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Duloxetine Hcl
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CONSUMER INFORMATION
Duloxetine HCl
CAS number 136434-34-9
WARNING: Antidepressant medications are used to treat a variety of
conditions, including depression and other mental/mood disorders. These
medications can help prevent suicidal thoughts/attempts and provide other
important benefits. However, studies have shown that a small number of
people (especially people younger than 25) who take antidepressants for any
condition may experience worsening depression, other mental/mood symptoms,
or suicidal thoughts/attempts. Therefore, it is very important to talk with
the doctor about the risks and benefits of antidepressant medication
(especially for people younger than 25), even if treatment is not for a
mental/mood condition.
USES: Duloxetine is used to treat major depression and anxiety. It is
also used to relieve nerve pain (peripheral neuropathy) in people with
diabetes.
This medication is a serotonin-norepinephrine reuptake inhibitor (SNRI) that
works by helping to restore the balance of certain natural substances in the
brain (neurotransmitters). Duloxetine may improve your mood, sleep,
appetite, and energy level, and decrease nervousness. It can also decrease
pain caused by nerve damage.
HOW TO USE: Read the Medication Guide provided by your pharmacist
before you start using duloxetine and each time you get a refill. If you
have any questions, consult your doctor or pharmacist.
Take this medication by mouth with or without food, usually 1 or 2 times a
day or as directed by your doctor. Swallow the capsule whole. Do not crush
or chew the capsule or mix the contents with food or liquid. Dosage is based
on your medical condition and response to treatment.
To reduce your risk of side effects, your doctor may start you at a low dose
and gradually increase your dose. Follow your doctor's instructions
carefully. Do not take more or less medication or take it more frequently
than prescribed. Your condition will not improve any faster, and your risk
of side effects will increase. Use this medication regularly in order to get
the most benefit from it. To help you remember, use it at the same time(s)
each day.
It is important to continue taking this medication even if you feel well. Do
not stop taking this medication without consulting your doctor. Some
conditions may become worse when the drug is suddenly stopped. Your dose may
need to be gradually decreased.
SIDE EFFECTS:Nausea, dry mouth, constipation, loss of appetite,
tiredness, drowsiness, dizziness, increased sweating, blurred vision, or
yawning may occur. If any of these effects persist or worsen, tell your
doctor promptly.
Remember that your doctor has prescribed this medication because he or she
has judged that the benefit to you is greater than the risk of side effects.
Many people using this medication do not have serious side effects.
Tell your doctor immediately if any of these unlikely but serious side
effects occur: fainting, unusual or severe mental/mood changes (e.g.,
nervousness, unusual high energy/excitement, rare thoughts of suicide),
shakiness (tremor), decreased interest in sex, changes in sexual ability,
difficulty urinating, change in the amount of urine, weight loss.
Tell your doctor immediately if any of these rare but very serious side
effects occur: stomach pain, bloody/black/tarry stools, vomit that looks
like coffee grounds, easy bruising/bleeding, muscle weakness/cramps,
yellowing eyes/skin, dark urine, seizures, unusual tiredness,
fast/irregular/pounding heartbeat.
PRECAUTIONS: Before using this medication, tell your doctor or
pharmacist your medical history, especially of: personal or family history
of psychiatric disorders (e.g., bipolar/manic-depressive disorder), personal
or family history of suicide attempts, diabetes, glaucoma (narrow-angle),
kidney disease, stomach problems (e.g., bleeding or slow emptying of the
stomach), low sodium in the blood, severe loss of body water (dehydration),
drug or alcohol abuse, seizure disorder.
This drug may make you dizzy or drowsy. Use caution while driving, using
machinery, or doing any other activity that requires alertness. Avoid
alcoholic beverages. Drinking alcohol can also increase your risk of liver
problems.
To reduce dizziness and lightheadedness, get up slowly when rising from a
sitting or lying position. Dizziness is more common when you start taking
this medication and when your dose is increased.
If you have diabetes, duloxetine may affect your blood sugar levels. Monitor
your blood sugar regularly and share the results with your doctor. Your
doctor may need to adjust your medication, diet, and exercise when you start
or stop duloxetine.
Caution is advised when using this product in the elderly because they may
be more sensitive to its effects. The elderly are more likely to lose too
much salt (hyponatremia), especially if they are also taking "water pills"
(diuretics) with this medication.
MISSED DOSE: If you miss a dose, take it as soon as you remember. If
it is near the time of the next dose, skip the missed dose and resume your
usual dosing schedule. Do not double the dose to catch up.
STORAGE: Store at room temperature at 77 degrees F (25 degrees C)
away from light and moisture. Brief storage between 59-86 degrees F (15-30
degrees C) is permitted. Do not store in the bathroom. Keep all medicines
away from children and pets.
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