Question: When prescribing duloxetine, what are the recommendations for monitoring liver function tests? Duloxetine is a serotonin-norepinephrine reuptake inhibitor (SNRI) that also exhibits weak inhibition of dopamine. It is approved by the Food and Drug Administration for the treatment of major depressive disorder (MDD), generalized anxiety disorder (GAD), diabetic peripheral neuropathy, fibromyalgia, and chronic musculoskeletal pain. Duloxetine dosing for pain is up to 60 mg daily and can be increased to 120 mg daily when depression is present. Certain antidepressants, such as nefazodone, phenelzine, imipramine, amitriptyline, duloxetine, bupropion, and trazodone, have been associated with the greatest risk of hepatotoxicity, while other antidepressants, including citalopram, escitalopram, paroxetine, and fluvoxamine, have shown the least risk. Another possible risk factor is taking multiple medications (polypharmacy). When a patient is taking more than 1 medication that targets the same metabolic pathways, such as cytochrome P 450 (CYP)1A2 and CYP2D6 for duloxetine, serum liver enzyme levels may be altered. It is a prescription-only drug approved for the treatment of chronic musculoskeletal pain and chronic low back pain, which can be caused by conditions such as osteoarthritis. Subsequently, it was also approved for treatment of anxiety, pain caused by diabetic neuropathy, and pain caused by fibromyalgia before gaining FDA approval for chronic musculoskeletal pain in 2010. Food and Drug Administration (FDA) in 2004 for major depressive disorder. Cymbalta increases the action of serotonin and norepinephrine, which are natural neurotransmitters produced by the body. This effect of Cymbalta alleviates depression and anxiety and decrease pain signals in the brain, spinal cord, and nerves. It has also been suggested that Cymbalta could reduce inflammation or oxidative damage, but these theories have not been proven at this time. Prior to the approval of Cymbalta for musculoskeletal pain, several double-blind, placebo-controlled, randomized clinical trials confirmed that study participants taking Cymbalta had significantly greater pain reduction than participants taking a placebo. Since its approval, more recent studies have shown that Cymbalta reduces chronic musculoskeletal pain and that it is well tolerated.
I've been on cymbalta for almost 3 months for post partum anxiety and depression. Now I feel like my old self but I'm having horrible side effects. I take my 30mg in the morning and a few hrs after I take it I feel amped up. No sex drive either ( normally that's pretty high) I'm also on 15 mg of Remron and 300 mg of Labatol ( a beat blocker). I also have been waking up at 3 in the morning and not being able to fall back to sleep. My psychiatrist said I could go down to 20 mg a day or stop all together. Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, a small number of people (especially people younger than 25) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for people younger than 25), even if treatment is not for a mental/mood condition. Tell the doctor right away if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed. Show More Duloxetine is used to treat depression and anxiety. In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain).
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. High bicarbonate, cholesterol, and abnormal high or low potassium, were observed more frequently in CYMBALTA treated patients compared to placebo.