duloxetine-hcl
(Cymbalta)

This medicine is a serotonin and norepinephrine reuptake inhibitor (SNRI) used for treating depression and generalized anxiety disorder. It is used for managing pain caused by fibromyalgia and diabetic peripheral neuropathy (DPNP). This medicine is used for managing chronic musculoskeletal pain, including osteoarthritis and chronic lower back pain. It may also be used to treat other conditions as determined by your doctor.

This medicine is a serotonin and norepinephrine reuptake inhibitor (SNRI) used for treating depression and generalized anxiety disorder. It is used for managing pain caused by fibromyalgia and diabetic peripheral neuropathy (DPNP). This medicine is used for managing chronic musculoskeletal pain, including osteoarthritis and chronic lower back pain. It may also be used to treat other conditions as determined by your doctor.
CAUTIONS: DO NOT USE THIS MEDICINE IF you are allergic to any ingredient in this medicine. LAB TESTS may be performed while you use this medicine. These tests may be used to monitor your condition or check for side effects. KEEP ALL DOCTOR AND LAB APPOINTMENTS. THIS MEDICINE MAY CAUSE DROWSINESS, DIZZINESS, LIGHTHEADEDNESS, FAINTING, OR BLURRED VISION; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects. These effects may be worse if you take it with alcohol or certain medicines. Use this medicine with caution. DO NOT DRIVE OR PERFORM OTHER POSSIBLY UNSAFE TASKS until you know how you react to it. CHECK WITH YOUR DOCTOR before you drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using this medicine; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness. CHILDREN, TEENAGERS, AND YOUNG ADULTS who take this medicine may be at increased risk for suicidal thoughts or actions. Watch all patients who take this medicine closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; any unusual change in mood or behavior; or signs of suicidal thoughts or actions occur. SEROTONIN SYNDROME and NEUROLEPTIC MALIGNANT SYNDROME (NMS) are possibly fatal syndromes that can be caused by this medicine. Your risk may be greater if you take this medicine with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Symptoms may include blood pressure changes; agitation; confusion; hallucinations; other mental or mood changes; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; rigid muscles; nausea; vomiting; or diarrhea. Contact your doctor at once if you have any of these symptoms. IF YOUR DOCTOR TELLS YOU TO STOP TAKING THIS MEDICINE, you will need to wait for at least 5 days before beginning to take certain other medicines (eg, MAOIs). Ask your doctor when you should start to take your new medicines after you have stopped taking this medicine. BEFORE YOU BEGIN TAKING ANY NEW MEDICINES, either prescription or over-the-counter, check with your doctor or pharmacist. USE THIS MEDICINE WITH CAUTION IN THE ELDERLY; they may be more sensitive to its effects, especially low blood sodium levels. CAUTION IS ADVISED WHEN USING THIS MEDICINE IN CHILDREN; they may be more sensitive to its effects, especially increased risk of suicidal thoughts or actions. FOR WOMEN: THIS MEDICINE MAY CAUSE HARM TO THE FETUS if it is used during the last 3 months of pregnancy. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using this medicine while you are pregnant. THIS MEDICINE IS FOUND in breast milk. DO NOT BREAST-FEED while taking this medicine.
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