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Duloxetina para distúrbios de humor e nervosos

Cymbalta, Depalta, Duciltia

Duloxetine (Cymbalta®, Depalta® and Duciltia®) is prescribed to treat mood and nerve disorders. You may also be prescribed generic duloxetine capsules.

30 mg and 60 mg dosages are usually given for the treatment of depression, anxiety, and nerve pain.

Each time you collect a prescription from the pharmacy make sure the strength of your medicine (30 mg or 60 mg) is the same as before. Ask your pharmacist if you have any questions or concerns.

Common side effects of duloxetine include feeling sick (nausea), dry mouth, headache, constipation, and diarrhoea. Duloxetine can also make you feel dizzy or sleepy. If this happens, do not drive and do not use tools or machines.

Por favor, informe o seu médico se sentir que está piorando ou se experimentar quaisquer efeitos colaterais incômodos.

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About duloxetine

Tipo de medicamento

A serotonin and noradrenaline reuptake inhibitor

Usado para

Depression; anxiety disorder; pain caused by nerve damage in people with diabetes

Também chamado de

Cymbalta®; Depalta®; Duciltia®

Disponível como

Cápsulas

Duloxetine is a type of antidepressant called a serotonin and noradrenaline reuptake inhibitor (SNRI). It is used to treat depressão, transtornos de ansiedade, and pain caused by nerve damage in people with diabetes, called neuropatia diabética.

Duloxetine is thought to work by regulating the levels of certain chemicals in your brain, called serotonin and noradrenaline/norepinephrine, helping to improve symptoms of depression, anxiety, and nerve pain.

Other uses

Duloxetine is also prescribed for treating urinary symptoms, although a different brand and strength of capsule are used. There is a separate medicine leaflet called Duloxetina para sintomas urinários, giving more information about duloxetine when used for this condition.

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The most common side effects of duloxetine are:

  • Sentindo-se mal.

  • Boca seca.

  • Constipação.

  • Diarreia.

  • Sentindo-se tonto, cansado ou sonolento.

  • Dor de cabeça.

  • Suor.

  • Feeling anxious or shaky.

  • Dificuldade para dormir.

  • Diminuição do desejo sexual (libido).

You will find a full list in the manufacturer's information leaflet supplied with your medicine.

Os efeitos indesejados muitas vezes melhoram à medida que seu corpo se ajusta ao novo medicamento, mas fale com seu médico ou farmacêutico se algum dos seguintes persistir ou se tornar problemático.

Very common duloxetine side effects (these affect more than 1 in 10 people)

O que posso fazer se passar por isso?

Sentindo-se enjoado

Coma refeições simples - evite alimentos ricos ou picantes

Boca seca

Tente mascar chiclete sem açúcar ou chupar balas sem açúcar

Constipação

Tente manter uma dieta equilibrada e beba vários copos de água todos os dias

Common duloxetine side effects (these affect fewer than 1 in 10 people)

O que posso fazer se passar por isso?

Blurred vision; feeling tired, dizzy or sleepy

Do not drive and do not use tools or machines while affected. Avoid alcohol

Diarreia

Beba bastante água para repor os líquidos perdidos

Dor de cabeça

Beba bastante água e peça ao seu farmacêutico para recomendar um analgésico adequado. Se as dores de cabeça continuarem, informe o seu médico

Lack of appetite, indigestion, stomach pain, facial flushing, increased blood pressure, difficulty sleeping, feeling anxious, skin tingling, feeling shaky, reduced interest in sex, increased sweating

Discuta isso com seu médico se algum se tornar problemático

Importante: if you develop any depressing or distressing thoughts or ideas, you should let your doctor know about this as soon as possible. When this medicine is prescribed for people with depression or anxiety, it can increase the risk of suicidal thoughts, particularly when the treatment is first started.

On rare occasions, medicines that affect the level of serotonin in the brain can cause it to go too high and cause problems. The risk is higher if you are taking another medicine with this effect (such as an antidepressant). Seek medical attention if you develop any combination of the following:

  • Músculos rígidos ou movimentos 'sacudidos'.

  • Batimento cardíaco anormalmente rápido.

  • Temperatura alta (febre).

  • Feeling sick (nausea) or being sick (vomiting), diarrhoea.

  • Sentindo-se delirante ou vendo visões (alucinando).

If you experience any other symptoms which you think may be due to the medicine, please speak with your doctor or pharmacist for further advice

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Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking duloxetine it is important that your doctor knows:

  • Se você está grávida, tentando ter um bebê ou amamentando.

  • If you have problems with the way your liver works, or with the way your kidneys work.

  • Se você tem uma condição cardíaca.

  • Se você tem pressão ocular aumentada (chamada glaucoma).

  • Se você tem pressão alta.

  • If you have ever had 'high' moods, such as mania in bipolar disorder.

  • Se você já teve uma convulsão (ataque epiléptico).

  • If you have a blood disorder that increases your risk of bleeding.

  • Se você estiver tomando ou usando qualquer outro medicamento. Isso inclui quaisquer medicamentos que você esteja tomando e que estejam disponíveis para compra sem receita médica, bem como medicamentos fitoterápicos e complementares.

  • Se você já teve uma reação alérgica a um medicamento.

  • Read the manufacturer's printed information leaflet from inside the pack. It will give you more information about duloxetine and will provide you with a full list of the side effects which you may experience from taking it.

  • Take duloxetine exactly as your doctor tells you to. The usual dose is one capsule of either 30 mg or 60 mg daily.

    • When starting duloxetine, your doctor may give you the lower strength of capsules to begin with, and then increase the strength as you go on.

  • Try to take your doses at the same time of day each day, as this will help you to remember to take your doses regularly.

    • You can take duloxetine either before or after meals. Swallow the capsule whole with a drink of water to help you to swallow it.

  • If you forget to take a dose at your usual time, take it when you remember. If you do not remember until the following day then leave out the forgotten dose and take your next dose when it is due. Do not take two doses together to make up for a missed dose.

  • Tente manter suas consultas regulares com seu médico. Isso é para que seu médico possa verificar seu progresso e revisar seu tratamento.

  • You may feel that duloxetine is not helping you straightaway. If you are taking duloxetine for depression or anxiety, it can take a week or two before the effect builds up and 2-4 weeks before you feel the full benefit.

  • If you are taking duloxetine for nerve pain damage, it can take several weeks before you feel better. Do not stop taking the capsules after a week or so, even if you think they are not working.

  • If you are taking duloxetine for depression, you should expect that a normal course of treatment will last for around six months after your symptoms have eased.

    • There are several types of antidepressants and they differ in their possible side effects - if you find that duloxetine does not suit you then let your doctor know, as another may be found that will.

  • If you drink alcohol, ask your doctor for advice about drinking while you are on duloxetine. Drinking alcohol can increase the risk of unwanted effects from duloxetine, such as dizziness and blurred vision.

  • If you buy any medicines, check with a pharmacist that they are suitable to take with duloxetine. This is because some herbal medicines (such as St John's wort) can increase the risk that you will experience unwanted effects.

  • If you are having an operation or dental treatment, please tell the person carrying out the treatment that you are taking duloxetine.

  • Keep taking duloxetine until your doctor tells you otherwise. Your treatment is likely to last for a number of months.

    • Stopping suddenly can cause symptoms such as headache, sickness, anxiety, dizziness, shakiness and sleeping problems. Your doctor will reduce your dose gradually over a week or two to reduce the risk of these sorts of problems.

  • Mantenha todos os medicamentos fora do alcance e da vista das crianças.

  • Armazene em local fresco e seco, longe de calor e luz diretos.

Informações importantes sobre todos os medicamentos

Nunca tome mais do que a dose prescrita. Se suspeitar que você ou outra pessoa possa ter tomado uma overdose deste medicamento, vá ao departamento de acidentes e emergências do hospital local. Leve o recipiente com você, mesmo que esteja vazio.

Este medicamento é para você. Nunca o dê a outras pessoas, mesmo que a condição delas pareça ser a mesma que a sua.

Não guarde medicamentos vencidos ou indesejados. Leve-os à sua farmácia local, que se encarregará de descartá-los para você.

Se você tiver alguma dúvida sobre este medicamento, pergunte ao seu farmacêutico.

Relatar efeitos colaterais de um medicamento ou vacina

Se você sentir efeitos colaterais, pode relatá-los online através do Yellow Card website.

Does duloxetine cause weight gain?

Duloxetine is not strongly linked with weight gain, however some people may notice changes in their weight. It's important to speak to your doctor if you're concerned.

What is the most common side effect of duloxetine?

The most common side effect of duloxetine is feeling sick (nausea), although other issues like dry mouth or sleep changes can also occur. These side effects often go away over time.

How long can you take duloxetine for nerve pain?

How long you can take duloxetine for nerve pain depends on your individual needs and how well the medicine works for you. Some people may only need it for a few months, while others stay on it longer to keep their symptoms under control.

Is duloxetine addictive?

Duloxetine is not considered addictive. However, stopping it suddenly can cause withdrawal symptoms such as dizziness, headaches, or irritability. For this reason, your doctor will usually advise reducing the dose gradually if you decide to stop.

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