February 1, 2023

Psychiatrist reviews the medication Cymbalta (duloxetine) and discusses its uses, dosing, side effects, and more! *** Link to Dr. Aly’s FREE “Antidepressants: A Beginner’s Guide” ➡️

So cymbalta was first approved for medical use in the united states in 2004 and by 2018 it was the 36th most commonly prescribed medication in the united states with more than 21 million prescriptions welcome back straight talkers today i’m going to talk about the medication cymbalta so that you can be better informed when deciding whether or not to start this

Medication but first make sure you hit that subscribe button so that you can be the first to know when new content comes out so duloxetine is a generic name and cymbalta is the brand name so how does this medication work cymbalta is considered to be a serotonin norepinephrine reuptake inhibitor or snri for short and it works by increasing the amounts of serotonin and

Norepinephrine in certain parts of the brain in adults cymbalta’s fda approved for the treatment of major depressive disorder generalized anxiety disorder diabetic peripheral neuropathic pain fibromyalgia and chronic musculoskeletal pain and this includes things such as osteoarthritis or chronic low back pain it’s also fd approved for the treatment of generalized

Anxiety disorder in kids 7 and older and it’s often used off label to treat several other conditions including neuropathic or chronic pain disorders other anxiety disorders and stress urinary incontinence cymbalta comes in delayed release capsules and dosing is generally between 30 and 120 milligrams daily most people will take this medication once daily but some

People also do split dosing generally if i’m using this medication in kids i’ll often start at an even lower dose to help reduce the risk of potential side effects and my approach is generally always to start low go slow meaning that we start at a low dose and increase the dose gradually and slowly over time with the goal of finding the lowest effective dose once

This medication is started it usually takes a couple weeks before you start noticing a difference in many people it’ll take a whole one to two months before it reaches its full effect at the prescribed dose and because of this delay i typically recommend starting therapy during this time because the benefits of therapy can be seen right away and the goal of treatment

With this medication is complete remission of current symptoms as well as the prevention of future episodes now let’s talk about the potential side effects it’s important to realize that many side effects are often considered to be dose dependent meaning that the likelihood of getting them increases as the dose increases some are also time dependent meaning that

They begin immediately upon starting the medication or whenever we make a change in the dosing of it but what we typically see is that side effects will go away with time as the body gets adjusted to the medication the common but usually more mild side effects of symbolic can include things such as nausea headaches dry mouth fatigue insomnia dizziness constipation

Or diarrhea decreased appetite and excessive sweating more serious but less common side effects could include increased suicidal thoughts or actions in those under the age of 25 years old serotonin syndrome increased chances of bleeding manic episodes liver damage and seizures when someone is put on cymbalta it’s ultimately unknown exactly how long they’ll need

To be on it but research suggests that once someone’s symptoms return to baseline and they’re back to feeling like normal they should continue the medication at the current dose for another 6 to 12 months and what this does is it helps prevent relapse or recurrence of symptoms when deciding to come off a cymbalta please do not stop taking this medication without

Talking to your doctor first and this medication does have a higher risk of discontinuation symptoms if the medication is stopped too quickly symptoms can include dizziness headaches paresthesias fatigue vomiting irritability insomnia diarrhea anxiety and excessive sweating so make sure to let your doctor know if these symptoms start to occur when you try to come

Off the medication because there’s different approaches that we can take to reduce these unwanted effects now head on over to the next video to find out more ways that you can help your child live their best life

Transcribed from video
What Is Cymbalta (Duloxetine)? Uses, Dosing, Side Effects, & MORE! | Dr. Aly By Straight Talk Psychiatry