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Does Cymbalta Cause Insomnia

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How Long Do Side Effects From Cymbalta Last

Cymbalta (Duloxetine) – Antidepressant/Anti-Anxiety

How long side effects from Cymbalta last can vary depending on the side effect.

Also, your risk for certain side effects may be higher when you first start taking the drug. For example:

  • Your risk for suicidal thoughts or behaviors may be highest in your first few months of taking Cymbalta or after your dose is changed. However, this can occur at any time while taking Cymbalta.
  • Your risk for orthostatic hypotension may be highest in your first week of taking Cymbalta.

Some side effects may go away once the drug is stopped. However, other side effects, like liver failure, may not go away if you stop the drug.

If you have questions about your risk for side effects with Cymbalta, talk with your doctor or pharmacist.

Should I Expect To Have Restless Legs If I Take Cymbalta

Restless legs wasnt specifically reported as a side effect by people taking Cymbalta in clinical trials.

But some people did report feeling agitated or restless. In some cases, this included physical restlessness, which could involve restless legs.

We encourage you to talk with your doctor if you experience restlessness, including restless legs, while taking Cymbalta. They may suggest ways to treat this side effect, such as lowering your Cymbalta dose. Or they may recommend that you stop taking Cymbalta and try a different medication for your condition.

Stopping Cymbalta treatment can cause withdrawal. Suddenly stopping Cymbalta use may increase your risk for discontinuation syndrome, which can cause withdrawal symptoms.

Withdrawal symptoms from suddenly stopping Cymbalta treatment can include:

You may wonder how long Cymbalta withdrawal may last. The effects usually go away on their own, but some can be severe.

Due to the risk of withdrawal, its very important that you dont suddenly stop taking Cymbalta. Instead, your medical professional will wean you off the drug. Theyll lower your dosage slowly over time. This is called a drug taper.

There isnt a single recommend drug taper for Cymbalta. Your medical professional can help plan a drug taper specific to you and your dosage.

Who Can And Can’t Take It

Duloxetine can be taken by adults aged 18 years and over.

For stress urinary incontenince, duloxetine can only be used by women.

Duloxetine is not suitable for some people. To make sure it’s safe for you, tell your doctor if you:

  • have had an allergic reaction to duloxetine or any other medicines in the past
  • have kidney or liver problems
  • have a heart problem
  • are trying to become pregnant, are already pregnant, or you’re breastfeeding

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Is Cymbalta Safe During Pregnancy And Breastfeeding

Cymbalta is not safe during pregnancy or while breastfeeding.

Cymbalta may harm your unborn baby if taken during pregnancy, and if you plan to get pregnant, your doctor will first assess the need to continue Cymbalta and most likely switch you over to safer medicine, but if you are already pregnant and taking Cymbalta, it is vital to assess the risk of possible malformations in your unborn child.

Similarly, Cymbalta can pass into breast milk and harm the newborn that way, so I recommend you talk over these concerns with your doctor.

Serious Side Effects Of Cymbalta

What You Need To Know About Duloxetine For Fibromyalgia

The most serious side effects of Cymbalta include:

  • Suicidal thoughts and behaviors
  • Activation of mania or hypomania
  • Serotonin syndrome
  • Liver poisoning and liver failure
  • Drug-induced movement problems
  • Dangerously high blood pressure
  • Orthostatic hypotension , fainting, and falling
  • Severe allergic reactions or severe skin reactions
  • Bleeding
  • Inability to urinate

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What To Do In Case You Take Too Much Cymbalta

If you believe youve taken too much Cymbalta, its important to call your medical professional right away. You can also call 800-222-1222 to reach the American Association of Poison Control Centers, or use its online resource. But if your symptoms are severe, its vital that you immediately call 911 or go to the closest emergency room.

How Much Will I Take

For depression, anxiety and nerve pain, duloxetine comes in 30mg and 60mg capsules.

For stress urinary incontinence, duloxetine comes in 20mg and 40mg capsules.

How much you take will depend on what youre taking it for:

  • depression the starting dose is 60mg a day and can be increased to 120mg a day
  • anxiety the starting dose is 30mg a day and can be increased to 60mg a day
  • nerve pain the starting dose is 60mg a day and can be increased to 60mg twice a day
  • stress urinary incontinence the starting dose is 20mg twice a day and can be increased to 40mg twice a day after 2 weeks

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How To Use Cymbalta

Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start using duloxetine and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth as directed by your doctor, usually 1 or 2 times a day with or without food. If you have nausea, it may help to take this drug with food. Swallow the capsule whole. Do not crush or chew the capsule or mix the contents with food or liquid. Doing so can release all of the drug at once, increasing the risk of side effects.

The dosage is based on your age, medical condition and response to treatment. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Follow your doctor’s instructions carefully. Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day.

Keep taking this medication even if you feel well. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when this drug is suddenly stopped. Also, you may experience symptoms such as dizziness, confusion, mood swings, headache, tiredness, diarrhea, sleep changes, and brief feelings similar to electric shock. Your dose may need to be gradually decreased to reduce side effects. Report any new or worsening symptoms right away.

Tell your doctor if your condition persists or worsens.

Does Cymbalta Cause Hair Loss

Severe Cymbalta Withdrawal Symptoms

One of the most surprising and frustrating Duloxetine side effects is hair loss. Patients rarely expect it because it is not officially listed as a side effect of Duloxetine. So when it happens, the lack of information makes them think its caused by something else. However, hair loss on the drug has been reported by many individuals. Although the hair loss isnt usually too significant, the symptom usually goes away after the dose is reduced. Talk to the doctor about adjusting the course of treatment if substantial hair loss is noticed. General hair loss that increased during treatment may stabilize once the patient is used to taking the drug or once the dose is adjusted.

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Can Cymbalta Keep You Awake At Night

Cymbalta can keep you awake at night whilst 80% of patients taking Cymbalta do not have any sleep-related side effects, around 20% have decreased REM sleep, insomnia, somnolence, and early awakening from sleep.

In clinical trials using SNRI, treatment-related insomnia and treatment-related somnolence saw an average of 13% and 10% of patients, respectively, and these sleep disturbances usually improved after a few weeks of treatment.

What Are Cymbaltas Other Uses

If youve been diagnosed with anxiety or depression, your medical professional may discuss Cymbalta with you. To learn more about the drugs use for anxiety or depression, we encourage you to keep reading. For information on Cymbaltas use in treating certain kinds of pain, you can see the Is Cymbalta used for pain? section above.

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Will Cymbalta Side Effects Differ Depending On The Strength I Use

Some side effects of Cymbalta may be dependent on dose. Cymbalta comes in the following strengths: 20 milligrams , 30 mg, and 60 mg. A higher strength of the drug might come with a higher risk of certain side effects.

Common dose-dependent side effects of Cymbalta include nausea, fatigue , constipation, dizziness, reduced appetite, and sweating more than usual.

Learn more about some of the side effects Cymbalta may cause.

The Other Side Of Sex Drive Problems

Depression Anxiety: Cymbalta For Depression And Anxiety

It is common for antidepressants to have sexual adverse effects on both genders. Cymbalta causes erectile dysfunction, ejaculatory dysfunction, and orgasm problems in men. Duloxetine causes similar intimate problems in females as well. Moreover, depression itself can be the cause of such problems.

Nonetheless, the patients with depressive disorder and taking the medication can use some techniques to manage these effects. Sometimes, sex drive changes can happen as a result of drug abuse. In this case, the only right solution is to find proper addiction treatment as soon as possible. Drug rehabs specializing in antidepressant abuse treatment are worth considering.

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More Ways To Manage Your Symptoms

If you still have questions about Cymbalta after reading this article, we recommend that you talk with your medical professional. Together you can decide if Cymbalta might be a good choice for you.

You can also discuss other treatments, forms of support, and resources that may benefit you. Weve listed some helpful suggestions below.

Can You Take Melatonin With Cymbalta

Melatonin is an all-natural hormone responsible for regulating sleep and wakefulness in humans.

Studies on exogenous melatonin supplementation have shown that it can improve the quality of sleep in people with sleep disorders, and there is no known interaction between Cymbalta and melatonin, which makes it ideal for use as short term solution for insomnia in conjunction with Cymbalta.

Melatonin is available in pharmacies in strengths between 310mg, and you can obtain it without a prescription in many countries.

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What Kind Of Feeling Does Cymbalta Give You

Cymbalta may boost your mood or make you feel calm. But the drug isnt expected to make you feel high.

Its hard to predict how youll feel when you first start taking the drug. This is because Cymbalta works by affecting certain chemicals in your brain.

When you first start treatment with Cymbalta, its recommended that you pay close attention to your actions, behaviors, moods, and thoughts. If you notice any changes, such as feeling like your depression symptoms are getting worse, be sure to talk with your medical professional right away.

Its vital to talk with them if you notice any unusual changes in your thoughts or behaviors, especially if youre age 24 or younger. This is because Cymbalta has a boxed warning about suicidal thoughts and behaviors in this age group. For details, you can see Side effects: A closer look in the Does Cymbalta have side effects? section above.

To learn more about what you may expect when using Cymbalta, we suggest that you talk with your medical professional or pharmacist.

Tell The Doctor About All Medical Conditions

Cymbalta

The best way to prevent adverse effects is to make sure the prescribing healthcare provider has your complete medical history. They especially need to know about:

  • Heart problems
  • Blood thinners such as warfarin
  • NSAIDs such as aspirin, ibuprofen, or naproxen,
  • Over-the-counter supplements such as St. Johns wort or tryptophan.

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Cymbalta Vs Effexor: Differences Similarities And Which Is Better For You

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Cymbalta and Effexor are brand-name medications used to treat psychiatric conditions such as depression and anxiety. They are usually prescribed as antidepressants to help relieve the symptoms of major depressive disorder. Symptoms of major depressive disorder may include persistent sadness and a severe loss of interest in daily activities.

Cymbalta and Effexor both belong to a class of drugs called serotonin and norepinephrine reuptake inhibitors . They work by increasing the availability of serotonin and norepinephrine in the brain. These chemicals, or neurotransmitters, are believed to play a role in the occurrence of mental health disorders.

For the purposes of this comparison, the name Effexor may also refer to Effexor XR, the only brand-name Effexor currently available on the market.

Is Cymbalta A Controlled Substance Is It A Narcotic

No, Cymbalta isnt a controlled substance or a narcotic. Narcotics is another term for opioids, which are a type of pain reliever. Controlled substances are medications that could cause either physical or mental dependence. With dependence, your body needs the drug to feel normal. The Drug Enforcement Administration sets limits on who can make, possess, and use medications that are controlled substances.

Animal studies of Cymbalta didnt show dependence in rats, although animal studies dont always predict what will happen in humans.

However, Cymbalta could cause withdrawal symptoms if you stop taking the drug suddenly. See the Cymbalta withdrawal and dependence section above to learn more.

Clinical studies didnt show any signs that Cymbalta is addictive. Addiction is different from dependence. Addiction is a disease in your brains reward pathways. This disease leads someone to continue using a drug even though its causing serious problems in their life. Over time, someone with addiction needs more and more of a drug to feel its effects.

Although Cymbalta isnt known to cause dependence or to be addictive, its not always possible to predict whether it could be misused. This is because the drug affects your central nervous system . The CNS is where your brains reward pathways are located.

If you have questions or concerns about your risk for dependence with Cymbalta, talk with your doctor.

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Misuse Withdrawal And Dependence

Cymbalta can cause withdrawal if treatment is stopped abruptly.

Withdrawal symptoms of Cymbalta can include:

  • fatigue
  • nausea, vomiting, or diarrhea

Counsel Cymbalta users that treatment should not be stopped without talking with their prescriber. Cymbalta should be gradually tapered to avoid discontinuation syndrome.

If someone experiences withdrawal symptoms during their Cymbalta taper, consider returning to the previously prescribed dose. Once withdrawal symptoms subside, the taper can be continued at a more gradual rate.

Cymbalta And Suicidal Thoughts

Cymbalta ( Duloxetine ) 60 Mg

The tendency to cause suicidal behaviors is one of the most dangerous aftereffects of Cymbalta. This property is not exclusive to this drug and is displayed by many antidepressants. They can sometimes make depression and anxiety disorder worse. According to Duloxetine warnings, patients should be monitored closely during the first weeks of treatment to ensure there arent increased suicidal thoughts.

There is also a link between Duloxetine and suicide when patients change the dose or stop taking the medication without supervision. Therefore, if suicidal thoughts are frequent, its advisable to get help in the drug facilities.

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Suicidal Thoughts And Behaviors

boxed warning from the Food and Drug Administration about suicidal thoughts and behaviors. The boxed warning appears on the drugs label and alerts you to possible serious risks.

This risk affects children, adolescents, and adults ages 24 and younger who take an antidepressant, such as Cymbalta. Keep in mind that Cymbalta isnt approved to treat depression in children younger than 18 years old.* The risk for these side effects is highest if you recently started taking the drug, or if your dosage was recently changed.

While youre taking Cymbalta, its recommended to watch for the following symptoms:

  • thoughts of harming yourself

* Cymbalta is approved to treat generalized anxiety disorder and fibromyalgia in certain children.

Ways to help manage

Its important to tell your medical professional right away if you have any unusual changes in moods, behaviors, feelings, or thoughts while taking Cymbalta. They may adjust your treatment plan or prescribe a treatment other than Cymbalta for you.

It may not be safe to take Cymbalta if you have certain conditions. We describe these below in more detail.

FDA boxed warning:Suicidal thoughts and behaviors

Cymbalta has a boxed warning from the Food and Drug Administration about suicidal thoughts and behaviors. The boxed warning appears on the drugs label and alerts you to possible serious risks.

For details, you can see the Side effects up-close section above.

Cymbalta And Other Medications

Below are lists of medications that can interact with Cymbalta. These lists dont contain all drugs that may interact with Cymbalta.

Before taking Cymbalta, talk with your doctor and pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions.

If you have questions about drug interactions that may affect you, ask your doctor or pharmacist.

Cymbalta and other drugs that affect serotonin

Cymbalta can increase serotonin levels in your body. Using Cymbalta with other drugs that also increase serotonin may raise your risk for serotonin syndrome.

Serotonin syndrome is a rare but potentially life threatening condition. Its caused by increased serotonin levels in your blood. Taking multiple medications that increase serotonin levels could cause serotonin to build up to dangerous levels in your blood.

Examples of other drugs that can increase serotonin levels include:

  • buspirone
  • sumatriptan

Before taking Cymbalta, be sure to tell your doctor if you take any of the medications listed above. They may want to monitor you for any signs of serotonin syndrome. Or they may have you take a different drug to treat your condition.

Drugs that inhibit CYP1A2 or CYP2D6

Certain medications inhibit the activity of two enzymes, called CYP1A2 and CYP2D6. Taking Cymbalta with these drugs may increase Cymbalta levels in your body.

  • warfarin
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