Duloxetine product monograph

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Discover the power of Duloxetine – a revolutionary solution for managing mood disorders and chronic pain. Developed with cutting-edge technology and backed by extensive research, Duloxetine offers a unique approach to improving your quality of life.

Benefits of Duloxetine:

• Manages depression and anxiety

• Alleviates chronic pain

• Enhances overall well-being

Take the first step towards a happier and healthier life with Duloxetine! Embrace the positive changes today.

Duloxetine Overview

Duloxetine is a prescription medication used to treat depression, anxiety, and certain types of chronic pain. It belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). Duloxetine works by increasing the levels of serotonin and norepinephrine in the brain, which helps regulate mood and alleviate pain.

How Duloxetine Works

Duloxetine works by inhibiting the reuptake of serotonin and norepinephrine in the brain, which helps to increase the levels of these neurotransmitters. This leads to improved mood and reduced perception of pain in individuals with depression, anxiety, or chronic pain conditions.

Indications and Usage

Duloxetine is a selective serotonin and norepinephrine reuptake inhibitor (SSNRI) indicated for the treatment of major depressive disorder (MDD), generalized anxiety disorder (GAD), diabetic peripheral neuropathic pain (DPNP), chronic musculoskeletal pain, including chronic osteoarthritis pain and chronic low back pain. It is also approved for the management of fibromyalgia and chronic pain due to fibromyalgia. In addition, duloxetine is indicated for the treatment of chronic pelvic pain in women, as well as for the treatment of moderate-to-severe stress urinary incontinence (SUI) in adult women. Duloxetine is a versatile medication that can address a range of psychiatric and pain-related conditions, making it a valuable option for clinicians and patients alike.

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Indications and Usage

Duloxetine is indicated for the treatment of major depressive disorder (MDD) in adults. It is also approved for the management of generalized anxiety disorder (GAD), diabetic peripheral neuropathic pain, chronic musculoskeletal pain, and fibromyalgia in adults.

Major Depressive Disorder (MDD): Duloxetine is used to treat MDD, a serious mood disorder characterized by persistent feelings of sadness and loss of interest in daily activities. It helps improve mood, appetite, sleep, and energy levels in individuals suffering from this condition.

Generalized Anxiety Disorder (GAD): Duloxetine is effective in the treatment of GAD, a chronic condition characterized by excessive, uncontrollable worry and anxiety about multiple life events. It helps reduce anxiety symptoms and improve overall quality of life.

Diabetic Peripheral Neuropathic Pain: Duloxetine is indicated for the management of diabetic peripheral neuropathic pain, a common complication of diabetes characterized by pain, numbness, and tingling in the extremities. It helps provide relief from nerve pain and improve quality of life in diabetic patients.

Chronic Musculoskeletal Pain: Duloxetine is used to manage chronic musculoskeletal pain, including chronic lower back pain and osteoarthritis pain. It helps reduce pain intensity, improve physical function, and enhance quality of life in individuals suffering from these conditions.

Fibromyalgia: Duloxetine is approved for the treatment of fibromyalgia, a chronic pain condition characterized by widespread musculoskeletal pain and fatigue. It helps alleviate pain symptoms, improve sleep quality, and enhance overall well-being in individuals with fibromyalgia.

Dosage and Administration

Dosage and Administration

It is essential to follow the prescribed dosage and administration instructions provided by your healthcare provider when taking Duloxetine. Do not change the dose or stop taking the medication without consulting your doctor.

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Recommended Dosage

The recommended starting dose for adults with major depressive disorder is 40-60 mg per day, taken orally in two divided doses. The dose may be increased to a maximum of 120 mg per day based on individual response and tolerability.


Duloxetine should be taken with food to help reduce the risk of gastrointestinal side effects. Swallow the capsule whole with water, do not crush or chew it. If you miss a dose, take it as soon as you remember unless it is close to the next scheduled dose. Do not double up on doses.

It is important to follow your healthcare provider’s instructions carefully to ensure the safe and effective use of Duloxetine.

Adverse Reactions

It is important to be aware of the possible adverse reactions that may occur when taking Duloxetine. Common side effects include nausea, dry mouth, dizziness, fatigue, constipation, and decreased appetite. Some patients may also experience weight changes, sleep disturbances, and sexual dysfunction.

More serious side effects that require immediate medical attention include allergic reactions such as rash, itching, swelling, severe dizziness, and trouble breathing. Additionally, Duloxetine may increase the risk of suicidal thoughts, especially in young adults.

If you experience any unusual or severe symptoms while taking Duloxetine, it is essential to contact your healthcare provider right away to determine the best course of action.

Warnings and Precautions

Cardiovascular Risk: Duloxetine has been associated with an increased risk of hypertension and tachycardia. Patients with pre-existing cardiovascular conditions should be monitored closely while taking duloxetine.

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Serotonin Syndrome: Use of duloxetine with serotonergic drugs can lead to serotonin syndrome, a potentially life-threatening condition. Patients should be advised to avoid concomitant use of other serotonergic medications.

Suicidal Thoughts and Behaviors: Duloxetine may increase the risk of suicidal ideation and behavior, especially in younger patients. Close monitoring is essential, and patients should be educated about the warning signs of suicidal thoughts.

Hepatotoxicity: Cases of liver injury, including hepatitis and elevated liver enzymes, have been reported with duloxetine use. Liver function tests should be performed regularly in patients taking duloxetine.

Glaucoma: Duloxetine has been associated with an increased risk of angle-closure glaucoma. Patients with narrow-angle glaucoma should not take duloxetine, and those with open-angle glaucoma should be monitored for changes in intraocular pressure.

Drug Interactions

It is important to be aware of potential drug interactions when taking Duloxetine. Some medications may interact with Duloxetine and either increase the risk of side effects or reduce the effectiveness of the medication. It is essential to inform your healthcare provider about all the medications you are currently taking, including prescription, over-the-counter, and herbal supplements.

Common Drug Interactions

  • MAO inhibitors: Combining Duloxetine with MAO inhibitors can lead to a potentially life-threatening condition known as serotonin syndrome. It is crucial to allow a suitable washout period between the use of these medications.
  • Warfarin: Duloxetine may interact with warfarin, an anticoagulant, leading to an increased risk of bleeding. Regular monitoring of blood clotting parameters is necessary when these medications are used together.

Your healthcare provider will evaluate the potential drug interactions before prescribing Duloxetine to ensure your safety and well-being. Make sure to follow their recommendations and report any unusual symptoms that may arise while taking this medication.