosage of Cymbalta thats right for you, talk with your doctor.

Besides learning about dosage, you may want other information about Cymbalta. These additional articles might be helpful to you:

• More about Cymbalta. For information about other aspects of Cymbalta, refer to this article.
• Side effects. To learn about the side effects of Cymbalta, see this article. You can also look at the Cymbalta prescribing information.
• Drug comparison. To find out how Cymbalta compares with other drugs, refer to these sections on Lexapro and Effexor XR.
• Details on your condition. For details on your condition, see our:

Can Duloxetine Cause Weight Gain

Weight gain wasnt a side effect of duloxetine oral capsules reported in studies.

Keep in mind that duloxetine is used to treat depression, which can cause weight gain or weight loss. So weight changes may happen while youre taking duloxetine. But it could be due to your depression getting better and not because of the drug itself.

If youre concerned about weight gain while youre taking duloxetine, talk with your doctor. They can suggest healthy ways to manage your weight.

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