Important Safety Information About Cymbalta

The most important information you should know about Cymbalta:

Antidepressants can increase suicidal thoughts and behaviors in children, teens, and young adults. Suicide is a known risk of depression and some other psychiatric disorders. Call your doctor right away if you have new or worsening depression symptoms, unusual changes in behavior, or thoughts of suicide. Be especially observant within the first few months of treatment or after a change in dose. Approved only for adults 18 and over.

Cymbalta^® (duloxetine HCl) is not for everyone. Do not take Cymbalta if you:

have recently taken a type of antidepressant called a monoamine oxidase inhibitor (MAOI) or Mellaril^® (thioridazine)
have uncontrolled narrow-angle glaucoma (increased eye pressure)

Before taking Cymbalta, talk with your healthcare provider:

about all your medical conditions, including kidney or liver problems, glaucoma, diabetes, seizures, or if you have bipolar disorder. Cymbalta may worsen a type of glaucoma or diabetes
about all your prescription and nonprescription medicines. A potentially life-threatening condition has been reported when Cymbalta was taken with certain drugs for migraine, mood, or psychotic disorders
if you are taking NSAID pain relievers, aspirin, or blood thinners. Use with Cymbalta may increase bleeding risk
about your alcohol use
about your blood pressure. Cymbalta can increase your blood pressure. Your healthcare provider should check your blood pressure prior to and while taking Cymbalta
if you are pregnant or plan to become pregnant during therapy, or are breast-feeding

While taking Cymbalta, talk to your healthcare provider right away:

if you have itching, right upper-belly pain, dark urine, yellow skin/eyes, or unexplained flu-like symptoms, which may be signs of liver problems. Severe liver problems, sometimes fatal, have been reported
if you have high fever, confusion and stiff muscles, which may be symptoms of a potentially life-threatening condition
if you have skin blisters, serious or peeling rash, hives, mouth sores, or any other allergic reaction. These may be serious, possibly life-threatening, skin reactions
if you experience dizziness or fainting upon standing. This tends to occur in the first week or when increasing the dose, but may occur at any time during treatment
before you stop Cymbalta or change your dose
if you experience headache, weakness, confusion, problems concentrating, memory problems, or feel unsteady, which may be signs of low sodium levels
if you develop problems with urine flow

Most common side effects of Cymbalta (this is not a complete list):

nausea, dry mouth, sleepiness, fatigue, constipation, dizziness, decreased appetite, and increased sweating

You are encouraged to report negative side effects of Prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Other safety information about Cymbalta:

Cymbalta may cause sleepiness and dizziness. Until you know how Cymbalta affects you, you should not drive a car or operate hazardous machinery.
People age 65 and older who took Cymbalta reported more falls, some resulting in serious injuries.

How to take Cymbalta:

Take Cymbalta exactly as directed by your healthcare provider. Cymbalta should be taken by mouth. Do not open, break or chew capsule; it must be swallowed whole. Cymbalta can be taken with or without food.

Cymbalta is available by prescription only.

See Prescribing Information, including Boxed Warning about antidepressants and risk of suicide, and Medication Guide.

DD CON ISI 28NOV2011

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Treatment Options

There are a range of medications, including Cymbalta, used to manage chronic osteoarthritis pain.

Osteoarthritis is caused when the cartilage in your joints breaks down. When this cartilage breaks down and affects the underlying bone, it can result in pain and other symptoms.

There is no cure for osteoarthritis, but it can be managed through a variety of treatment options. Some of those treatment options include:

medication for pain (several different types, including Cymbalta, are available)
exercise
physical therapy
weight loss
assistive devices (such as canes or wedged insoles)
joint injections

Surgery, including joint replacement, can be used in some cases to aid those with osteoarthritis. Generally, this is considered only when a patient experiences high levels of pain and a loss in functioning.

To learn what treatment options are best for you, talk to your doctor.

There are a range of medications, including Cymbalta, used to manage chronic osteoarthritis pain. Cymbalta is a non-narcotic pain reliever and is available only by prescription.

Learn more about managing chronic osteoarthritis pain with Cymbalta and review some commonly asked questions about Cymbalta.

Indications

Cymbalta is indicated for the treatment of major depressive disorder (MDD). The efficacy of Cymbalta was established in four short-term and one maintenance trial in adults.

Cymbalta is indicated for the treatment of generalized anxiety disorder (GAD). The efficacy of Cymbalta was established in three short-term and one maintenance trial in adults.

Cymbalta is indicated for the management of diabetic peripheral neuropathic pain and fibromyalgia.

Cymbalta is indicated for the management of chronic musculoskeletal pain due to chronic osteoarthritis pain and chronic low back pain.

Important Safety Information About Cymbalta

The most important information you should know about Cymbalta:

Cymbalta^® (duloxetine HCl) is not for everyone. Do not take Cymbalta if you:

have recently taken a type of antidepressant called a monoamine oxidase inhibitor (MAOI) or Mellaril^® (thioridazine)
have uncontrolled narrow-angle glaucoma (increased eye pressure)

Before taking Cymbalta, talk with your healthcare provider:

about all your medical conditions, including kidney or liver problems, glaucoma, diabetes, seizures, or if you have bipolar disorder. Cymbalta may worsen a type of glaucoma or diabetes
about all your prescription and nonprescription medicines. A potentially life-threatening condition has been reported when Cymbalta was taken with certain drugs for migraine, mood, or psychotic disorders
if you are taking NSAID pain relievers, aspirin, or blood thinners. Use with Cymbalta may increase bleeding risk
about your alcohol use
about your blood pressure. Cymbalta can increase your blood pressure. Your healthcare provider should check your blood pressure prior to and while taking Cymbalta
if you are pregnant or plan to become pregnant during therapy, or are breast-feeding

While taking Cymbalta, talk to your healthcare provider right away:

if you have itching, right upper-belly pain, dark urine, yellow skin/eyes, or unexplained flu-like symptoms, which may be signs of liver problems. Severe liver problems, sometimes fatal, have been reported
if you have high fever, confusion and stiff muscles, which may be symptoms of a potentially life-threatening condition
if you have skin blisters, serious or peeling rash, hives, mouth sores, or any other allergic reaction. These may be serious, possibly life-threatening, skin reactions
if you experience dizziness or fainting upon standing. This tends to occur in the first week or when increasing the dose, but may occur at any time during treatment
before you stop Cymbalta or change your dose
if you experience headache, weakness, confusion, problems concentrating, memory problems, or feel unsteady, which may be signs of low sodium levels
if you develop problems with urine flow

Most common side effects of Cymbalta (this is not a complete list):

nausea, dry mouth, sleepiness, fatigue, constipation, dizziness, decreased appetite, and increased sweating

You are encouraged to report negative side effects of Prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Other safety information about Cymbalta:

Cymbalta may cause sleepiness and dizziness. Until you know how Cymbalta affects you, you should not drive a car or operate hazardous machinery.
People age 65 and older who took Cymbalta reported more falls, some resulting in serious injuries.

How to take Cymbalta:

Cymbalta is available by prescription only.

See Prescribing Information, including Boxed Warning about antidepressants and risk of suicide, and Medication Guide.

DD CON ISI 28NOV2011

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Important Safety Information About Cymbalta

The most important information you should know about Cymbalta:

Cymbalta® (duloxetine HCl) is not for everyone. Do not take Cymbalta if you:

Before taking Cymbalta, talk with your healthcare provider:

While taking Cymbalta, talk to your healthcare provider right away:

Most common side effects of Cymbalta (this is not a complete list):

Other safety information about Cymbalta:

How to take Cymbalta:

First Steps

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Treatment Options

Indications

Important Safety Information About Cymbalta

The most important information you should know about Cymbalta:

Cymbalta® (duloxetine HCl) is not for everyone. Do not take Cymbalta if you:

Before taking Cymbalta, talk with your healthcare provider:

While taking Cymbalta, talk to your healthcare provider right away:

Most common side effects of Cymbalta (this is not a complete list):

Other safety information about Cymbalta:

How to take Cymbalta:

Cymbalta^® (duloxetine HCl) is not for everyone. Do not take Cymbalta if you:

Cymbalta^® (duloxetine HCl) is not for everyone. Do not take Cymbalta if you: