Symbal-20

Uses
Symbal (Duloxetine) is an antidepressant medication. In addition to treating patients affected by depression, it is also used for fibromyalgia, DPN (diabetic peripheral neuropathy), musculoskeletal pain related to osteoarthritis and other chronic pain conditions. It is a type of SNRI (serotonin and noradrenaline reuptake inhibitor) that works by acting on neurotransmitters in the brain, which makes it effective for major depressive disorder. When used for pain, it acts by blocking pain signals. This drug has also been researched for stress urinary incontinence, anxiety and interstitial cystitis.

Precautions
Symbal (Duloxetine) comes as tablets, each of which contains 20mg of the active ingredient. The dosage is based on the patient's individual circumstances and will be decided by a doctor. Adults treating depression are usually told to start out with a dosage ranging from 40mg per day (given as 20mg twice per day) to 60mg per day (as one dose per day or else 30mg taken twice per day). Patients who are being given this medicine to help manage pain may be told to take 60mg once per day, however, some patients may be told to start out with a lower dosage. The dosage for fibromyalgia or other conditions may be different, and in all cases patients must follow the instructions given by their doctor.

Side effects
Adults undergoing medical treatment with Symbal (Duloxetine) may experience side effects, such as:

• Hyperhidrosis
• Appetite reduction
• Dryness in the mouth
• Tiredness or sleepiness
• Urinating more than usual

Any side effects you notice should be reported to your doctor. In rare cases, patients may experience serious side effects. You must seek immediate medical treatment if you experience tremors, stiff muscles, pain occurring when urinating, fever, discoloured urine or any other serious side effects.

Precautions
This drug should not be taken if an MAOI has been taken within the last 14 days, and patients who have discontinued treatment with this drug will also need to wait for a period of time (the exact amount of time will be determined by the doctor) before an MAOI can be taken.

If any suicidal thoughts occur, seek medical attention straight away.

Seek immediate emergency medical attention if you suffer an allergic reaction. Symptoms to watch for, which may be indicative of a reaction, include skin rashes, hives, swelling of the face or limbs, trouble breathing, and trouble swallowing.

Always use Symbal (Duloxetine) as you have been prescribed by your doctor. Never self-medicate or change your dosage without first consulting your doctor. The correct dosage can vary depending on your health, medical history, and the severity of the condition being treated.

This medication may not be safe for all patients. Before you begin using it always disclose the following to your doctor:

• If you are pregnant or breastfeeding.
• If you suffer from any allergies.
• If you suffer from any other health conditions or illnesses.
• If you are using any other medicine (including all non-prescription).
• If you are using any supplements, vitamins, or herbal products of any kind.