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Cymbalta (Duloxetine) is a serotonin-norepinephrine reuptake inhibitor (SNRI), prescibed in the treatment of major depressive disorder. An imbalance in certain chemicals in the brain can cause severe depression, and anti-depressant Cymbalta works to correct this imbalance.
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Cymbalta (Duloxetine) is used to treat major depressive disorder and general anxiety disorder. It may at times be prescribed for fibromyalgia (chronic pain disorder), for pain caused by diabetic nerve damage, and for chronic musculoskeletal pain (like lower back pain and osteoarthritis).
Please make sure you purchase Cymbalta (Duloxetine) in the strength prescribed by your doctor.

It is very important to purchase Cymbalta (Duloxetine) in the strength recommended by your doctor, and use it exactly as prescribed. The strength and frequency of use of anti-depressant Cymbalta depend upon why the medication has been prescribed for you, and the severity of your symptoms. Other factors too can influence the way Duloxetine should be taken, so please follow the doctor’s instructions carefully.
Do not use a higher dose than prescribed.
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Side effects of Cymbalta 20 mgs., 30mgs., 40mgs., and 60 mgs. can include:
• dry mouth
• tiredness, drowsiness
• loss of appetite
• mild nausea
• constipation
• dizziness
If you notice any of these side effects when using Cymbalta or generic Cymbalta, please inform your doctor immediately.
• feeling like you may lose consciousness
• symptoms of jaundice like yellowing of skin and eyes, dark urine, clay coloured stools, etc
• agitation, hallucinations, accelerated heart rate, overactive reflexes
• rigid muscles, high fever, sweating, tremors, confusion, uneven or rapid heartbeats
• memory problem, weakness, feeling unsteady, problems with concentration, shallow breathing, fainting
• symptoms of a severe allergic reaction (hives, swelling of the face and throat, difficulty breathing, skin pain followed by red or purple rash that spreads)
• unusual bleeding, easy bruising
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If you suspect an overdose of Cymbalta (Duloxetine), please call your doctor or local poison control centre right away.
Cymbalta must be used with caution, exactly as directed by your doctor.
Symptoms of Cymbalta (Duloxetine) overdose may include hallucinations, agitation, loss of co-ordination, seizures, fainting, rapid heart rate, fever, extreme drowsiness, vomiting.
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Do not stop taking this medicine without your doctor’s permission. Some conditions may worsen if you do so.
You may have suicidal thoughts when first starting treatment with Cymbalta, especially if you are under 24 years of age. If these thoughts get too intense, please inform the doctor immediately. Patients must be very closely monitored for mood changes during the early weeks of treatment.
Drinking alcohol while using Cymbalta can cause severe liver damage. Cymbalta can impair your thinking and your reflexes. Please make sure you are fit enough to drive or perform any tasks that require alert thinking.
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If you miss a dose of Cymbalta (Duloxetine), please take it as soon as you remember it. If it is almost time for the next dose, skip the missed dose. Do not double doses of Duloxetine to make up for the missed dose. If you are confused, please consult the doctor before taking another dose.
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It is very important to inform the doctor about any and all prevailing medical conditions before beginning treatment with Cymbalta (Duloxetine).
Do not use Cymbalta (Duloxetine) within 14 days of using an MAO inhibitor.
Make sure your doctor is aware if you have liver or kidney disease, glaucoma, epilepsy or seizures, bipolar disorder, bleeding or blood clotting issues, a history of suicidal thoughts, history of drug or alcohol abuse.
If thoughts of suicide are very intense when starting treatment with Cymbalta (Duloxetine), please inform your doctor immediately.
Inform the doctor if you are pregnant or plan to become pregnant while using Cymbalta (Duloxetine).
Blood sugar levels and blood pressure must be monitored regularly.
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