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DULOXETINE

Brand names: Cymbalta, Yentreve

Cymbalta (Duloxetine) is used for treating depression and generalized anxiety disorder, for managing pain caused by diabetic peripheral neuropathy (DPNP). Duloxetine (brand names Cymbalta, Yentreve) is a serotonin-norepinephrine reuptake inhibitor (SNRI) effective for the treatment of major depressive disorder (MDD), generalized anxiety disorder (GAD), pain related to diabetic neuropathy, fibromyalgia and stress urinary incontinence (SUI). Duloxetine was licensed by the FDA in 2004.

Generic Cymbalta 20mg / Generic Cymbalta 30mg / Generic Cymbalta 40mg

What is Duloxetine (Cymbalta)?

DULOXETINE is an antidepressant. It is used to treat depression. It is also used to treat pain caused by complications of diabetes or pain caused by fibromyalgia. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care providers before I take this medicine?

They need to know if you have any of these conditions:
bipolar disorder or a family history of bipolar disorder
kidney or liver disease
narrow- angle glaucoma
suicidal thoughts or a previous suicide attempt
taken medicines called MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate within 14 days
an unusual reaction to duloxetine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Do not cut, crush or chew this medicine. You can take this medicine with or without food. Take your medicine at regular intervals. Do not take your medicine more often than directed. If you have been taking this medicine regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose, or your symptoms may get worse. Ask your doctor or health care professional for advice. A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time. Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following:
certain diet drugs like dexfenfluramine, fenfluramine, phentermine, sibutramine
MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
nefazodone
procarbazine
SSRIs like citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline
St. John's Wort
thioridazine
tryptophan
venlafaxine

This medicine may also interact with the following:
certain antibiotics like ciprofloxacin and enoxacin
cimetidine
medicines for heart rhythm or blood pressure
other medicines for mental depression, mania, psychosis, or anxiety

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
changes in blood pressure
confusion
dizziness
fast talking and excited feelings or actions that are out of control
fast, irregular heartbeat
fever
hallucination, loss of contact with reality
seizures
stomach flu-like symptoms of diarrhea, vomiting
suicidal thoughts or other mood changes

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
blurred vision
change in appetite
change in sex drive or performance
headache
increased sweating
nausea

This list may not describe all possible side effects.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. Continue to take your medicine even if you do not feel better right away. It can take about 4 weeks before you feel the full effect of this medicine.

Patients and their families should watch out for worsening depression or thoughts of suicide. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of treatment or after a change in dose, call your health care professional.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

Do not treat yourself for coughs, colds, or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

This medicine may cause an increase in blood pressure. Check with your doctor or health care professional, you may be able to measure your own blood pressure and pulse. Find out what your blood pressure and heart rate should be and when you should contact him or her.

Where should I keep this medicine?

Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

Frequently asked questions:

What is a generic medication?

Wikipedia gives the following definition: “Generic drug (pl. generic drugs, short: generics) is a drug which is produced and distributed without a brand name. A generic must contain the same active ingredients as the original formulation. In most cases, it is considered bioequivalent to the brand name counterpart with respect to pharmacokinetic and pharmacodynamic properties. By extension, therefore, generics are assumed to be identical in dose, strength, route of administration, safety, efficacy, and intended use. Mind that the pills you will receive from us differ in appearance from the brand name ones. The looks of medications as well as brand names are the intellectual property of the brand manufacturer. Thus to avoid any accusation of copyright infringement we have to change the shape and the color of the generic pills as well as use the name of the active ingredient (generic name) instead of the brand name for printing on pills. Please be aware that the generic pills differ in appearance from the brand name medications. Our pills are round shaped and blister packed (10 pills per each blister). The name of the active ingredient as well as the weight are specified on the pill itself.

Why are generic pills cheaper than the brand name ones?

The principal reason for the reduced price of generic medicines is that the creation of the generic drug runs up less cost and therefore a lower price can be offered and still maintain profitability.
Manufacturers of generic drugs are mainly able to avoid the following three costs that brand name pharmaceutical companies incur: (1) costs associated with the research and development of the drug; (2) costs associated obtaining regulatory approval (i.e. proving safety and efficacy of a drug); and (3) marketing costs.
First, Generic manufacturers do not incur the cost of drug discovery and instead reverse-engineer existing brand name drugs to allow them to manufacture bioequivalent versions.
Second, generic manufacturers do not bear the burden of proving the safety and efficacy of the drugs through clinical trials - rather, generic manufacturers must prove the generic drug’s bioequivalancy to the existing drug.
Third, these companies receive the large benefit of the marketing and advertising that goes into pushing the innovator drug. The brand name drug has to prove itself in the eyes of the consumer, generic ones do not. The drugs that generic manufacturers are selling have been on the market for usually a decade or more and do not need additional advertising. For the same reason, generic manufacturers also do not give away sample doses to promote their products. The significant research, development and marketing costs incurred by the large pharmaceutical companies in introducing a new drug to the market is often cited as the reason for the high cost of new agents - they wish to recover these costs before the patent expires. Generic manufacturers do not incur these costs, with bioequivalence testing and manufacturing costing relatively little, and are able to charge significantly less than the brand. Buy discount Duloxetine (Cymbalta) online. Order cheap generic Cymbalta (Duloxetine) . Purchase Duloxetine (Cymbalta) - low cost and price, but high quality.

Do you require a prescription?

However we would strongly recommend you to consult your doctor before taking a medication. You may have some diseases contra-indicated for taking certain kinds of medicines and your doctor will advise you what you can or cannot take.

Do you guarantee the quality of pills?

High quality of the medications we offer is the subject of our primary concern. The logic is very simple: the better the quality of goods is, the more customers we have. Thus we are very attentive and selective in the choice of the supplier, the quality of goods is thoroughly tested and the documentation is closely checked.

How do you ship orders? Will I have to sign for the package?

If sent by the standard unregistered mail the order will come in a plain envelope without any reference to content. The envelope will be left in your mail box. There is no need to sign for it. If sent by a courier, the recipient needs to sign for the package. All orders are shipped in discreet packaging. There is no mention on the outside of the package as to what is contained inside. Furthermore, your name or any other personal information will never be given or sold to any other company. Your privacy is our utmost concern.

Will my order be delivered in one package or you will divide it in case the order is large?

If an order includes 90 pills (or more) or if there are different types of medications in one order we will have to send the pills separately. Thus the delivery will take longer than 3 weeks since the packages are sent with the interval of approximately 7 days one by one. This is done to secure the delivery.

Confidentiality

All the information you provide is confidential and is not given to any third parties.
On our site, you fill in a form to order your medications. Your personal information inserted is used for the delivery of goods and for and orders confirmation message. This information is also used to contact the customer if needed. The information is not used for any spam or promotional messages etc.

Security

Our stuff does not have any access to the customers’ credit card information. Customer support operators can see only the last four digits of your credit card in the database.
All the data from the “checkout page” is directly transferred to the secure server of the payment system.
Payments security is ensured by encrypting your personal information during its transfer from the customer to the bank for the processing. We use 128 bit Secure Sockets Layer (SSL) software to encrypt the information you input.

 

 

 

 

 

 

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