Unfortunately, every year the number of people who face depression, nervous and psychological disorders only increases. What is difficult to say for that reason, but the accelerated rhythm of life, responsible work, misunderstanding in the family, problems in personal life – all of this can give a push to nervous shock, stress or result in neurosis or depressive state.
With such diseases or suspicion of them, it is mandatory to contact a doctor-psychotherapist, neurologist. Often without their help, a person can’t get out of the oppressed state and continue to lead a normal life. In addition, such diseases often turn into tragedies: suicides, deaths, explained hopeless situation, lack of joy and meaning of life.
Most often, for the restoration of the body, doctors recommend that the course of antidepressants be drunk, which in a relatively short time allows the person to return to life.
One of the medicines of the group of antidepressants is the preparation of Cymbalta, which doctors often prescribe to patients.
Effect of the drug
The instruction of the preparation of Cymbalta informs that the action of the drug is associated with the process of re-uptake of serotonin, as in many other preparations of similar orientation. If we talk about the international name of the drug, it can be found under the name Duloxetine. It is this substance that is active.
When is Cymbalta appointed
This drug is recommended for admission to those patients who have depressive conditions or diabetic neuropathy in its painful form. The active substance of Cymbalta is able to stop the pain syndromes caused by this disease.
Contraindications to admission
As each drug, the preparation of Cymbalta has contraindications. In the following diseases and conditions, treatment with this drug is not performed:
With increased sensitivity to the active substance duloxetine;
Simultaneous administration of drugs – MAO inhibitors;
During the period of breastfeeding;
When diagnosed with an angle-closure glaucoma;
Under the age of 18 years.
Caution and only under the supervision of a doctor, the drug can be used in cases of exacerbation of the manic and hypomanic state, not only at this current moment, but also in the anamnesis. The same applies to epilepsy (including anamnesis). Under the supervision of a doctor, patients with renal and hepatic insufficiency should be present, with the risk of developing an angle-closure glaucoma.
Possible side effects in treatment
The drug is quite serious, because the instruction of Cymbalta contains a full list of possible side effects that may appear when treating them.
Approximately 10% of cases (and this is considered a frequent reaction) against the background of Cymbalta may cause dizziness, sleep disturbance (as insomnia so vice versa drowsiness), nausea, dry mouth, constipation, headache.
Much less often among patients taking the drug, vomiting, diarrhea, decreased appetite and body weight against this background, tremor, sweating, decreased sexual desire, vision problems in the form of vague pictures, women have hot flashes, and men have decreased potency, ejaculatory disorders.
In patients with diabetic neuropathy, with the treatment with Cymbalta, there may be elevated blood glucose values when taking an analysis on an empty stomach.
In cases of drug overdose, vomiting, decreased appetite, ataxia, convulsions, tremor are possible. Antidote for the preparation of Cymbalta is not revealed, therefore, when treating them, the dosage prescribed by the doctor should be strictly observed.
How to take the drug correctly
Reception of Cymbalta does not depend on food intake. The form of release of the medicine is enteric-dissolving capsules. They must be swallowed without crushing or chewing. Dilution in a liquid or mixing with food when taken is not recommended.
Usually the drug is prescribed once a day at a dosage of 60 mg. If necessary, the dose is increased to 120 mg and taken twice a day. Dosage of 120 mg is considered the maximum for administration per day.
With renal failure, the initial dose is reduced to 30 mg per day.
It should be remembered that the reception of Cymbalta inhibits psychomotor reactions, can reduce the memory function.