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Duloxetine information
What Duloxetine is prescribed for
Duloxetine is a drug prescribed for patients with general anxiety disorder and major depressive disorder. This medicine works by affecting specific chemicals in the brain treating the symptoms of the conditions mentioned above, such as sweating, chronic anxiety, trembling, irritability, muscle aches, agitation, rashes, twitching, difficulty breathing, insomnia, exaggerated worry and tension or restlessness. You must always check with your doctor if you think you are going to benefit from using Duloxetine and keep all you symptoms under control. You may also be prescribed Duloxetine for treating back pain, fibromyalgia, or osteoarthritis pain, as well as diabetic neuropathy and a number of other conditions and problems. You will always need to make sure you tell your doctor if you are using isocarboxazid, selegiline, phenelzine, tranylcypromine, rasagiline, furazolidone or thioridazine, as you may not be able to take Duloxetine because of higher risk of developing very serious health effects.
Before you start taking Duloxetine
You will have to talk to your doctor before starting your Duloxetine treatment and report anything that you think may be of importance. Your health care provider will need to be notified of any medical issues you have, as many of them may require a dose adjustment or some other changes made to your treatment schedule previously discussed. You will need to make your doctor aware of the following aspects you have: seizures, glaucoma, kidney disease, liver disease, bipolar disorder, epilepsy, bleeding or blood clotting disorder as well as a history of drug abuse or suicidal thoughts. Your doctor will need to keep your progress under control and make sure you never take more of Duloxetine than you are supposed to. You will have to visit your health care provider regularly at least for the first few weeks of the treatment, especially if you are younger than 24. People from this age group are more likely to develop suicidal thoughts at the beginning of the treatment. You will have to watch out for such symptoms as aggressiveness, restlessness, mood or behavior changes, suicidal thoughts, impulsiveness, agitation, irritability, panic attacks, anxiety, trouble sleeping, hyperactivity or hostility, and tell your doctor about them as soon as possible.
How to use Duloxetine to benefit
It's always very important that you carry on with the treatment and take Duloxetine as prescribed, even if you do not notice an improvement. Some 4 weeks may be required for you to get the first results of your treatment, as they may not be as obvious at the beginning. Your doctor may tell you to take a higher or lower dose based on the response of your body to Duloxetine treatment. It's best to take Duloxetine at the same time every day with a glass of water, as that way you will be able to remember about your regularly scheduled dose and will not be missing any of them. Avoid drinking alcohol, as it makes liver damage more likely, if combined with Duloxetine.
Are there any side effects of Duloxetine?
Any side effects that seem severe and prevent you from carrying on with your normal life will have to be reported to your doctor as soon as you get them. Such symptoms as clay-colored stools, feeling like you might pass out, loss of appetite, memory problems, nausea, high fever, fast heart rate, feeling unsteady, easy bruising, stiff muscles, itching, pain in your upper stomach, agitation, shallow breathing, dark urine, uneven heartbeats, overactive reflexes, sweating, hallucinations, unusual bleeding, painful or difficult urination, yellowing of the skin or eyes, confusion or trouble concentrating, are considered serious and always have to be discussed with a qualified healthcare professional. Let your doctor know if there are any other symptoms that seem serious or very bothersome. Usually you do not need to worry about any mild side effects that may occur, such as constipation, mild nausea, loss of appetite, tired feeling, drowsiness or dry mouth, because they are most likely to disappear on their own, and there will be no need to report them to your health care professional.
Drugs likely to interact with Duloxetine
Your doctor will need to be notified of any of the following medicine you are using or may be planning to use at the moment of starting your Duloxetine treatment: zolmitriptan, almotriptan, rizatriptan, tramadol, diuretics, tryptophan, frovatriptan, sumatriptan, antibiotics, lithium, St. John's wort, blood thinners, fluvoxamine, linezolid, naratriptan, other antidepressants or cimetidine. There are some other drugs that can interact wit the effects of Duloxetine, as they can make it easier for you to bleed or bruise, as well as add to your drowsiness. The following ones are likely to do that: diclofenac, naproxen, anxiety medications, narcotic pain medicine, sedatives, etodolac, ibuprofen, cold or allergy medicine, sleeping pills, indomethacin, aspirin, muscle relaxers, medicine for seizures, nabumetone or piroxicam.
Can Duloxetine be used by a pregnant woman?
Tell your health care provider if you are pregnant or breastfeeding at the moment of starting the treatment. You will need to mention the fact of getting pregnant, especially being on the third trimester of pregnancy, because Duloxetine can harm your unborn child. There is also a risk it will pass into breast milk when your baby is nursing. You will not be able to keep breastfeeding when taking this medicine, and will always need to let your doctor know if you are planning to get pregnant.
In case you overdosed Duloxetine
You will have to seek emergency medical help in case you took too much of Duloxetine and experience extreme drowsiness, vomiting, fainting, diarrhea, feeling light-headed, hallucinations, fast heart rate, agitation, fever, seizure, loss of coordination or overactive reflexes. Those are all possible symptoms of Duloxetine overdose that you will need to have treated as soon as possible.
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