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Precautions

Do NOT use Cymbalta if:

• you are allergic to the ingredient in Cymbalta
• you've got uncontrolled narrow-angle glaucoma
• you might have liver problems or severe kidney problems, or you are experiencing dialysis
• you are taking or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) in 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 doctor or health care provider immediately if any of these connect with you.

Some medical conditions may interact with Cymbalta. Tell your physician or pharmacist for those who have any medical conditions, particularly when any with the following connect with you:

• if you happen to be pregnant, about to conceive, or are breast-feeding
• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, and other substances
• if you or even a relative carries a good bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• if you have a reputation seizures, heart problems (eg, heart failure, irregular heartbeat), recent heart attack, blood pressure, kidney problems, diabetes, stomach or bowel obstruction (eg, slowed emptying), or increased eye pressure (eg, glaucoma)
• if you're dehydrated, have trouble urinating, have low blood sodium levels, or are drinking alcoholic beverages.

Some medicines may interact with Cymbalta. Tell your doctor if you are taking any other medicines, especially any in 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, say for example a reaction that will include fever, rigid muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) for the reason that chance of bleeding, including stomach bleeding, might be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) for the reason that chance of low blood sodium levels might be increased
• Cimetidine, medicines for high blood pressure levels, or quinolone antibiotics (eg, ciprofloxacin) given that they could raise the likelihood of Cymbalta's unwanted side effects
• Certain antiarrhythmics (eg, flecainide, propafenone), phenothiazines (eg, chlorpromazine, thioridazine), or tricyclic antidepressants (eg, amitriptyline) because the chance of their unwanted effects could possibly be increased by Cymbalta.

This might not be a whole listing of all interactions which could occur. Ask your medical provider if Cymbalta may talk with other medicines that you take. Check together with your health care provider before you begin, stop, or affect the dose from a medicine.

Important safety information:

• Cymbalta might cause drowsiness, dizziness, or blurred vision. These effects could be worse if you go on it with alcohol or certain medicines. Use Cymbalta with caution. Do not drive or perform other possible unsafe tasks before you recognize how you respond to it.
• Cymbalta might cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially within the morning. Sit or sleep the night on the first sign of these effects.
• Check with your doctor before you decide to consume alcohol or use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you're using Cymbalta; it could add to 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 a lot more than the recommended dose or use for over prescribed without checking with your doctor.
• Do not suddenly stop taking Cymbalta. Some conditions can be worse when the prescription medication is suddenly stopped or even the dose of Cymbalta is decreased. Your dose should be slowly lowered to slow up the probability of negative effects.
• Children and teenagers having Cymbalta may be at increased risk for suicidal thoughts or actions. Adults may also be affected. The risk could possibly be greater in patients who've had suicidal thoughts or actions in the past. The risk can be greater in patients who have had bipolar (manic-depressive) illness, or if their loved ones members also have it. Watch patients taking Cymbalta closely. Contact the doctor simultaneously if new, worsened, or sudden symptoms including depressed mood; anxious, restless, or irritable behavior; panic 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 can be a possibly fatal syndrome that could be brought on by Cymbalta. Your risk could possibly be greater invest the Cymbalta with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Symptoms can sometimes include agitation; coma; confusion; hyperhidrosis; fast or irregular heartbeat; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Contact a medical expert at the same time in case you have some of these symptoms.
• Neuroleptic malignant syndrome (NMS) is often 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 once for those who have some of these symptoms.
• Diabetes patients - Cymbalta may affect your blood glucose levels. Check blood sugar levels closely. Ask your medical professional prior to deciding to customize the dose of one's diabetes medicine.
• If a medical expert lets you know to prevent taking Cymbalta, you will need to loose time waiting for at the very least 5 days before you begin to adopt certain other medicines (eg, MAOIs). Ask a medical expert when you start to consider your brand-new medicines after you've stopped taking Cymbalta.
• Lab tests, including blood pressure levels and liver function, may be performed while you use Cymbalta. These tests may be used to monitor your problem or look for side effects. Be sure to keep all doctor and lab appointments.
• Use Cymbalta with caution in the elderly; they could possibly be more responsive to its effects, especially low blood sodium levels.
• Caution is required when you use Cymbalta in children; they may be more responsive to its effects, especially increased risk of suicidal thoughts or actions.
• Cymbalta needs to be in combination with extreme caution in youngsters; safety and effectiveness in children weren't confirmed.
• Pregnancy and breast-feeding: Cymbalta might cause harm to the fetus if it is employed over the last a couple of months of childbearing. If you become pregnant, speak to your doctor. You will need to discuss the rewards and perils of using Cymbalta while you're pregnant. Cymbalta is situated in breast milk. Do not breastfeed while taking Cymbalta.