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Thursday, January 19th, 2012
6:18 am	Cymbalta Oral Side Effects and Precautions Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if any of these serious side effects occur: easy bruising/bleeding, dark urine, decreased interest in sex, changes in sexual ability, muscle cramps/weakness, shaking (tremor), stomach/abdominal pain, yellowing eyes/skin, difficulty urinating, unusual decrease in the amount of urine. Get medical help right away if any of these rare but serious side effects occur: black/bloody stools, vomit that looks like coffee grounds, seizure. This medication may rarely cause a very serious condition called serotonin syndrome. The risk increases when this medication is used with certain other drugs (see Drug Interactions section). Get medical help right away if you develop some of the following symptoms: hallucinations, unusual restlessness, loss of coordination, fast heartbeat, severe dizziness, unexplained fever, severe nausea/vomiting/diarrhea, twitching muscles. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Cymbalta Oral Precautions Before taking duloxetine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: personal or family history of psychiatric disorders (such as bipolar/manic-depressive disorder), personal or family history of suicide attempts, bleeding problems, glaucoma, kidney disease, liver disease, seizure disorder, stomach problems (such as slow emptying of the stomach), use/abuse of alcohol. This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid alcoholic beverages. If you have diabetes, duloxetine may affect your blood sugar levels. Check your blood sugar levels regularly as directed by your doctor. Your doctor may need to adjust your diabetes medication, exercise program, or diet. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Older adults may be at greater risk for bleeding while taking this drug. Older adults may also be more likely to develop a type of salt imbalance (hyponatremia), especially if they are taking "water pills" (diuretics). During pregnancy, this medication should be used only when clearly needed. It may harm an unborn baby. Also, babies born to mothers who have used this drug during the last 3 months of pregnancy may infrequently develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. Purchase high quality generic Cymbalta with rapidly worldwide delivery (Comment on this)
6:06 am	What is Cymbalta? Important information about Cymbalta Do not use Cymbalta together with thioridazine (Mellaril), or an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate). A dangerous drug interaction could occur, leading to serious side effects. You may have thoughts about suicide when you first start taking an antidepressant such as Cymbalta, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment. Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. Avoid drinking alcohol. It may increase your risk of liver damage. Cymbalta may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Before taking Cymbalta Do not use Cymbalta together with thioridazine (Mellaril), or an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate). A dangerous drug interaction could occur, leading to serious side effects. You must wait at least 14 days after stopping an MAO inhibitor before you can take Cymbalta. After you stop taking Cymbalta, you must wait at least 5 days before you start taking an MAOI. Do not use Cymbalta if you are allergic to duloxetine, or if you have untreated or uncontrolled glaucoma. To make sure you can safely take Cymbalta, tell your doctor if you have any of these other conditions: * liver or kidney disease; *seizures or epilepsy; *a bleeding or blood clotting disorder; *glaucoma; *bipolar disorder (manic depression); or *a history of drug abuse or suicidal thoughts. You may have thoughts about suicide while taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening depression or suicidal thoughts during the first several weeks 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 for at least the first 12 weeks of treatment. FDA pregnancy category C. It is not known whether Cymbalta will harm an unborn baby. What should I avoid while taking Cymbalta? Avoid drinking alcohol. It may increase your risk of liver damage. Cymbalta may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. See also: Cymbalta and alcohol (in more detail) Cymbalta side effects Get emergency medical help if you have any of these signs of an allergic reaction to Cymbalta: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. Call your doctor at once if you have any of these serious side effects while taking Cymbalta: Purchase top quality generic Cymbalta with rapid world wide shipping (Comment on this)
6:00 am	Order premium quality generic Cymbalta with quick worldwide delivery Package Price Per pill Savings Order 20mg × 30 pills $ 67.20 $ 2.24   20mg × 90 pills $ 117.60 $ 1.31 $ 84.00 20mg × 180 pills $ 193.20 $ 1.07 $ 210.00 Package Price Per pill Savings Order 30mg × 30 pills $ 78.00 $ 2.60   30mg × 90 pills $ 150.00 $ 1.67 $ 84.00 30mg × 180 pills $ 258.00 $ 1.43 $ 210.00 Package Price Per pill Savings Order 40mg × 30 pills $ 88.80 $ 2.96   40mg × 90 pills $ 182.40 $ 2.03 $ 84.00 40mg × 180 pills $ 322.80 $ 1.79 $ 210.00 Duloxetine capsule (Generic Cymbalta) What is this medicine? 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. What should I tell my health care provider 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. 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. 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 procarbazine SSRIs like citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline St. John's Wort thioridazine tryptophan venlafaxine This medicine may also interact with the following: aspirin and aspirin-like medicines certain antibiotics like ciprofloxacin and enoxacin cimetidine medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin medicines for heart rhythm or blood pressure NSAIDS, medicines for pain and inflammation, like ibuprofen or naproxen 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 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. 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 unusual bleeding or bruising 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. Where should I keep my medicine? Keep out of the reach of children. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). 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