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Tuesday, 3 December 2019

Lexapro (Escitalopram)

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LEXAPRO  
Lexapro Information
Select from a wide range of medications online to buy Lexapro, a popular antidepressant medication that is known to belong to a wide class of medicines, known under the name of selective serotonin reuptake inhibitors. This medicine is able to affect some of the substances that can be found in the patient’s brain, and that are known to sometimes become unbalanced (thus, a depression is initiated).



Lexapro Indications
Buy Lexapro from our online pharmacy, as it is a medicine that is primarily prescribed in the treatment of patients who are suffering from depression. However, this antidepressant medication can also serve some other purposes (treat or prevent some other medical conditions) that have not been listed in this guide.

Lexapro Warnings
Treatment with Lexapro is not recommended in the case of patients who are suffering from the following medical conditions:
·         liver disease
·         kidney disease
·         suicidal thoughts
·         seizures
·         mania  
Patients who are suffering from any of the medical disorders that have been listed below might not be allowed to start taking this medicine, or they should be prescribed a lower dose of Lexapro. Their personal healthcare provider should closely monitor their patients’ treatment with this product. You should avoid starting treatment with Lexapro if you have recently taken monoamine oxidase inhibitors like these medicines:
·         Phenelzine or Nardil
·         Isocarboxazid or Marplan
·         Tranylcypromine or Parnate
Lexapro is a Category C FDA Pregnancy Medicine. Therefore, it has not been clearly determined whether treatment of this drug during pregnancy could harm a growing fetus or not. If you are pregnant, or if you suspect that you might become pregnant soon, you should then ask your personal physician if it is safe both for you and for the unborn child to start a treatment of Lexapro.
It has been clearly established that Lexapro’s main ingredients are able to pass into the nursing mother’s breast milk. If you are currently breastfeeding a child, you must not start using this medicine without first consulting with your personal doctor.

Lexapro Intake Guidelines
Ask your doctor to tell you how, when and how much Lexapro you should take on a regular basis. You must take this drug exactly how your personal doctor has told you to. If you do not understand some of your personal physician’s instructions, you should ask a pharmacist, a nurse or a physician. Also, carefully read the set of instructions from your medicine’s label. You must try to avoid taking double doses of this medicine without your personal physician’s consent. You should accompany each dose of this medicine with a full glass of water (eight ounces of liquid), with food or milk – this is in order to avoid an upset stomach. You must not stop your treatment with this drug without your physician’s approval, as this might trigger some unwanted side effects.

Wednesday, 30 December 2015

Benuryl (Probenecid)

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Benuryl is a drug bearing the generic name Probenecid. Benuryl reduces the amount of uric acid in the body by causing more uric acid to be passed out in your urine.


Benuryl Indications
Benuryl is used to treat gout and Gouty Arthritis. Benuryl is also used to increase the effectiveness of some antibiotics.
Other than those listed in this medication guide, Benuryl may also be used for other purposes not listed in this medical guide.
Before taking this medication, tell your doctor if you have:
  • Allergic reactions to Benuryl
  • Kidney disease
  • Poor kidney function
  • Kidney stones
  • Stomach ulcer
  • Blood problems
  • Salicylate therapy
You may require a lower dose or special monitoring during treatment or you may not be able to take Benuryl if you have any of the conditions listed above.
Benuryl is in the FDA pregnancy category B, meaning it is not expected to harm an unborn baby. If you are pregnant, do not take Benuryl without first talking to your doctor.
It is not known whether Benuryl will harm a nursing baby. Prior to taking Benuryl talk to your doctor if you are breast-feeding a baby.
Children younger than 2 years of age should be not approved of Benuryl for use.
Take each dose of Benuryl with a full glass of water. Drink at least 8 to 10 full glasses of fluid every day to reduce the risk of kidney stone formation unless your doctor tells you not to. Take Benuryl with food or with an antacid to lessen stomach upset. Consult your doctor if nausea, vomiting, or loss of appetite is severe or persistent.
Take Benuryl exactly as instructed by your doctor. Ask your pharmacist, nurse, or doctor to explain to you if you do not understand the directions on your prescription bottle.
Seek urgent medical attention.
Symptoms of a Benuryl overdose include:
  • Nausea
  • Vomiting
  • Seizures
  • Coma
  • Death
Take the missed dose as soon as you recall. Skip the dose you missed and take only your next regularly scheduled dose if it is almost time for your next dose. Do not take a double dose of Benuryl.
Stop taking Benuryl and seek emergency medical attention if you experience any of the following serious side effects:
  • Difficulty in breathing
  • Closing of your throat
  • Swelling of your lips, tongue, or face
  • Hives
  • Blood in your urine
  • Pain when you urinate
  • Rash
Less serious side effects may be more likely to occur. Continue to take Benuryl and talk to your doctor if you experience:
  • Mild nausea
  • Vomiting
  • Loss of appetite
  • Headache
  • Dizziness
  • Sore gums
  • Flushing
  • Acute Gouty Arthritis attack
Other side effects not listed here may also occur. Talk to your doctor if you suspect other side effects that seem unusual or especially troublesome to you.

Monday, 7 December 2015

Depakote DR (Divalproex sodium DR)

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What is Depakote DR (Divalproex sodium DR)?
Divalproex sodium affects chemicals in the body that may be involved in causing seizures.Divalproex sodium is used to treat various types of seizure disorders. Divalproex sodium is sometimes used together with other seizure medications.Divalproex sodium may also be used for other purposes not listed in this medication guide.



What is the most important information I should know about Depakote DR (Divalproex sodium DR) ?
In rare cases, divalproex sodium has caused life-threatening liver failure, especially in children younger than 2 years old. Children may be at even greater risk for liver problems if they use more than one seizure medication, if they have a metabolic disorder, or if they have a brain disease causing mental impairment (such as Creutzfeldt-Jacob disease, Huntington disease, multiple sclerosis, or a brain injury or infection). Seek emergency medical attention if the person taking this medicine has nausea, vomiting, stomach pain, or loss of appetite, low fever, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes). These symptoms may be early signs of liver damage. Some of these symptoms may also be early signs of pancreatitis. Divalproex sodium can cause birth defects. Do not use this medication without your doctor's consent if you are pregnant. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment. You may have thoughts about suicide while taking this medication. Your doctor will need to check you at regular visits. Do not miss any scheduled appointments.Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself. 

What should I discuss with my healthcare provider before taking Depakote DR (Divalproex sodium DR) ?
In rare cases, divalproex sodium has caused life-threatening liver failure, especially in children younger than 2 years old. Children of this age may be at even greater risk for liver problems if they use more than one seizure medication, if they have a metabolic disorder, or if they have a brain disease causing mental impairment (such as Creutzfeldt-Jacob disease, Huntington disease, multiple sclerosis, or a brain injury or infection). Divalproex sodium has also caused rare cases of life-threatening pancreatitis (inflammation of the pancreas). Pancreatitis can come on suddenly and symptoms may start even after you have been taking divalproex sodium for several years. Do not take divalproex sodium if you have liver disease or a urea cycle disorder. If you have any of these other conditions, you may need a dose adjustment or special tests to safely take divalproex sodium.a bleeding or blood clotting disorder;a history of head injury, brain disorder, or coma;a family history of a urea cycle disorder;a family history of infant deaths with unknown cause; orHIV or CMV (cytomegalovirus) infection.You may have thoughts about suicide while taking this medication. Tell your doctor if you have new or worsening depression or suicidal thoughts during the first several months of treatment, or whenever your dose is changed.Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits. Do not miss any scheduled appointments.


How should I take Depakote DR (Divalproex sodium DR) ?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the instructions on your prescription label.Drink plenty of water while you are taking this medication. Your dose may need to be changed if you do not get enough fluids each day. To be sure this medication is not causing harmful effects, your liver function will need to be tested. It is important that you not miss any scheduled visits to your doctor.Do not stop taking the medication even if you feel better. It is important to take divalproex sodium regularly to prevent seizures from recurring. Get your prescription refilled before you run out of medicine completely. Call your doctor promptly if this medicine does not seem to be working as well in preventing your seizures. Do not crush, chew, break, or open a delayed-release or extended-release tablet or capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time. You may open the divalproex sodium sprinkle capsule and sprinkle the medicine into a spoonful of pudding or applesauce to make swallowing easier. Swallow this mixture right away without chewing. Do not save the mixture for later use. Discard the empty capsule.Carry an ID card or wear a medical alert bracelet stating that you are taking divalproex sodium, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking divalproex sodium. Store divalproex sodium at room temperature away from moisture and heat. 


What happens if I miss a dose?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.


What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include sleepiness or drowsiness, shallow breathing, weak pulse, or loss of consciousness.


What should I avoid while taking Depakote DR (Divalproex sodium DR) ?
Avoid drinking alcohol, which can increase some of the side effects of divalproex sodium. Divalproex sodium can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Divalproex sodium can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun. 


Side effects of Depakote DR (Divalproex sodium DR) 
Seek emergency medical attention if the person taking this medicine has nausea, vomiting, stomach pain, or loss of appetite, low fever, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes). These symptoms may be early signs of liver damage. Some of these symptoms may also be early signs of pancreatitis. Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects: unexplained weakness with vomiting and confusion or fainting;easy bruising or bleeding, blood in your urine;fever, sore throat, and headache with a severe blistering, peeling, and red skin rash;fever, chills, body aches, flu symptoms;urinating less than usual;hallucinations (seeing things that aren't there);extreme drowsiness, lack of coordination; ordouble vision or back-and-forth movements of the eyes.Less serious side effects may include:mild drowsiness or weakness;diarrhea, constipation, upset stomach;depression, anxiety, or other emotional changes;changes in your menstrual periods;enlarged breasts;tremor (shaking);hair loss;weight changes;vision changes; orunusual or unpleasant taste in your mouth.


What other drugs will affect Depakote DR (Divalproex sodium DR) ?
Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for depression or anxiety can add to sleepiness caused by divalproex sodium. Tell your doctor if you regularly use any of these medicines, or any other seizure medication.
Before taking divalproex sodium, tell your doctor if you are using any of the following drugs:topiramate (Topamax);tolbutamide (Orinase);a blood thinner such as warfarin (Coumadin);aspirin or acetaminophen (Tylenol);zidovudine (Retrovir);clozapine (Clozaril, FazaClo);diazepam (Valium);meropenem (Merrem);rifampin (Rifadin, Rimactane, Rifater); orethosuximide (Zarontin).





Eldepryl (Selegiline)

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What is Generic Anipryl_Eldepryl (Selegiline)?
Generic Anipryl_Eldepryl (Selegiline) prevents the breakdown of a chemical in your brain called dopamine (DO pa meen). Low levels of this chemical are associated with Parkinson's disease.Generic Anipryl_Eldepryl (Selegiline) is used together with other medicines to treat symptoms of Parkinson's disease.Generic Anipryl_Eldepryl (Selegiline) may also be used for purposes other than those listed in this medication guide.



What is the most important information I should know about Generic Anipryl_Eldepryl (Selegiline)?
There are many other medicines that can cause serious medical problems if you take them together with Generic Anipryl_Eldepryl (Selegiline). Tell your doctor about all other prescription and over-the-counter medications you use, including vitamins, minerals, and herbal products.Eating tyramine while you are using Generic Anipryl_Eldepryl (Selegiline) can raise your blood pressure to dangerous levels and cause life-threatening symptoms.
You should become very familiar with the list of foods to avoid while you are using Generic Anipryl_Eldepryl (Selegiline).Do not stop taking Generic Anipryl_Eldepryl (Selegiline) suddenly or you may have harmful side effects. Keep taking the medicine as prescribed. Talk with your doctor before stopping the medication.You may have increased sexual urges, unusual urges to gamble, or other intense urges while taking this medication. Talk with your doctor if you believe you have any intense or unusual urges while taking Generic Anipryl Eldepryl (Selegiline).

What should I discuss with my healthcare provider before using Generic Anipryl_Eldepryl (Selegiline)?
Do not use Generic Anipryl_Eldepryl (Selegiline) if you are allergic to selegiline, or if you have used any of the following drugs within the past 14 days:
    * cough or cold medicine that contains dextromethorphan;    
    * meperidine (Demerol), propoxyphene (Darvon, Darvocet), or tramadol (Ultram, Ultracet);    
    * methadone (Dolophine, Methadose); or    
    * other MAO inhibitors such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or transdermal selegiline (Emsam).After you stop taking Generic Anipryl_Eldepryl (Selegiline), you must wait at least 14 days before taking any of the medications listed above. Before using this medicine, tell your doctor if you have kidney disease, liver disease, heart disease, high or low blood pressure, or a seizure disorder. If you have any of these conditions, you may not be able to use Generic Anipryl_Eldepryl (Selegiline), or you may need a dosage adjustment or special tests during treatment.Talk to your doctor before using this form of selegiline if you have phenylketonuria (PKU).


How should I take Generic Anipryl_Eldepryl (Selegiline)?
Take Generic Anipryl_Eldepryl (Selegiline) exactly as it was prescribed for you. Do not take the medication in larger amounts or for longer than recommended by your doctor. Larger doses will not have any greater effect, but serious side effects could result. Follow the directions on your prescription label.
Foods that you MAY eat include:
    * fresh meat, poultry, or fish (including lunch meat, hot dogs, breakfast sausage, and cooked sliced ham);    
    * any vegetables except broad bean pods (fava beans);    
    * processed cheese, mozzarella, ricotta, cottage cheese;    
    * pizza made with cheeses low in tyramine;    
    * soy milk, yogurt; or    
    * Brewer's or baker's yeast.
Generic Anipryl_Eldepryl (Selegiline) capsules are usually taken twice a day, at breakfast and lunch. Follow your doctor's instructions. 


Store this medicine at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not take extra medicine to make up the missed dose.


What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine.
Symptoms of a Generic Anipryl_Eldepryl (Selegiline) overdose may include severe headache, hallucinations, vision problems, sweating, cool or clammy skin, fast or uneven heart rate, feeling light-headed, fainting, or seizure (convulsions).


What should I avoid while using Generic Anipryl_Eldepryl (Selegiline)?
You must NOT eat foods that are high in tyramine, including:
    * air dried meats, aged or fermented meats, sausage or salami (including cacciatore and mortadella), pickled herring, and any spoiled or improperly stored beef, poultry, fish, or liver;    
    * beer from a tap, beer that has not been pasteurized;    
    * aged cheeses, including blue, boursault, brick, brie, camembert, cheddar, emmenthaler, gruyere, parmesan, romano, roquefort, stilton, and swiss;    
    * over-the-counter supplements or cough and cold medicines that contain tyramine;    
    * sauerkraut, soy beans, soy sauce, tofu, miso soup, bean curd, fava beans; or    
    * yeast extracts (such as Marmite).
Eating tyramine while you are taking Generic Anipryl_Eldepryl (Selegiline) can raise your blood pressure to dangerous levels which could cause life-threatening side effects.You should become very familiar with the list of foods to avoid while you are taking Generic Anipryl Eldepryl (Selegiline).Avoid drinking alcohol while taking Generic Anipryl_Eldepryl (Selegiline). Generic Anipryl_Eldepryl (Selegiline) can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.


What are the possible side effects of Generic Anipryl_Eldepryl (Selegiline)?
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop taking Generic Anipryl_Eldepryl (Selegiline) and call your doctor at once if you have any of these serious side effects:
    * sudden and severe headache, confusion, blurred vision, problems with speech or balance, nausea, vomiting, chest pain, seizure (convulsions), and sudden numbness or weakness (especially on one side of the body);    
    * feeling light-headed, fainting;    
    * hallucinations;    
    * feeling restless, agitated, or irritable;    
    * twitching muscle movements; or    
    * painful or difficult urination.


Continue taking Generic Anipryl_Eldepryl (Selegiline) and talk with your doctor if you have any of these less serious side effects:
    * dizziness, weakness;    
    * sleep problems (insomnia);    
    * runny or stuffy nose;    
    * back pain;    
    * constipation; or    
    * mouth sores or ulcers, pain with swallowing (while using Zelapar).
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.


What other drugs will affect Generic Anipryl_Eldepryl (Selegiline)?
Before taking Generic Anipryl_Eldepryl (Selegiline), tell your doctor if you are using any of the following drugs:
    * carbamazepine (Tegretol);    
    * diet pills or cold medicines that contain ephedrine, pseudoephedrine, or phenylephrine;    
    * nafcillin (Unipen);    
    * phenobarbital (Luminal, Solfoton);    
    * rifampin (Rifadin, Rifater, Rifamate, Rimactane); or    
    * an antidepressant such as amitriptyline (Elavil), amoxapine (Ascendin),bupropion (Wellbutrin, Zyban), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin),doxepin (Sinequan), duloxetine (Cymbalta),escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), protriptyline (Vivactil), sertraline (Zoloft), venlafaxine (Effexor), or trimipramine (Surmontil).
If you are using any of these drugs, you may not be able to take Generic Anipryl_Eldepryl (Selegiline), or you may need dosage adjustments or special tests during treatment.
There are many other medicines that can cause serious medical problems if you take them together with Generic Anipryl_Eldepryl (Selegiline). Do not take Generic Anipryl_Eldepryl (Selegiline) before telling your doctor about all other prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Keep a list with you of all the medicines you use and show this list to any doctor, dentist, or other healthcare provider who treats you



Saturday, 5 December 2015

Desyrel (Tazadone HCL)

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Desyrel (TRAZODONE)
Desyrel Information
This medicine is a modified cyclic antidepressant used to treat depression. It may also be used for relief of an anxiety disorder (e.g., sleeplessness, tension), chronic pain or to treat other conditions as determined by your doctor.



Desyrel Warning
Antidepressant medicines may increase the risk of suicidal thoughts and behaviors in children and adolescents, and possibly adults, who have severe depression or certain other mental or mood disorders. Children, adolescents, and adults who take this medicine should be monitored daily for any worsening of their condition, thoughts of hurting themselves, or any other sudden or unusual changes in mood or behavior. If any of these serious side effects occur, contact the doctor immediately. Some medicines may interact with this medicine. Do not take this medicine if you are taking sodium Oxybate. Additional monitoring of your dose or condition may be needed if you are taking carbamazepine, ketoconazole, itraconazole, HIV protease inhibitors such as ritonavir or indinavir, or serotonin reuptake blockers such as fluoxetine or venlafaxine. Inform your doctor of any other medical conditions including any mental or mood disorders (such asBipolar Disorder), allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine. A severe allergic reaction includes a severe rash, hives, breathing difficulties, or dizziness. If you experience anxiety, agitation, panic attacks, difficulty sleeping, irritability, hostility, impulsive feelings, severe restlessness, or worsening of depression contact your doctor as soon as possible. These may be signs that your condition is worsening or that your treatment with this medicine should be evaluated. If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using this medicine during pregnancy. This medicine is excreted in breast milk. If you are or will be breast-feeding while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby. Drug interactions can result in unwanted side effects or prevent a medicine from doing its job.

Desyrel Side effects
Side effects that may go away during treatment include drowsiness, dizziness, dry mouth, headache, or nausea. If they continue or are bothersome, check with your doctor. Check with your doctor as soon as possible if you experience lightheadedness, fainting, blood in urine, shortness of breath, vomiting, irregular heartbeat, or prolonged, inappropriate, or painful erection in males. Contact your doctor immediately if you experience severe nervousness or anxiety, agitation, panic attacks, difficulty sleeping, feelings of irritability or hostility, impulsive behavior or other unusual changes in behavior, severe restlessness, worsening feelings of depression, thoughts of hurting yourself, or any other mental or mood changes. Symptoms of an allergic reaction include rash, itching, swelling, severe dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.


Desyrel Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include slow, rapid or irregular pulse; unusual drowsiness or dizziness; vomiting; weakness; loss of consciousness; and seizures.


Desyrel Usage guidelines
Follow the directions for using this medicine provided by your doctor. Take this medicine with food. Store this medicine at room temperature in a tightly-closed container, away from heat and light. Continue to take this medicine even if you feel better. Do not miss any doses. If you miss a dose of this medicine, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.


Buy Desyrel
Buy Desyrel through our Online Pharmacy or at any Canada Pharmacy selling Online Prescriptions.
In some countries DESYREL may also be known as: Trazodone, Azona, Molipaxin, Sideril, Thombran, Trazodil, Triticum, Taxagon, Trittico, Nestrolan, Donaren, Desyrel, Diapresan, Trant, Depsan, Trazo, Desirel 




Friday, 4 December 2015

Cymbalta (Duloxetine HCL)

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Cymbalta
Cymbalta Information
Cymbalta is an antidepressant medication. It affects chemicals in the brain that may become unbalanced and cause depression. Cymbalta is used to treat major depressive disorder (MDD) and for the management of pain associated with diabetic peripheral neuropathy.



Cymbalta Warnings
Patients with major depressive disorder, both adult and pediatric, may experience worsening of their depression and/or the emergence of suicidal ideation and behavior (suicidality), whether or not they are taking antidepressant medications, and this risk may persist until significant remission occurs. Although there has been a long-standing concern that antidepressants may have a role in inducing worsening of depression and the emergence of suicidality in certain patients, a causal role for antidepressants in inducing such behaviors has not been established. Nevertheless, patients being treated with antidepressants should be observed closely for clinical worsening and suicidality, especially at the beginning of a course of drug therapy, or at the time of dose changes, either increases or decreases. Consideration should be given to changing the therapeutic regimen, including possibly discontinuing the medication, in patients whose depression is persistently worse or whose emergent suicidality is severe, abrupt in onset, or was not part of the patient’s presenting symptoms. The following symptoms - anxiety, agitation, panic attacks, insomnia, irritability, hostility (aggressiveness), impulsivity, akathisia (psychomotor restlessness), hypomania, and mania - have been reported in adult and pediatric patients being treated with antidepressants for major depressive disorder as well as for other indications, both psychiatric and nonpsychiatric. Although a causal link between the emergence of such symptoms and either the worsening of depression and/or the emergence of suicidal impulses has not been established, consideration should be given to changing the therapeutic regimen, including possibly discontinuing the medication, in patients for whom such symptoms are severe, abrupt in onset, or were not part of the patient’s presenting symptoms. A major depressive episode may be the initial presentation of Bipolar Disorder. Whether any of the symptoms described above represent such a conversion is unknown. However, prior to initiating treatment with an antidepressant, patients should be adequately screened to determine if they are at risk for Bipolar Disorder; such screening should include a detailed psychiatric history, including a family history of suicide, Bipolar Disorder, and depression. It should be noted that Cymbalta is not approved for use in treating bipolar depression
Drug interaction: Do not take Cymbalta if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) during the last 2 weeks. Wait at least 5 days after you stop taking Cymbalta before taking a MAOI. Serious, and sometimes fatal, reactions have occurred when these medicines have been used together. Also, do not take Cymbalta if you are taking thioridazine (Mellaril). Dangerous, even fatal irregular heartbeats may occur if these medicines are taken together. Before taking Cymbalta, tell your doctor if you are taking any of the following medicines: -an antiarrhythmic such as flecainide (Tambocor) or propafenone (Rythmol), and others; -a tricyclic antidepressant such asamitriptyline (Elavil), imipramine (Tofranil), doxepin (Sinequan), nortriptyline (Pamelor), and others; -venlafaxine (Effexor); -a phenothiazine such as chlorpromazine (Thorazine), fluphenazine(Prolixin), mesoridazine (Serentil), perphenazine (Trilafon), prochlorperazine (Compazine), and others; -a quinolone antibiotic such as trovafloxacin (Trovan), ciprofloxacin (Cipro), ofloxacin(Floxin), and others; -quinidine; or -a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac, Sarafem), paroxetine (Paxil, Pexeva), fluvoxamine (Luvox), and others.
Cymbalta is in the FDA pregnancy category C. Babies exposed to Cymbalta and/or other drugs of the same class during the third trimester of pregnancy may develop medical complications. Discuss the risks with your doctor. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment. Cymbalta passes into breast milk and may affect a nursing infant. Do not take Cymbalta without first talking to your doctor if you are breast-feeding a baby. Safety and efficacy in pediatric patients have not been established.


Cymbalta Side effects
If you experience any of the following serious side effects, stop taking Cymbalta and contact your doctor immediately or seek emergency medical treatment: -an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); -an irregular heartbeat or pulse; -low blood pressure (dizziness, weakness); -high blood pressure (severe headache, blurred vision); -chills or fever; -unusual bleeding or bruising; -a rash or hives.
In case of any of the following less serious side effects, continue taking Cymbalta and talk to your doctor: -headache, tremor, nervousness, or anxiety; -difficulty concentrating; -constipation; -nausea, diarrhea, dry mouth, or changes in appetite or weight; -weakness; -increased sweating; -sleepiness or insomnia; or -decreased sex drive, impotence, or difficulty having an orgasm.


Cymbalta Overdose
Seek emergency medical attention if an overdose is suspected. Symptoms of a Cymbalta overdose may include nausea, vomiting, tremor, agitation, seizures, drowsiness, hyperactivity, and enlarged pupils. In case of a missed a dose, take it as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.


Cymbalta Usage Guidelines
Take each dose with water. Cymbalta capsules should be swallowed whole and should not be chewed or crushed, nor should the contents be sprinkled on food or mixed with liquids. Cymbalta may be taken with or without food. Try to take Cymbalta at the same time each day. Do not stop taking Cymbalta without first talking to your doctor. Store Cymbalta at room temperature away from moisture and heat.


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In some countries CYMBALTA may also be known as: Duxetin, Yentreve, Delok, Ariclaim, Xeristar, Ariclaim