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Precautions

Do NOT use Cymbalta if:

• you happen to be allergic to any ingredient in Cymbalta
• you've uncontrolled narrow-angle glaucoma
• you have liver problems or severe kidney problems, or perhaps you are receiving dialysis
• you consider or have got a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) within the past 14 days
• you are taking a quinolone antibiotic (eg, ciprofloxacin), a selective serotonin reuptake inhibitor (SSRI) (eg, fluoxetine, fluvoxamine), an SNRI (eg, venlafaxine), thioridazine, or tryptophan.

Contact your doctor or health care provider right away if some of these sign up for you.

Some medical ailments may connect to Cymbalta. Tell your doctor or pharmacist when you have any medical ailments, in particular when any in the following connect with you:

• if you are pregnant, planning to conceive, or are breast-feeding
• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or other substances
• if you or even a family member features a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• for those who have a reputation seizures, heart related illnesses (eg, heart failure, irregular heartbeat), recent heart attack, high blood pressure, kidney problems, diabetes, stomach or bowel irregularity (eg, slowed emptying), or increased eye pressure (eg, glaucoma)
• if you are dehydrated, have trouble urinating, have low blood sodium levels, or are drinking alcohol.

Some medicines may communicate with Cymbalta. Tell your medical provider if you take some other medicines, especially any from the following:

• 5-HT₁ receptor agonists (eg, sumatriptan), linezolid, lithium, MAOIs (eg, phenelzine), quinidine, rasagiline, SNRIs (eg, venlafaxine), SSRIs (eg, fluoxetine, fluvoxamine), St. John's wort, tramadol, or tryptophan because severe negative effects, say for example a reaction that could include fever, rigid muscles, hypertension changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) as the risk of bleeding, including stomach bleeding, might be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) for the reason that risk of low blood sodium levels could possibly be increased
• Cimetidine, medicines for hypertension, or quinolone antibiotics (eg, ciprofloxacin) simply because they may increase the risk of Cymbalta's negative effects
• Certain antiarrhythmics (eg, flecainide, propafenone), phenothiazines (eg, chlorpromazine, thioridazine), or tricyclic antidepressants (eg, amitriptyline) as the probability of their side effects might be increased by Cymbalta.

This is probably not a total set of all interactions that will occur. Ask your health care provider if Cymbalta may communicate with other medicines that you simply take. Check along with your physician before starting, stop, or change the dose of the medicine.

Important safety information:

• Cymbalta could cause drowsiness, dizziness, or blurred vision. These effects could be worse if you get it with alcohol or certain medicines. Use Cymbalta with caution. Do not drive or perform other possible unsafe tasks before you understand how you answer it.
• Cymbalta may cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially within the morning. Sit or lay down in the first symbol of these effects.
• Check along with your doctor when you drink alcohol or use medicines that might cause drowsiness (eg, sleep aids, muscle relaxers) while you're using Cymbalta; it may well increase their effects. Ask your pharmacist in case you have questions regarding which medicines might cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take more than the recommended dose or use for longer than prescribed without checking together with your doctor.
• Do not suddenly stop taking Cymbalta. Some conditions can become worse if the prescription medication is suddenly stopped or dose of Cymbalta is decreased. Your dose ought to be slowly lowered to reduce the probability of unwanted side effects.
• Children and teenagers who take Cymbalta could possibly be at increased risk for suicidal thoughts or actions. Adults are often affected. The risk could be greater in patients who may have had suicidal thoughts or actions in the past. The risk can also be greater in patients who may have had bipolar (manic-depressive) illness, or if themselves members have experienced it. Watch patients who take Cymbalta closely. Contact your physician immediately if new, worsened, or sudden symptoms for example depressed mood; anxious, restless, or irritable behavior; panic and anxiety attacks; or any unusual change in mood or behavior occur. Contact the physician right away if any signs of suicidal thoughts or actions occur.
• Serotonin syndrome is really a possibly fatal syndrome which can be brought on by Cymbalta. Your risk could be greater for Cymbalta with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Symptoms can sometimes include agitation; coma; confusion; sweating in excess; fast or irregular heartbeat; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Contact your medical professional at the same time when you have these symptoms.
• Neuroleptic malignant syndrome (NMS) is really a possibly fatal syndrome that may be brought on by Cymbalta. Symptoms can sometimes include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your medical professional at the same time in case you have some of these symptoms.
• Diabetes patients - Cymbalta may affect your blood sugar levels. Check blood sugar levels closely. Ask your medical professional prior to deciding to affect the dose of the diabetes medicine.
• If your doctor tells you to prevent taking Cymbalta, you simply must loose time waiting for no less than 5 days prior to starting to adopt certain other medicines (eg, MAOIs). Ask your doctor when you ought to start to consider a new medicines after you have stopped taking Cymbalta.
• Lab tests, including blood pressure levels and liver function, could be performed as you use Cymbalta. These tests could be used to monitor your condition or search for negative effects. Be sure to keep all doctor and lab appointments.
• Use Cymbalta with caution in the elderly; they could be more responsive to its effects, especially low blood sodium levels.
• Caution is advised when working with Cymbalta in children; they may be more understanding of its effects, especially increased probability of suicidal thoughts or actions.
• Cymbalta should be used in combination with warning in kids; safety and effectiveness in youngsters have not been confirmed.
• Pregnancy and breast-feeding: Cymbalta might cause injury to the fetus if it is utilized over the last 3 months of pregnancy. If you conceive, contact your doctor. You will need to discuss the huge benefits and perils of using Cymbalta while you happen to be pregnant. Cymbalta is found in breast milk. Do not breastfeed while taking Cymbalta.