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Precautions

Do NOT use Cymbalta if:

• you're allergic to the ingredient in Cymbalta
• you might have uncontrolled narrow-angle glaucoma
• you might have liver problems or severe kidney problems, otherwise you are experiencing dialysis
• you take or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) within the last 14 days
• you take a quinolone antibiotic (eg, ciprofloxacin), a selective serotonin reuptake inhibitor (SSRI) (eg, fluoxetine, fluvoxamine), an SNRI (eg, venlafaxine), thioridazine, or tryptophan.

Contact your medical professional or health care provider right away if any of these affect you.

Some medical ailments may talk with Cymbalta. Tell your medical professional or pharmacist in case you have any health conditions, especially if any in the following connect with you:

• if you are pregnant, likely to conceive, or are breast-feeding
• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, or another substances
• if you or possibly a loved one features a good bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• when you have a history of seizures, heart disease (eg, heart failure, irregular heartbeat), recent cardiac event, high blood pressure levels, kidney problems, diabetes, stomach or irregularity (eg, slowed emptying), or increased eye pressure (eg, glaucoma)
• if you might be dehydrated, have trouble urinating, have low blood sodium levels, or drink alcohol.

Some medicines may talk with Cymbalta. Tell your doctor if you are taking another 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 side effects, for instance 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 probability of bleeding, including stomach bleeding, could possibly be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) since the likelihood of low blood sodium levels could be increased
• Cimetidine, medicines for blood pressure, or quinolone antibiotics (eg, ciprofloxacin) since they could raise the chance of Cymbalta's unwanted side effects
• Certain antiarrhythmics (eg, flecainide, propafenone), phenothiazines (eg, chlorpromazine, thioridazine), or tricyclic antidepressants (eg, amitriptyline) as the likelihood of their negative effects could be increased by Cymbalta.

This may not be a complete listing of all interactions that may occur. Ask your health care provider if Cymbalta may talk with other medicines that you take. Check using your health care provider before you begin, stop, or alter the dose from a medicine.

Important safety information:

• Cymbalta could cause drowsiness, dizziness, or blurred vision. These effects may be worse if you get it with alcohol or certain medicines. Use Cymbalta with caution. Do not drive or perform other possible unsafe tasks until you recognize how you respond to it.
• Cymbalta could potentially cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially inside the morning. Sit or take a nap with the first manifestation of these effects.
• Check using your doctor before you consume alcohol or use medicines that might cause drowsiness (eg, sleep aids, muscle relaxers) while you're using Cymbalta; it may increase their effects. Ask your friendly phamacist in case you have questions about which medicines might cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take greater than the recommended dose or use for over prescribed without checking using your doctor.
• Do not suddenly stop taking Cymbalta. Some conditions can become worse in the event the prescription medication is suddenly stopped or the dose of Cymbalta is decreased. Your dose might need to be slowly lowered to slow up the likelihood of unwanted effects.
• Children and teenagers taking Cymbalta may be at increased risk for suicidal thoughts or actions. Adults may also be affected. The risk might be greater in patients who've had suicidal thoughts or actions within the past. The risk can be greater in patients who may have had bipolar (manic-depressive) illness, or if their loved ones members have experienced it. Watch patients taking Cymbalta closely. Contact the physician at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic and anxiety attacks; or any unusual alteration of mood or behavior occur. Contact your physician right away if any indications of suicidal thoughts or actions occur.
• Serotonin syndrome is often a possibly fatal syndrome that can be due to Cymbalta. Your risk could be greater if you take Cymbalta with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Symptoms may include agitation; coma; confusion; sweating in excess; fast or irregular heartbeat; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Contact your medical professional at once if you have some of these symptoms.
• Neuroleptic malignant syndrome (NMS) can be a possibly fatal syndrome that could be a result of Cymbalta. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your medical professional at the same time when you have any of these symptoms.
• Diabetes patients - Cymbalta may affect your blood sugar levels. Check blood sugar levels closely. Ask a medical expert prior to deciding to affect the dose of your diabetes medicine.
• If a medical expert informs you to halt taking Cymbalta, you will have to watch for at the very least 5 days before beginning to take certain other medicines (eg, MAOIs). Ask your doctor when you ought to start to adopt your medicines after you've stopped taking Cymbalta.
• Lab tests, including hypertension and liver function, might be performed whilst you use Cymbalta. These tests could be used to monitor your trouble or look for side effects. Be sure to keep all doctor and lab appointments.
• Use Cymbalta with caution inside elderly; they could be more understanding of its effects, especially low blood sodium levels.
• Caution is required when utilizing Cymbalta in children; they may be more understanding of its effects, especially increased probability of suicidal thoughts or actions.
• Cymbalta ought to be used with careful attention in children; safety and effectiveness in youngsters have not been confirmed.
• Pregnancy and breast-feeding: Cymbalta could cause harm to the fetus if it can be used over the past 3 months of pregnancy. If you conceive, get hold of your doctor. You will need to discuss the advantages and perils of using Cymbalta while you happen to be pregnant. Cymbalta is located in breast milk. Do not breastfeed while taking Cymbalta.