Cymbalta (Eli Lilly)30 mg and 60 mg capsules Approved indication: major depression Australian Medicines Handbook section 18.1.2 Duloxetine is a new antidepressant which selectively inhibits serotonin and noradrenaline reuptake. After oral administration of duloxetine, maximum plasma concentrations are reached after six hours. Duloxetine is extensively metabolised in the liver and has an overall half-life of about 12 hours. The efficacy of duloxetine (60 mg/day) has been compared to that of escitalopram (10 mg/day) and placebo in a randomised study of 684 patients (randomised in a 2:2:1 ratio). The onset of efficacy was defined as a 20% sustained reduction in the patient's score on the Hamilton Rating Scale for Depression Maier subscale, by the second week of treatment. The probability of meeting these criteria was 42.6% in patients given duloxetine, 35.2% in patients given escitalopram and 21.5% in patients given placebo. After eight weeks, the probability of responding to treatment (defined as a 50% improvement from baseline on the Hamilton Rating Scale for Depression) was not statistically different between patients given active drug or placebo. Response rates were 48.7% for duloxetine, 45.3% for escitalopram and 36.9% for placebo. In a review analysing efficacy data from nine duloxetine trials, the number needed to treat for a duloxetine dose of 60 mg/day or more was 6 for a response (based on the Hamilton Rating Scale for Depression), 7-9 for remission and 6-7 for a Clinical Global Impression-defined improvement by eight weeks. tamoxifen protocol The NICE British National Formulary (BNF) and British National Formulary for Children (BNFc) sites are only available to users in the UK, Crown Dependencies and British Overseas Territories. If you believe you are seeing this page in error please contact us. Is mail order viagra legal Patient Education DULOXETINE - ORAL IMPORTANT NOTE The following information is intended to supplement, not substitute for, the expertise and judgment of your. where can i purchase femara Cymbalta duloxetine, a drug prescribed for neuropathic pain associated with diabetic peripheral neuropathy, depression, and anxiety. Side effect, dosage, and drug interaction information included. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only. The FDA has also approved it for the treatment of Generalized Anxiety Disorder (GAD) and Diabetic Peripheral Neuropathy (DPN). In some countries duloxetine is approved for the treatment of stress incontinence. The owner, Eli Lilly, was seeking approval for treating stress incontinence, but has withdrawn the application. During the clinical trials, a small number of women had suicidal thoughts or attempted suicide. Clinical trials are being conducted to see if it helps fibromyalgia and chronic fatigue syndrome. When taken for depression, it is sometimes divided into two 30 mg doses; otherwise duloxetine is taken once a day in a single dose. Sometimes duloxetine is started at a low dose and increased as tolerated. This is especially true in people with diabetic peripheral neuropathy, who may also have kidney disease. Duloxetine comes in a capsule and it should be swallowed whole. Take this medicine only as directed by your doctor to benefit your condition as much as possible. You will need to use this medicine for several weeks before you begin to feel better. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. Keep using the medicine even if you feel you are not getting better, and talk to your doctor if you have any questions. Swallow the delayed-release capsule whole with or without food. Do not open the capsule and sprinkle the contents on food or in liquids. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. Duloxetine dosage Cymbalta 30mg hard gastro-resistant capsules - Summary of Product., Duloxetine Cymbalta, Antidepressant, Side Effects, Xanax reflux Amoxicillin pictures Dosage and instructions. The usual dose of duloxetine is 60 mg/day. Sometimes duloxetine is started at a low dose and increased as tolerated. This is especially true in people with diabetic. Duloxetine Cymbalta, Yentreve, Xeristar, Arclaim. Duloxetine Oral Route Proper Use - Mayo Clinic Duloxetine Oral Uses, Side Effects, Interactions, Pictures, Warnings. DuloxetineCymbalta generic Duloxetine belongs to a class of drugs known as serotonin-norepinephrine reuptakeDuloxetine Cymbalta - Indications, Dosage, Side Effects and Precautions. metoprolol 25 mg price Duloxetine - Learn more info about detail prescription, dosage, side effects, pregnancy effectsTake duloxetine exactly as your doctor prescribes it. Follow the directions on your prescription label. The recommended dose for treating depression is 20 or 30 mg twice daily or 60 mg once daily.