What are the most common side effects of Cymbalta. How long do Cymbalta side effects typically last. Can Cymbalta cause long-term side effects. What are the serious side effects to watch out for when taking Cymbalta. How does Cymbalta affect sleep and fatigue.

Understanding Cymbalta and Its Uses

Cymbalta, known by its generic name duloxetine, is a versatile medication prescribed for various conditions. It’s primarily used to treat:

• Generalized anxiety disorder in adults and children 7 years and older
• Chronic musculoskeletal pain in adults
• Diabetic neuropathy pain in adults
• Fibromyalgia in adults and children 13 years and older
• Major depressive disorder in adults

Administered as a capsule, Cymbalta is typically prescribed for long-term treatment. Its efficacy in managing these conditions has made it a popular choice among healthcare providers.

Common Side Effects of Cymbalta

While Cymbalta can be effective in treating various conditions, it’s not without potential side effects. Some of the most commonly reported side effects include:

• Sleep-related issues
• Nausea
• Constipation
• Headache
• Dry mouth

Is nausea a common side effect of Cymbalta? Yes, nausea is one of the most frequently reported side effects. However, for many people, this symptom tends to improve over time as the body adjusts to the medication.

Managing Common Side Effects

Most common side effects of Cymbalta are mild and often temporary. Here are some strategies to manage them:

1. Take Cymbalta with food to reduce nausea
2. Stay hydrated to combat dry mouth
3. Maintain a consistent sleep schedule to address sleep-related issues
4. Use over-the-counter remedies for constipation, after consulting with your healthcare provider

Mild Side Effects and Their Management

In addition to the common side effects, Cymbalta may cause other mild side effects, including:

• Sexual side effects
• Sweating
• Fatigue
• Dizziness
• Loss of appetite
• Agitation

How can one manage mild side effects of Cymbalta? Most mild side effects are temporary and can be managed with simple strategies. For instance, staying hydrated can help with sweating, while eating smaller, more frequent meals may help with appetite changes. However, if these side effects persist or become bothersome, it’s crucial to consult your healthcare provider.

Serious Side Effects to Watch For

While rare, Cymbalta can potentially cause serious side effects. These include:

• Eye-related issues
• Unusual bruising or bleeding
• Hypomania or mania
• Low blood sodium levels
• Serious skin reactions
• Serotonin syndrome
• Orthostatic hypotension
• Heart palpitations
• High blood pressure
• Urination problems
• Seizures
• Serious liver problems
• Withdrawal symptoms
• Allergic reactions
• Suicidal thoughts and behaviors

What are the most serious side effects of Cymbalta? The most serious side effects include serotonin syndrome, severe allergic reactions, and suicidal thoughts or behaviors. Cymbalta carries a boxed warning, the FDA’s most serious warning, for the risk of suicidal thoughts and behaviors, particularly in children, adolescents, and young adults.

Recognizing Serious Side Effects

It’s crucial to be aware of the signs of serious side effects. Seek immediate medical attention if you experience:

• Severe rash or hives
• Difficulty breathing or swallowing
• Chest pain or rapid heartbeat
• Severe dizziness or fainting
• Unusual bleeding or bruising
• Seizures
• Yellowing of the skin or eyes
• Dark urine
• Severe headache
• Thoughts of harming yourself

Cymbalta’s Impact on Sleep and Fatigue

Sleep-related side effects are commonly reported with Cymbalta use. These can manifest as:

• Insomnia
• Excessive sleepiness
• Vivid or unusual dreams
• Changes in sleep patterns

Does Cymbalta cause fatigue? Yes, fatigue or lack of energy is a reported side effect of Cymbalta. However, the impact on sleep and energy levels can vary greatly between individuals.

Managing Sleep-Related Side Effects

To mitigate sleep-related side effects, consider:

1. Taking Cymbalta in the morning if it causes insomnia
2. Establishing a consistent sleep schedule
3. Practicing good sleep hygiene
4. Avoiding caffeine and alcohol close to bedtime
5. Discussing dosage adjustments with your healthcare provider

Long-Term Side Effects of Cymbalta

While most side effects of Cymbalta are short-term, some may persist or develop over time. Potential long-term side effects include:

• Sexual dysfunction
• Weight changes
• Chronic fatigue
• Withdrawal symptoms if discontinued abruptly

Can Cymbalta cause permanent side effects? While most side effects resolve after discontinuing the medication, some, like sexual dysfunction, may persist in rare cases. Long-term use of Cymbalta should be monitored closely by a healthcare provider.

Cymbalta Side Effects in Children and Adolescents

Cymbalta is approved for use in children for certain conditions. While most side effects are similar to those in adults, there are some specific considerations:

• Weight loss may be more common in children
• Increased risk of suicidal thoughts and behaviors
• Potential impact on growth and development

How does Cymbalta affect children differently from adults? Children may be more sensitive to certain side effects, particularly weight changes and mood alterations. Close monitoring by healthcare providers and parents is crucial when children are prescribed Cymbalta.

Interactions and Precautions with Cymbalta

Cymbalta can interact with various medications and substances, potentially increasing the risk of side effects. Key interactions include:

• Monoamine oxidase inhibitors (MAOIs)
• Other antidepressants
• Blood thinners
• NSAIDs (non-steroidal anti-inflammatory drugs)
• Certain herbal supplements, like St. John’s Wort

What precautions should be taken when using Cymbalta? Inform your healthcare provider about all medications, supplements, and medical conditions before starting Cymbalta. Avoid alcohol while taking this medication, as it can increase the risk of liver damage.

Special Populations and Cymbalta

Certain groups may need extra caution when using Cymbalta:

• Pregnant or breastfeeding women
• Elderly individuals
• People with liver or kidney problems
• Those with a history of seizures or bipolar disorder

These groups may require closer monitoring or dosage adjustments to minimize the risk of side effects.

Understanding the potential side effects of Cymbalta is crucial for anyone prescribed this medication. While it can be highly effective in treating various conditions, being aware of possible reactions allows for prompt recognition and management of any issues that may arise. Always consult with your healthcare provider about any concerns or persistent side effects you experience while taking Cymbalta.

Cymbalta: Common, Mild, and Serious Side Effects

If you have anxiety, pain, or depression, your medical professional might recommend that you take a prescription drug called Cymbalta.

Cymbalta is used to treat:

• generalized anxiety disorder in adults and some children
• chronic (long-term) musculoskeletal pain in adults
• pain from diabetic neuropathy in adults
• fibromyalgia in adults and some children
• major depressive disorder in adults

Cymbalta comes as a capsule that you’ll swallow. It’s typically taken as a long-term treatment. The active drug in Cymbalta is called duloxetine. If you’d like to learn more about Cymbalta, including specifics about its uses, you can see this overview of the medication.

As with other drugs, taking Cymbalta may cause side effects that can be mild or serious. For more information, we encourage you to keep reading.

While taking Cymbalta, mild or serious side effects may occur.

Here are some examples of side effects commonly reported with Cymbalta treatment:

• sleep-related side effects*
• nausea
• constipation
• headache
• dry mouth

The side effects listed above are only a few of the possible side effects that can happen with Cymbalta. In the sections below, we review other possible mild and serious side effects the drug may cause.

* To learn more about this side effect, see “Side effects up-close” below.

You may have mild side effects from Cymbalta.

Examples of mild side effects that have been reported with Cymbalta include:

• sexual side effects*
• sweating*
• sleep-related side effects*
• fatigue (lack of energy)
• nausea
• constipation
• dry mouth
• headache
• dizziness
• loss of appetite
• agitation

* To learn more about this side effect, see “Side effects up-close” below.

In most cases, the mild side effects of Cymbalta should be temporary. Some may be easily managed as well. But if you have any symptoms that bother you, we encourage you to talk with your medical professional or pharmacist. Also, it’s important that you don’t stop using Cymbalta unless your medical professional recommends it.

It’s possible for Cymbalta to cause mild side effects other than the ones listed above. You can see the Cymbalta medication guide for more information.

Note: After the Food and Drug Administration (FDA) approves a medication, it tracks side effects of the drug. If you’d like to notify the FDA about a side effect you’ve had with Cymbalta, you can visit MedWatch.

Cymbalta may cause serious side effects, although most are rare.

Serious side effects that have been reported with Cymbalta include:

• eye-related side effects*
• unusual bruising or bleeding
• hypomania or mania (periods of high energy and excitement)
• low blood sodium level
• serious skin reactions, such as Stevens-Johnson syndrome
• serotonin syndrome (high levels of the brain chemical serotonin)
• orthostatic hypotension (a sudden change in blood pressure after standing up quickly), which can lead to fainting or falling
• heart palpitations (feeling as though your heart is pounding, fluttering, or skipping a beat)
• high blood pressure
• trouble urinating
• seizures
• serious liver problems, such as liver failure
• withdrawal symptoms if you suddenly stop taking the drug
• allergic reaction*†
• suicidal thoughts and behaviors‡

If you develop serious side effects while taking Cymbalta, it’s important to call your medical professional immediately. If you feel the side effects are life threatening or if you think you’re having a medical emergency, it’s vital to call 911 or your local emergency number right away.

* To learn more about this side effect, you can see “Side effects up-close” below.
† An allergic reaction is possible after using Cymbalta. But this side effect wasn’t reported in the drug’s initial studies.
‡ Cymbalta has a boxed warning for this side effect. This is the most serious warning from the Food and Drug Administration (FDA). To learn more, you can see “Side effects up-close” below.

Cymbalta can be used to treat:

• generalized anxiety disorder in children ages 7 years and older, and
• fibromyalgia in children ages 13 years and older

Most side effects of Cymbalta in children are expected to be the same as side effects in adults. But weight loss may be more common in children taking Cymbalta than in adults.

Cymbalta also has a boxed warning for suicidal thoughts and behaviors in children, adolescents, and young adults. A boxed warning appears on the drug’s label and alerts you to possible serious risks. For details, you can see the “Side effects up-close” section below.

Below are answers to a few frequently asked questions about the side effects of Cymbalta.

How long do Cymbalta side effects last?

It depends. Most side effects of Cymbalta usually get better or go away within hours or days after starting the drug.

But some side effects of Cymbalta might last for much longer. For details, you can see the “Does Cymbalta have long-term side effects?” section below.

Are certain Cymbalta side effects specific to older adults?

Yes, adults ages 65 and older may have a higher risk for certain side effects of Cymbalta.

For example, compared with younger people, older people may have a higher risk for:

• low blood sodium level
• falling, which may result from orthostatic hypotension (a sudden change in blood pressure after standing up quickly)

To learn more about how your age affects your risk for side effects from Cymbalta, you can talk with your medical professional.

Is weight gain one of Cymbalta’s side effects?

No, weight gain wasn’t a side effect reported in studies of Cymbalta.

But keep in mind that depression, which Cymbalta is used to treat, can cause weight changes. So, if you have weight changes while you’re taking Cymbalta, this could be due to Cymbalta reducing your depression symptoms. Weight changes may not be caused by Cymbalta itself.

If you’re concerned about weight gain while taking Cymbalta, we recommend talking with your medical professional. They can suggest ways to maintain a weight that’s healthy for you.

Do side effects of Cymbalta vary based on the dose or strength?

Yes, the side effects of Cymbalta can vary based on the dose or strength you’re taking.

Cymbalta comes as a capsule that you swallow. The capsules are available in the following strengths: 20 milligrams (mg), 30 mg, and 60 mg. Sometimes you may be prescribed more than one strength. For example, if you’re prescribed a 90-mg dose, you may be advised to take both the 30-mg and 60-mg doses.

In studies of Cymbalta, certain side effects were more likely to happen with higher doses of the drug. Examples include:

• nausea
• fatigue (lack of energy)
• constipation
• loss of appetite
• dizziness
• certain sexual side effects*
• sweating*

If you have questions about your risk for certain side effects from Cymbalta, we suggest that you talk with your medical professional.

* To learn more about this side effect, you can see “Side effects up-close” below.

Does Cymbalta cause abdominal pain?

Yes, you may have pain in your abdomen (stomach area) after taking Cymbalta. But this was one of the least common side effects in studies of the drug.

It’s important to note that pain in your abdomen can be a sign of liver problems. In rare cases, Cymbalta may cause serious liver problems, such as liver failure.

Let your medical professional know if you have abdominal pain while taking Cymbalta. They may recommend that you have tests to check your liver function.

Note: Your risk of liver problems with Cymbalta is higher if you drink high amounts of alcohol. We recommend talking with your medical professional about the amount of alcohol that’s safe for you to drink while taking Cymbalta.

Most side effects of Cymbalta are generally expected to be the same for females* and males* who take the drug.

But in studies of Cymbalta, sexual side effects were more common in males than in females. Sexual side effects that can be caused by Cymbalta are described below in the “Side effects up-close” section.

Other side effects of Cymbalta that are specific to females are related to using Cymbalta during pregnancy or while breastfeeding. For details, you can see the “What are the warnings about Cymbalta?” section below.

If you have questions about your risk for certain side effects of Cymbalta, talk with your medical professional.

* In this article, we use the terms “male” and “female” to refer to someone’s sex assigned at birth. For information about the difference between sex and gender, you can see this article.

Most side effects of Cymbalta typically get better or go away within hours or days of taking the drug. But some rare side effects of Cymbalta might last longer.

For example, eye-related side effects* and liver problems, such as liver failure, may be permanent. Or they may cause problems that last for months or years.

Additionally, withdrawal symptoms and sexual side effects* from Cymbalta may last for several weeks or months after you stop taking the drug. Withdrawal symptoms are side effects that can occur after suddenly stopping a drug. Withdrawal symptoms from stopping Cymbalta can include:

• irritability
• dizziness
• headache
• nausea

Your medical professional can provide more details about what to expect with Cymbalta treatment.

* To learn more about this side effect, you can see “Side effects up-close” below.

Here’s some additional information about certain side effects that Cymbalta may cause.

Sexual side effects

Cymbalta can cause sexual side effects. These side effects were more common in males* than in females* during studies.

Sexual side effects that commonly occurred in males taking Cymbalta include:

• erectile dysfunction (inability to get or keep an erection)
• delayed ejaculation
• low sex drive
• trouble having an orgasm

Keep in mind that certain conditions Cymbalta is used to treat, such as depression, can also cause some sexual side effects. So, it might be hard to tell whether these side effects may be caused by Cymbalta or the condition you’re taking the drug to treat.

* In this article, we use the terms “male” and “female” to refer to someone’s sex assigned at birth. For information about the difference between sex and gender, you can see this article.

Ways to help manage

We recommend telling your medical professional if you have sexual side effects while you’re taking Cymbalta. They can help figure out if the side effects may be from Cymbalta or from your condition.

Sweating

Sweating more than usual can occur with Cymbalta treatment. This effect was common in studies of the drug.

With excessive sweating, you may sweat more than usual without a known cause (such as heat or exercise).

Ways to help manage

If you experience excessive sweating with Cymbalta, it’s advised that you tell your medical professional. They may prescribe a prescription-strength antiperspirant for you.

If your excessive sweating is severe, your medical professional may also prescribe Botox (onabotulinumtoxinA). For this purpose, Botox is injected into certain sweat glands to prevent them from producing sweat.

If you have questions about sweating during Cymbalta treatment, we encourage you to talk with your medical professional.

Eye-related side effects

Eye-related side effects of Cymbalta are possible with Cymbalta.

For example, blurry vision was a common side effect in studies of Cymbalta. Other eye-related side effects were less common in studies, such as double vision and dry eyes.

If you have closed-angle glaucoma (also called angle-closure glaucoma), Cymbalta can also raise the risk of a glaucoma attack. A glaucoma attack can cause symptoms such as sudden blurry vision and eye pain. For details, see the “What are the warnings about Cymbalta?” section below.

Ways to help manage

If you have eye-related side effects while taking Cymbalta, it’s important to tell your medical professional right away. They can recommend treatments for you and check for any eye conditions.

Sleep-related side effects

Side effects that affect sleep were common in studies of Cymbalta.

Cymbalta may cause different sleep-related side effects from person to person. For example, some people may feel very sleepy or tired after taking Cymbalta. On the other hand, some people may have insomnia (trouble sleeping) after taking Cymbalta.

You’ll usually know more about how Cymbalta affects you after you’ve taken several doses of the drug.

Ways to help manage

If you feel very tired or sleepy after taking the drug, you may have problems with thinking, coordination, or judgment. And these effects could be dangerous while driving. You should avoid driving until you know how Cymbalta will affect you.

If you find that Cymbalta makes you tired or sleepy, it may be best to take your dose at bedtime. But if Cymbalta causes insomnia for you, you might want to take the drug in the morning. Make sure to follow recommendations from your medical professional about when to take your doses.

If you’re concerned about sleep-related side effects from Cymbalta, your medical professional can recommend ways to manage them.

Suicide prevention

If you or someone you know is considering suicide, you’re not alone. Help is available right now:

• Call the National Suicide Prevention Lifeline 24 hours a day at 800-273-8255.
• Text “HOME” to the Crisis Text Line at 741741.
• The Trevor Project provides crisis support for LGBTQIA+ individuals. Call their hotline at 866-488-7386 or text “START” to 678-678.
• Contact the teen-to-teen peer hotline, Teen Line, at 800-852-8336 or text TEEN to 839863.

Not in the U.S.? Find a helpline in your country with Befrienders Worldwide.

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Allergic reaction

As with most drugs, Cymbalta can cause an allergic reaction in some people. But this side effect wasn’t reported in the drug’s initial studies.

Symptoms of an allergic reaction can be mild or serious and can include:

• skin rash
• itchiness
• flushing (temporary warmth, redness, or deepening of skin color)
• swelling under your skin, typically in your eyelids, lips, hands, or feet
• swelling of your mouth, tongue, or throat, which can make it hard to breathe

Ways to help manage

If you develop mild symptoms of an allergic reaction, such as itchiness, we recommend that you call your medical professional right away. They may suggest an over-the-counter product to help ease your symptoms.

If they confirm that you had a mild allergic reaction to Cymbalta, they can advise you on whether it’s safe for you to keep taking it.

If you have symptoms of a severe allergic reaction, such as trouble breathing or swelling, it’s important to call 911 or your local emergency number right away. These symptoms could be life threatening and require immediate medical care.

If your medical professional confirms you had a serious allergic reaction to Cymbalta, they may recommend that you switch to a different treatment.

Suicidal thoughts and behaviors

Cymbalta has a boxed warning from the Food and Drug Administration (FDA) about suicidal thoughts and behaviors. The boxed warning appears on the drug’s label and alerts you to possible serious risks.

This risk affects children, adolescents, and adults ages 24 and younger who take an antidepressant, such as Cymbalta. Keep in mind that Cymbalta isn’t approved to treat depression in children younger than 18 years old. * The risk for these side effects is highest if you recently started taking the drug, or if your dosage was recently changed.

While you’re taking Cymbalta, it’s recommended to watch for the following symptoms:

• thoughts of harming yourself
• anxiety
• worsened depression
• feelings of agitation, irritability, anger, or restlessness
• trouble sleeping
• violent or aggressive behavior

* Cymbalta is approved to treat generalized anxiety disorder and fibromyalgia in certain children.

Ways to help manage

It’s important to tell your medical professional right away if you have any unusual changes in moods, behaviors, feelings, or thoughts while taking Cymbalta. They may adjust your treatment plan or prescribe a treatment other than Cymbalta for you.

Monitoring side effects

While you take Cymbalta, you may want to write down information about any side effects you develop. You can share these notes with your medical professional. This can be very helpful to do when you first take new medications or use multiple treatments.

In your notes, you can include answers to questions such as:

• What dose was I taking when I developed the side effect?
• How long after taking that dose did I have the side effect?
• What symptoms did I develop?
• How did the side effect impact my everyday activities?
• What other medications was I also taking?
• What other information do I think is important to share?

By writing down notes and sharing them with your medical professional, they’ll learn how Cymbalta affects you. They can use this information to adjust your treatment plan as needed.

It may not be safe to take Cymbalta if you have certain conditions. We describe these below in more detail.

FDA boxed warning: Suicidal thoughts and behaviors

Cymbalta has a boxed warning from the Food and Drug Administration (FDA) about suicidal thoughts and behaviors. The boxed warning appears on the drug’s label and alerts you to possible serious risks.

This risk affects children, adolescents, and young adults who take an antidepressant, such as Cymbalta. But keep in mind that Cymbalta isn’t approved to treat depression in children younger than 18 years old.

For details, you can see the “Side effects up-close” section above.

Other warnings

Cymbalta may not be right for you if you have certain medical conditions or other factors that affect your health. It’s important to talk with your medical professional about your health history before you take Cymbalta. We describe some of these conditions below.

Low blood sodium level. Cymbalta can cause a low sodium level in your blood. If you have a low sodium level, it’s recommended that you talk with your medical professional before starting Cymbalta. They may temporarily delay your Cymbalta treatment until your sodium level increases to a healthy level.

Bleeding problems. Cymbalta may increase your risk for bleeding. If you already have bleeding problems or if you’re taking certain other medications, your risk may be even higher. Before taking Cymbalta, you’re advised to tell your medical professional if you have any bleeding problems, such as hemophilia. You should also let them know if you’re taking other medications that increase your risk for bleeding, such as warfarin.

Diabetes. Make sure to tell your medical professional if you have diabetes before you start taking Cymbalta. The drug can make it harder to manage blood sugar levels. Your medical professional may monitor your blood sugar levels more closely than usual if you take Cymbalta.

Kidney problems or liver problems. If you have any problems with your kidneys or liver, your body may not be able to get rid of Cymbalta as well as it should. This could cause the drug to build up in your body, which increases your risk for side effects from the drug. Before you take Cymbalta, it’s important to tell your medical professional about any kidney or liver problems you have.

Bipolar disorder or a history of hypomania or mania. Cymbalta may cause hypomania or mania. (These are periods of high energy and excitement, usually related to bipolar disorder.) Before taking Cymbalta, it’s recommended that you tell your medical professional if you have bipolar disorder or a history of these conditions. They may prescribe a drug other than Cymbalta for you.

Seizure disorders. Cymbalta may cause seizures. If you have a seizure disorder, your risk for seizures with Cymbalta may be even higher. Let your medical professional know if you have a seizure disorder before you take Cymbalta.

Heart problems. If you have heart problems, such as high blood pressure, it’s important to tell your medical professional before starting Cymbalta. This is important because Cymbalta can raise your blood pressure. So, if you already have high blood pressure or other heart problems, you may not be able to take Cymbalta.

Angle-closure glaucoma. Let your medical professional know if you have angle-closure glaucoma before starting Cymbalta. The drug can raise the risk of a glaucoma attack in people who have this condition. A glaucoma attack may cause symptom such as sudden blurry vision and eye pain. If you have symptoms of a glaucoma attack while taking Cymbalta, it’s important to call 911 or your local emergency number right away.

Allergic reaction. If you’ve had an allergic reaction to Cymbalta or any of its ingredients, it’s important to avoid taking Cymbalta. Your medical professional can tell you what other medications are better options for you.

Slowed emptying of your stomach contents. Cymbalta capsules are covered in a coating that protects the drug from your stomach acid. If you have a condition (such as diabetes) that slows the emptying of the contents of your stomach, your body could break down the capsule’s coating. This could make Cymbalta less effective for your condition. Before taking Cymbalta, it’s important to tell your medical professional if you have a condition that slows your stomach from emptying.

Alcohol use and Cymbalta

It may not be safe to drink alcohol while taking Cymbalta.

Cymbalta treatment and heavy alcohol use can each cause serious liver problems, such as liver failure. Drinking alcohol while taking Cymbalta may further increase your risk for these side effects.

If you drink alcohol, it’s important to talk with your medical professional about alcohol use before starting Cymbalta.

Pregnancy and breastfeeding while taking Cymbalta

It may not be safe to take Cymbalta while pregnant. Taking Cymbalta during the month before you give birth can increase the risk for severe bleeding after delivery. If you’re pregnant or planning to be pregnant, you’re encouraged to talk with your medical professional about the risks and benefits of taking Cymbalta during pregnancy.

If you take Cymbalta during pregnancy, consider enrolling in a pregnancy registry. These registries gather information about the effects of a drug when it’s taken during pregnancy. This information can help researchers understand the risks and benefits of using the drug during pregnancy.

To enroll in Cymbalta’s pregnancy registry and report side effects of the drug when used during pregnancy, you can visit the registry’s site. You can also call 866-814-6975.

Cymbalta can pass into breast milk. If you breastfeed while taking the drug, it’s recommended that you watch for the following side effects in your child:

• poor feeding
• poor weight gain
• tiredness

If you want to learn more about taking Cymbalta while pregnant or breastfeeding, you can talk with your medical professional.

It’s possible for Cymbalta to be misused. Misuse means taking a drug differently from the way your medical professional recommends taking it.

However, studies of Cymbalta have shown a low risk for misuse of the drug.

Be sure to take Cymbalta exactly as your medical professional prescribes it for you. They may regularly assess you for signs of misuse while you’re taking Cymbalta.

Cymbalta may cause side effects, but they’re usually mild. Most of the drug’s side effects typically get better or go away with time.

If you have questions about possible side effects from Cymbalta, you can talk with your medical professional or pharmacist. Here are a few questions that may be helpful to ask:

• How much alcohol is safe for me to drink while taking Cymbalta?
• What’s my risk for misuse of Cymbalta?
• Do I have any health conditions that might raise my risk for side effects from Cymbalta?

While you take Cymbalta, you may find it helpful to speak with a therapist or join a support group. You may also be interested in ways to afford therapy. The following articles might be helpful to you:

• finding a therapist
• online support group information
• affording therapy

You can also visit the BetterHelp website to search for online counseling.

In addition, you can sign up for the Psych Central newsletter. We share stories from other people on mental health journeys as well as current information about treatments.

Q:

My medical professional said Cymbalta may cause a condition called orthostatic hypotension. How do I know if I’m at a higher risk for this side effect? And what are the symptoms I should watch for?

Anonymous patient

A:

Orthostatic hypotension is a type of low blood pressure that occurs when you stand up too quickly. It can have many causes, including taking certain medications such as Cymbalta.

Orthostatic hypotension commonly causes lightheadedness or dizziness when standing up. This usually goes away when you sit or lie down. Other symptoms may include changes in vision, heart palpitations, nausea, and fainting in severe cases.

Certain conditions and other medications may put you at higher risk for orthostatic hypotension. Make sure to talk with your medical professional about the conditions you have and all of the medications you’re taking.

Neal Patel, PharmDAnswers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

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Disclaimer: Psych Central has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

Cymbalta: Common, Mild, and Serious Side Effects

If you have anxiety, pain, or depression, your medical professional might recommend that you take a prescription drug called Cymbalta.

Cymbalta is used to treat:

• generalized anxiety disorder in adults and some children
• chronic (long-term) musculoskeletal pain in adults
• pain from diabetic neuropathy in adults
• fibromyalgia in adults and some children
• major depressive disorder in adults

Cymbalta comes as a capsule that you’ll swallow. It’s typically taken as a long-term treatment. The active drug in Cymbalta is called duloxetine. If you’d like to learn more about Cymbalta, including specifics about its uses, you can see this overview of the medication.

As with other drugs, taking Cymbalta may cause side effects that can be mild or serious. For more information, we encourage you to keep reading.

While taking Cymbalta, mild or serious side effects may occur.

Here are some examples of side effects commonly reported with Cymbalta treatment:

• sleep-related side effects*
• nausea
• constipation
• headache
• dry mouth

The side effects listed above are only a few of the possible side effects that can happen with Cymbalta. In the sections below, we review other possible mild and serious side effects the drug may cause.

* To learn more about this side effect, see “Side effects up-close” below.

You may have mild side effects from Cymbalta.

Examples of mild side effects that have been reported with Cymbalta include:

• sexual side effects*
• sweating*
• sleep-related side effects*
• fatigue (lack of energy)
• nausea
• constipation
• dry mouth
• headache
• dizziness
• loss of appetite
• agitation

* To learn more about this side effect, see “Side effects up-close” below.

In most cases, the mild side effects of Cymbalta should be temporary. Some may be easily managed as well. But if you have any symptoms that bother you, we encourage you to talk with your medical professional or pharmacist. Also, it’s important that you don’t stop using Cymbalta unless your medical professional recommends it.

It’s possible for Cymbalta to cause mild side effects other than the ones listed above. You can see the Cymbalta medication guide for more information.

Note: After the Food and Drug Administration (FDA) approves a medication, it tracks side effects of the drug. If you’d like to notify the FDA about a side effect you’ve had with Cymbalta, you can visit MedWatch.

Cymbalta may cause serious side effects, although most are rare.

Serious side effects that have been reported with Cymbalta include:

• eye-related side effects*
• unusual bruising or bleeding
• hypomania or mania (periods of high energy and excitement)
• low blood sodium level
• serious skin reactions, such as Stevens-Johnson syndrome
• serotonin syndrome (high levels of the brain chemical serotonin)
• orthostatic hypotension (a sudden change in blood pressure after standing up quickly), which can lead to fainting or falling
• heart palpitations (feeling as though your heart is pounding, fluttering, or skipping a beat)
• high blood pressure
• trouble urinating
• seizures
• serious liver problems, such as liver failure
• withdrawal symptoms if you suddenly stop taking the drug
• allergic reaction*†
• suicidal thoughts and behaviors‡

If you develop serious side effects while taking Cymbalta, it’s important to call your medical professional immediately. If you feel the side effects are life threatening or if you think you’re having a medical emergency, it’s vital to call 911 or your local emergency number right away.

* To learn more about this side effect, you can see “Side effects up-close” below.
† An allergic reaction is possible after using Cymbalta. But this side effect wasn’t reported in the drug’s initial studies.
‡ Cymbalta has a boxed warning for this side effect. This is the most serious warning from the Food and Drug Administration (FDA). To learn more, you can see “Side effects up-close” below.

Cymbalta can be used to treat:

• generalized anxiety disorder in children ages 7 years and older, and
• fibromyalgia in children ages 13 years and older

Most side effects of Cymbalta in children are expected to be the same as side effects in adults. But weight loss may be more common in children taking Cymbalta than in adults.

Cymbalta also has a boxed warning for suicidal thoughts and behaviors in children, adolescents, and young adults. A boxed warning appears on the drug’s label and alerts you to possible serious risks. For details, you can see the “Side effects up-close” section below.

Below are answers to a few frequently asked questions about the side effects of Cymbalta.

How long do Cymbalta side effects last?

It depends. Most side effects of Cymbalta usually get better or go away within hours or days after starting the drug.

But some side effects of Cymbalta might last for much longer. For details, you can see the “Does Cymbalta have long-term side effects?” section below.

Are certain Cymbalta side effects specific to older adults?

Yes, adults ages 65 and older may have a higher risk for certain side effects of Cymbalta.

For example, compared with younger people, older people may have a higher risk for:

• low blood sodium level
• falling, which may result from orthostatic hypotension (a sudden change in blood pressure after standing up quickly)

To learn more about how your age affects your risk for side effects from Cymbalta, you can talk with your medical professional.

Is weight gain one of Cymbalta’s side effects?

No, weight gain wasn’t a side effect reported in studies of Cymbalta.

But keep in mind that depression, which Cymbalta is used to treat, can cause weight changes. So, if you have weight changes while you’re taking Cymbalta, this could be due to Cymbalta reducing your depression symptoms. Weight changes may not be caused by Cymbalta itself.

If you’re concerned about weight gain while taking Cymbalta, we recommend talking with your medical professional. They can suggest ways to maintain a weight that’s healthy for you.

Do side effects of Cymbalta vary based on the dose or strength?

Yes, the side effects of Cymbalta can vary based on the dose or strength you’re taking.

Cymbalta comes as a capsule that you swallow. The capsules are available in the following strengths: 20 milligrams (mg), 30 mg, and 60 mg. Sometimes you may be prescribed more than one strength. For example, if you’re prescribed a 90-mg dose, you may be advised to take both the 30-mg and 60-mg doses.

In studies of Cymbalta, certain side effects were more likely to happen with higher doses of the drug. Examples include:

• nausea
• fatigue (lack of energy)
• constipation
• loss of appetite
• dizziness
• certain sexual side effects*
• sweating*

If you have questions about your risk for certain side effects from Cymbalta, we suggest that you talk with your medical professional.

* To learn more about this side effect, you can see “Side effects up-close” below.

Does Cymbalta cause abdominal pain?

Yes, you may have pain in your abdomen (stomach area) after taking Cymbalta. But this was one of the least common side effects in studies of the drug.

It’s important to note that pain in your abdomen can be a sign of liver problems. In rare cases, Cymbalta may cause serious liver problems, such as liver failure.

Let your medical professional know if you have abdominal pain while taking Cymbalta. They may recommend that you have tests to check your liver function.

Note: Your risk of liver problems with Cymbalta is higher if you drink high amounts of alcohol. We recommend talking with your medical professional about the amount of alcohol that’s safe for you to drink while taking Cymbalta.

Most side effects of Cymbalta are generally expected to be the same for females* and males* who take the drug.

But in studies of Cymbalta, sexual side effects were more common in males than in females. Sexual side effects that can be caused by Cymbalta are described below in the “Side effects up-close” section.

Other side effects of Cymbalta that are specific to females are related to using Cymbalta during pregnancy or while breastfeeding. For details, you can see the “What are the warnings about Cymbalta?” section below.

If you have questions about your risk for certain side effects of Cymbalta, talk with your medical professional.

* In this article, we use the terms “male” and “female” to refer to someone’s sex assigned at birth. For information about the difference between sex and gender, you can see this article.

Most side effects of Cymbalta typically get better or go away within hours or days of taking the drug. But some rare side effects of Cymbalta might last longer.

For example, eye-related side effects* and liver problems, such as liver failure, may be permanent. Or they may cause problems that last for months or years.

Additionally, withdrawal symptoms and sexual side effects* from Cymbalta may last for several weeks or months after you stop taking the drug. Withdrawal symptoms are side effects that can occur after suddenly stopping a drug. Withdrawal symptoms from stopping Cymbalta can include:

• irritability
• dizziness
• headache
• nausea

Your medical professional can provide more details about what to expect with Cymbalta treatment.

* To learn more about this side effect, you can see “Side effects up-close” below.

Here’s some additional information about certain side effects that Cymbalta may cause.

Sexual side effects

Cymbalta can cause sexual side effects. These side effects were more common in males* than in females* during studies.

Sexual side effects that commonly occurred in males taking Cymbalta include:

• erectile dysfunction (inability to get or keep an erection)
• delayed ejaculation
• low sex drive
• trouble having an orgasm

Keep in mind that certain conditions Cymbalta is used to treat, such as depression, can also cause some sexual side effects. So, it might be hard to tell whether these side effects may be caused by Cymbalta or the condition you’re taking the drug to treat.

* In this article, we use the terms “male” and “female” to refer to someone’s sex assigned at birth. For information about the difference between sex and gender, you can see this article.

Ways to help manage

We recommend telling your medical professional if you have sexual side effects while you’re taking Cymbalta. They can help figure out if the side effects may be from Cymbalta or from your condition.

Sweating

Sweating more than usual can occur with Cymbalta treatment. This effect was common in studies of the drug.

With excessive sweating, you may sweat more than usual without a known cause (such as heat or exercise).

Ways to help manage

If you experience excessive sweating with Cymbalta, it’s advised that you tell your medical professional. They may prescribe a prescription-strength antiperspirant for you.

If your excessive sweating is severe, your medical professional may also prescribe Botox (onabotulinumtoxinA). For this purpose, Botox is injected into certain sweat glands to prevent them from producing sweat.

If you have questions about sweating during Cymbalta treatment, we encourage you to talk with your medical professional.

Eye-related side effects

Eye-related side effects of Cymbalta are possible with Cymbalta.

For example, blurry vision was a common side effect in studies of Cymbalta. Other eye-related side effects were less common in studies, such as double vision and dry eyes.

If you have closed-angle glaucoma (also called angle-closure glaucoma), Cymbalta can also raise the risk of a glaucoma attack. A glaucoma attack can cause symptoms such as sudden blurry vision and eye pain. For details, see the “What are the warnings about Cymbalta?” section below.

Ways to help manage

If you have eye-related side effects while taking Cymbalta, it’s important to tell your medical professional right away. They can recommend treatments for you and check for any eye conditions.

Sleep-related side effects

Side effects that affect sleep were common in studies of Cymbalta.

Cymbalta may cause different sleep-related side effects from person to person. For example, some people may feel very sleepy or tired after taking Cymbalta. On the other hand, some people may have insomnia (trouble sleeping) after taking Cymbalta.

You’ll usually know more about how Cymbalta affects you after you’ve taken several doses of the drug.

Ways to help manage

If you feel very tired or sleepy after taking the drug, you may have problems with thinking, coordination, or judgment. And these effects could be dangerous while driving. You should avoid driving until you know how Cymbalta will affect you.

If you find that Cymbalta makes you tired or sleepy, it may be best to take your dose at bedtime. But if Cymbalta causes insomnia for you, you might want to take the drug in the morning. Make sure to follow recommendations from your medical professional about when to take your doses.

If you’re concerned about sleep-related side effects from Cymbalta, your medical professional can recommend ways to manage them.

Suicide prevention

If you or someone you know is considering suicide, you’re not alone. Help is available right now:

• Call the National Suicide Prevention Lifeline 24 hours a day at 800-273-8255.
• Text “HOME” to the Crisis Text Line at 741741.
• The Trevor Project provides crisis support for LGBTQIA+ individuals. Call their hotline at 866-488-7386 or text “START” to 678-678.
• Contact the teen-to-teen peer hotline, Teen Line, at 800-852-8336 or text TEEN to 839863.

Not in the U.S.? Find a helpline in your country with Befrienders Worldwide.

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Allergic reaction

As with most drugs, Cymbalta can cause an allergic reaction in some people. But this side effect wasn’t reported in the drug’s initial studies.

Symptoms of an allergic reaction can be mild or serious and can include:

• skin rash
• itchiness
• flushing (temporary warmth, redness, or deepening of skin color)
• swelling under your skin, typically in your eyelids, lips, hands, or feet
• swelling of your mouth, tongue, or throat, which can make it hard to breathe

Ways to help manage

If you develop mild symptoms of an allergic reaction, such as itchiness, we recommend that you call your medical professional right away. They may suggest an over-the-counter product to help ease your symptoms.

If they confirm that you had a mild allergic reaction to Cymbalta, they can advise you on whether it’s safe for you to keep taking it.

If you have symptoms of a severe allergic reaction, such as trouble breathing or swelling, it’s important to call 911 or your local emergency number right away. These symptoms could be life threatening and require immediate medical care.

If your medical professional confirms you had a serious allergic reaction to Cymbalta, they may recommend that you switch to a different treatment.

Suicidal thoughts and behaviors

Cymbalta has a boxed warning from the Food and Drug Administration (FDA) about suicidal thoughts and behaviors. The boxed warning appears on the drug’s label and alerts you to possible serious risks.

This risk affects children, adolescents, and adults ages 24 and younger who take an antidepressant, such as Cymbalta. Keep in mind that Cymbalta isn’t approved to treat depression in children younger than 18 years old. * The risk for these side effects is highest if you recently started taking the drug, or if your dosage was recently changed.

While you’re taking Cymbalta, it’s recommended to watch for the following symptoms:

• thoughts of harming yourself
• anxiety
• worsened depression
• feelings of agitation, irritability, anger, or restlessness
• trouble sleeping
• violent or aggressive behavior

* Cymbalta is approved to treat generalized anxiety disorder and fibromyalgia in certain children.

Ways to help manage

It’s important to tell your medical professional right away if you have any unusual changes in moods, behaviors, feelings, or thoughts while taking Cymbalta. They may adjust your treatment plan or prescribe a treatment other than Cymbalta for you.

Monitoring side effects

While you take Cymbalta, you may want to write down information about any side effects you develop. You can share these notes with your medical professional. This can be very helpful to do when you first take new medications or use multiple treatments.

In your notes, you can include answers to questions such as:

• What dose was I taking when I developed the side effect?
• How long after taking that dose did I have the side effect?
• What symptoms did I develop?
• How did the side effect impact my everyday activities?
• What other medications was I also taking?
• What other information do I think is important to share?

By writing down notes and sharing them with your medical professional, they’ll learn how Cymbalta affects you. They can use this information to adjust your treatment plan as needed.

It may not be safe to take Cymbalta if you have certain conditions. We describe these below in more detail.

FDA boxed warning: Suicidal thoughts and behaviors

Cymbalta has a boxed warning from the Food and Drug Administration (FDA) about suicidal thoughts and behaviors. The boxed warning appears on the drug’s label and alerts you to possible serious risks.

This risk affects children, adolescents, and young adults who take an antidepressant, such as Cymbalta. But keep in mind that Cymbalta isn’t approved to treat depression in children younger than 18 years old.

For details, you can see the “Side effects up-close” section above.

Other warnings

Cymbalta may not be right for you if you have certain medical conditions or other factors that affect your health. It’s important to talk with your medical professional about your health history before you take Cymbalta. We describe some of these conditions below.

Low blood sodium level. Cymbalta can cause a low sodium level in your blood. If you have a low sodium level, it’s recommended that you talk with your medical professional before starting Cymbalta. They may temporarily delay your Cymbalta treatment until your sodium level increases to a healthy level.

Bleeding problems. Cymbalta may increase your risk for bleeding. If you already have bleeding problems or if you’re taking certain other medications, your risk may be even higher. Before taking Cymbalta, you’re advised to tell your medical professional if you have any bleeding problems, such as hemophilia. You should also let them know if you’re taking other medications that increase your risk for bleeding, such as warfarin.

Diabetes. Make sure to tell your medical professional if you have diabetes before you start taking Cymbalta. The drug can make it harder to manage blood sugar levels. Your medical professional may monitor your blood sugar levels more closely than usual if you take Cymbalta.

Kidney problems or liver problems. If you have any problems with your kidneys or liver, your body may not be able to get rid of Cymbalta as well as it should. This could cause the drug to build up in your body, which increases your risk for side effects from the drug. Before you take Cymbalta, it’s important to tell your medical professional about any kidney or liver problems you have.

Bipolar disorder or a history of hypomania or mania. Cymbalta may cause hypomania or mania. (These are periods of high energy and excitement, usually related to bipolar disorder.) Before taking Cymbalta, it’s recommended that you tell your medical professional if you have bipolar disorder or a history of these conditions. They may prescribe a drug other than Cymbalta for you.

Seizure disorders. Cymbalta may cause seizures. If you have a seizure disorder, your risk for seizures with Cymbalta may be even higher. Let your medical professional know if you have a seizure disorder before you take Cymbalta.

Heart problems. If you have heart problems, such as high blood pressure, it’s important to tell your medical professional before starting Cymbalta. This is important because Cymbalta can raise your blood pressure. So, if you already have high blood pressure or other heart problems, you may not be able to take Cymbalta.

Angle-closure glaucoma. Let your medical professional know if you have angle-closure glaucoma before starting Cymbalta. The drug can raise the risk of a glaucoma attack in people who have this condition. A glaucoma attack may cause symptom such as sudden blurry vision and eye pain. If you have symptoms of a glaucoma attack while taking Cymbalta, it’s important to call 911 or your local emergency number right away.

Allergic reaction. If you’ve had an allergic reaction to Cymbalta or any of its ingredients, it’s important to avoid taking Cymbalta. Your medical professional can tell you what other medications are better options for you.

Slowed emptying of your stomach contents. Cymbalta capsules are covered in a coating that protects the drug from your stomach acid. If you have a condition (such as diabetes) that slows the emptying of the contents of your stomach, your body could break down the capsule’s coating. This could make Cymbalta less effective for your condition. Before taking Cymbalta, it’s important to tell your medical professional if you have a condition that slows your stomach from emptying.

Alcohol use and Cymbalta

It may not be safe to drink alcohol while taking Cymbalta.

Cymbalta treatment and heavy alcohol use can each cause serious liver problems, such as liver failure. Drinking alcohol while taking Cymbalta may further increase your risk for these side effects.

If you drink alcohol, it’s important to talk with your medical professional about alcohol use before starting Cymbalta.

Pregnancy and breastfeeding while taking Cymbalta

It may not be safe to take Cymbalta while pregnant. Taking Cymbalta during the month before you give birth can increase the risk for severe bleeding after delivery. If you’re pregnant or planning to be pregnant, you’re encouraged to talk with your medical professional about the risks and benefits of taking Cymbalta during pregnancy.

If you take Cymbalta during pregnancy, consider enrolling in a pregnancy registry. These registries gather information about the effects of a drug when it’s taken during pregnancy. This information can help researchers understand the risks and benefits of using the drug during pregnancy.

To enroll in Cymbalta’s pregnancy registry and report side effects of the drug when used during pregnancy, you can visit the registry’s site. You can also call 866-814-6975.

Cymbalta can pass into breast milk. If you breastfeed while taking the drug, it’s recommended that you watch for the following side effects in your child:

• poor feeding
• poor weight gain
• tiredness

If you want to learn more about taking Cymbalta while pregnant or breastfeeding, you can talk with your medical professional.

It’s possible for Cymbalta to be misused. Misuse means taking a drug differently from the way your medical professional recommends taking it.

However, studies of Cymbalta have shown a low risk for misuse of the drug.

Be sure to take Cymbalta exactly as your medical professional prescribes it for you. They may regularly assess you for signs of misuse while you’re taking Cymbalta.

Cymbalta may cause side effects, but they’re usually mild. Most of the drug’s side effects typically get better or go away with time.

If you have questions about possible side effects from Cymbalta, you can talk with your medical professional or pharmacist. Here are a few questions that may be helpful to ask:

• How much alcohol is safe for me to drink while taking Cymbalta?
• What’s my risk for misuse of Cymbalta?
• Do I have any health conditions that might raise my risk for side effects from Cymbalta?

While you take Cymbalta, you may find it helpful to speak with a therapist or join a support group. You may also be interested in ways to afford therapy. The following articles might be helpful to you:

• finding a therapist
• online support group information
• affording therapy

You can also visit the BetterHelp website to search for online counseling.

In addition, you can sign up for the Psych Central newsletter. We share stories from other people on mental health journeys as well as current information about treatments.

Q:

My medical professional said Cymbalta may cause a condition called orthostatic hypotension. How do I know if I’m at a higher risk for this side effect? And what are the symptoms I should watch for?

Anonymous patient

A:

Orthostatic hypotension is a type of low blood pressure that occurs when you stand up too quickly. It can have many causes, including taking certain medications such as Cymbalta.

Orthostatic hypotension commonly causes lightheadedness or dizziness when standing up. This usually goes away when you sit or lie down. Other symptoms may include changes in vision, heart palpitations, nausea, and fainting in severe cases.

Certain conditions and other medications may put you at higher risk for orthostatic hypotension. Make sure to talk with your medical professional about the conditions you have and all of the medications you’re taking.

Neal Patel, PharmDAnswers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

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Disclaimer: Psych Central has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

SEMAX or SIMBALT 💊 which is better

📊What is better than SEMAX or SIMBALTA: efficiency comparison and rating

02 📝Reviews about SIMBALTA

📑Instructions for the use of SIMBALTA and SEMAX and comparison with other similar drugs

SEMAX

Name: tirbek
Review: is expensive for 3 ml, there are analogues, but the essence is to improve brain function. – at least piracetam, cortexin………….

Name: Alexey (Pacific Ocean)
Review: The drug is very good, there are no side effects and overdose. I was prescribed it after undergoing general anesthesia. After the operation, her memory, concentration of attention deteriorated catastrophically and, as a result, irritability in this regard. Sometimes it seemed that the environment stopped understanding you. And how could it be otherwise, if you forget words through a word in a sentence, try to remember them, it takes some time and effort. The drug Semax completely restored memory functions, but … I did not know that the course of treatment needed to be repeated. We have already mentioned the high cost of the drug. I can say that when you feel real benefit from it, you can again remember, assimilate new information as before, your relationships with others and at work are aligned, then you agree to give even more for the result. Believe me, I know what I’m talking about.

Name: I want to be your very one
Review: I personally did not spare money for this drug, it helps me in my studies and reduces fatigue. I will have to use it constantly for some time.

Name: Olga Filippova
Review: An ophthalmologist prescribed drops for me. I realized that they should be instilled in the eyes, but the instructions say that in the nose

Name: Evgeny Matuzov
Review: An ophthalmologist prescribed drops for me. I realized that they should be instilled in the eyes, but the instructions say that they should be instilled into the nose

Name: Evgeny Matuzov
Review: in no case! only in the nose! an ophthalmologist prescribed me too…

Name: Igor Samurov
Review: It definitely affects memory. Improves the memorization process. Verified by myself. I studied a very difficult opera part by Richard Strauss – I learned it in 5 lessons, although I thought that I would not be able to learn this music at all.

Name: Svetlana Bondarenko
Review: Here, I tell everyone that after anesthesia I feel stunned, but they don’t believe me. I’ll also buy it, it definitely won’t get any worse!

Name: Igor Dubovik
Review: please tell me analogues 6 try !!!

Name: Sveta Ezhena
Review: I bought a vial of Semax in a pharmacy. It comes in a box with instructions, a pipette is immediately inserted in the lid. It is not very convenient, since it is not clear how many drops you squeeze out, but then you got used to it. In the morning I dripped 3 drops into each nostril. In order not to wait until they are absorbed, she squeezed her nose for a couple of seconds. I went to school, took drops with me, dripped a couple more times during the day. By the evening, when the brain should boil from information, I felt invigorated and my head was still thinking. Invigorates and helps to survive until the evening.

Name: Vadim Platov
Review: I have been using Semax for a long time, about 7-8 years, I remember then I asked a nootropic in a pharmacy and they just advised me. By the way, I note that “Semax” all the time allows you to keep your brain in excellent condition, I have a great memory, and excellent attention for my age. Soviet development, then everything was done for centuries, remember this, youth!

Name: Lilia Sanchak
Review: I dripped Semax, no effect, okay, I think I’ll wait an hour or two … no effect, I also dripped 3 drops, I’m waiting … no effect. Another drip, there is no result again, and so in two days I dug up half a bubble. There was no increase in brain activity. Nothing!

Name: tatyana krasovskaya
Review: Today is the first day of dripping. : There is an easy way to increase your efficiency – to drip Semax twice a year, two bubbles. I have been using this recipe for the 5th year, the working method is to keep the brain in working condition

Name: Vitaly Zvyagin
Review: I chose Semax when I was looking for a nootropic. It contains natural amino acids that are safe for the body. Easy to apply – drop in the nose and immediately begins to act. One technique is enough to get the first result – to activate thought processes. I advise!

Name: Sergey Maksimov
Review: Be careful with Semax. I decided to try it, the effect is as follows: severe headaches, fever, the whole day is like a fog, I want to lie down all the time, anxiety. In general, the sensations are extremely uncomfortable.
May be something with the series (series no. 060317), may not be suitable individually.

Name: Anna Netrepko
Review: This spring will be the second time I will drip Semax to my daughter. The first time we dug it in was 18, because our daughter completely failed the school year. Three threes, several fives, the rest fours. But triples in Russian, mathematics and literature, the main subjects. I began to think what to do – the first thing is to take me to a tutor, the second question is how to help my daughter get less tired. I have long read about nootropics that they are good drugs, but somehow all hands did not reach to try. I read the reviews, and chose the safest one, which is suitable for a child of 12 years old – semax, began to drip. Which, by the way, is good – you need to drip twice a day (we drip in the morning and in the evening), this is very convenient. So, we dripped before the start of the school year in August. What the daughter noted was that things became easier for her, she began to count faster in her mind and learn poetry, in general she became less annoyed and stubborn. Well, the result was not long in coming – the last quarter without triples. I decided that I would consolidate the result – we will drip Semax again in April.

Name: Madina Smith
Review: Semax began to be used after a stroke, only on the 10th day. We learned about Semax from the Internet, but we bought it belatedly, which we now regret. My grandmother had a 2nd stroke, to be honest, they thought that there was no hope at all, although my grandmother was still 62 years old. After discharge, her condition: she walks, her head works, but weakly, her speech is unintelligible, she eats poorly, she suffers from insomnia. For us it was already a big progress. Now we are dripping courses for prevention, and although small, there are improvements: it turns better when walking, we begin to try to speak a little, although nothing is clear, but we still hope for the best, appetite has returned to normal, the sleep schedule has evened out and in the overall picture she has become more active than before. It is unfortunate that the drug was not used immediately and that it is not in the general therapy of patients after a stroke.

Name: olga
Review: I won’t recommend it, but I’ll write the following: my dad was a diabetic and after a stroke, when his sugar went off scale, he became insane, aggressive, didn’t hear or listen to anyone, we dripped drops of Semax on him. While dripping, he resisted, threatened, so I held, my mother dripped. But it was worth it, after a few seconds he calmed down and came to his senses, he did not remember that he had an attack. Therefore, personally for our family, Semax was a lifesaver.

SIMBALTA

Name: Simion Neteda
Review: I am not a doctor. I was prescribed – one capsule was enough, it was terribly bad for two days, and then it took a long time to leave. I will never accept this crap!

Name: Victor Bykov
Review: I have been taking it for 8 months now. There is a positive effect – headaches and nervousness have decreased, incl. work more intensely and efficiently. The sleep problems that were before the reception remained. But now it worries me less ….

Name: fekla avgustovna
Review: I accept the year. Reborn! The side effect was mild for about a week. Moreover, in the form of a wonderful mood. Admission for 3 months – it is impossible to give a full comment, because. further reception will more stabilize your condition. I wish good luck to everyone who decides to take AD. Not as scary as they say! ))

Name: Vik
Review: Pharmacists are trying so hard to foist their medicine on doctors that they are even showered with gifts for the sake of advertising. So my daughter, she is a doctor, was handed along with the medicine a two-gig flash drive with the inscription SYMBALTA. I have no interest in drugs, but I do have flash drives. I took this supposedly flash drive, but not a single computer recognizes it under any OS, probably, pharmacists also made it on their knees in the basement. I think they have the same preparations as advertising flash drives.

Name: lola vosfieva
Review: I accept the year. Reborn! The side effect was mild for about a week. Moreover, in the form of a wonderful mood. Admission for 3 months – it is impossible to give a full comment, because. further reception will more stabilize your condition. I wish good luck to everyone who decides to take AD. Not as scary as they say! ))

Name: Angelina888
Review: Hello everyone! The story is “already” short about my friend’s life, he had everything and even more, he worked himself, he achieved everything, of course, if working with our “heads” is a big risk, but work is work, naturally stresses, they prescribed this drug “simbalta” to a friend, he drank it for many years, as prescribed by the doctor – HANGED

Name: Galya )))))))
Review: Saw reksetin 1 year gained weight 17 kg and libido dropped to 0, now they are transferring to other omena reksetin terrible all around life is not cute … I read about Simbalt and it’s also scary damn it 90 003

Name: Uliana Kondrashova
Review: 0036 I advise everyone, if there are problems with nerves, to take Biotredin. It has no side effects, and it is not expensive.

Name: Setlana Ponyushkina
Review: I completely agree about Biotredin, a good drug when there are no particularly serious indications. Suitable even for teenagers from 15 years old. It has no habits or side effects.

Name: ELENA FEDOROV
Review: EXCELLENT DRUG. I was prescribed not as a sedative, but as a remedy for numbness and pain in the hands. BUT THEY APPOINTED THE COURSE – 1 MONTH. BUT THE RESULT COME AFTER 1 YEAR OF CONSTANT RECEPTION.

Name: Sergeevich
Review: I was prescribed to drink Simbalt I’m afraid to drink, there are many contraindications, I already lost weight from antipresants, poor appetite. , but everything stands still, how to live on? can you advise me what to do? Maybe there is something that will help me, the doctor does not listen to me that Linuxin is bad for me, she says she has lost 6 kg of weight, this is bad.

Name: Vladi and Masha Guskov
Review: I drink simbalta 6 no benefits

Name: Irina Voronina Balta I’m afraid to drink, there are a lot of contraindications, I already lost weight from antipresants, poor appetite. I’m already used to phenazepane. Maybe there is something that will help me, the doctor does not listen to me that Linuxin is bad for me, she says she has lost 6 kg of weight, this is bad.

Name: Nina Shleeva
Review: I have been taking simbalta for 2 years already – an excellent drug … I was afraid of side effects.
Review: I want to share .. my husband is a businessman, exhausted, depressed, they prescribed simbalta. of all the side effects, and there were almost the entire list of them from the instructions, I will name the most terrible – there was no erection. at all! canceled – everything worked!

Name: Tatyana Kozlova (Lazutkina)
Review: I was prescribed to drink Simbalt I’m afraid to drink, there are a lot of contraindications, I already lost weight from antipresants, poor appetite. Maybe there is something that will help me, the doctor does not listen to me that Linuxin is bad for me, she says she has lost 6 kg of weight, this is bad.

Name: Elena Kulikova-Cherinko
Review: I drank one capsule. I’m on my second day. Head spinning, nausea, ringing in the ears, the pupils dilated in all eyes, throwing either hot or cold… they are now transferring rexetin to other omena terrible all around life is not sweet … I read about Simbalt and it’s also scary damn it

Name: ISTINAGDETORJADOM ISTINAGDETORJADOM
Review: Schizophrenics hang themselves and cut the veins of schizophrenics! I drank paxil for a year and not systematically, I quit it, yes, it was bad, I wouldn’t say it was withdrawal, but I quit it at any moment, for example, I haven’t drank it for a year and I’m thinking of trying something new, t.to. there is a difficult intellectual and stressful work.

Price comparison for SEMAX and SIMBALT

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