SYMBAL 20 TABLET

Uses and Benefits of SYMBAL 20 TABLET (Duloxetine 20mg)

Duloxetine 20mg is mainly prescribed to treat depression and anxiety disorders, and also to manage chronic pain conditions such as diabetic nerve pain and fibromyalgia.

WHAT THIS MEDICINE IS USED FOR

• Major depressive disorder
• Generalized anxiety disorder
• Diabetic peripheral neuropathic pain
• Fibromyalgia
• Chronic musculoskeletal pain (such as osteoarthritis or lower back pain)

HOW IT WORKS

• It increases the levels of serotonin and norepinephrine, natural chemicals in the brain
• These chemicals help regulate mood and how the body senses pain
• By balancing these chemicals, it helps improve mood and reduce pain signals

WHAT IT IS NOT USED FOR

• It is not a painkiller for sudden, short-term pain like headaches or injuries
• It is not used for treating bipolar disorder mania
• It is not a sleeping pill, though it may affect sleep
• It should not be used casually without a doctor's prescription and proper diagnosis

Side Effects of SYMBAL 20 TABLET (Duloxetine 20mg)

COMMON SIDE EFFECTS

• Nausea
• Dry mouth
• Constipation
• Fatigue or drowsiness
• Dizziness
• Reduced appetite

LESS COMMON SIDE EFFECTS

• Excessive sweating
• Blurred vision
• Difficulty sleeping
• Increased blood pressure
• Sexual difficulties
• Weight changes

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Thoughts of self-harm or suicide, especially in young adults
• Signs of liver problems such as yellowing of skin or eyes, dark urine
• Severe allergic reaction with rash, swelling, or difficulty breathing
• Unusual bleeding or bruising
• Seizures
• Symptoms of serotonin syndrome like agitation, rapid heartbeat, high fever, muscle stiffness

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

How to Use SYMBAL 20 TABLET (Duloxetine 20mg)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once daily
• Swallow the capsule whole with water; do not crush, chew, or open it
• Can be taken with or without food, but taking it consistently at the same time each day helps
• Do not stop taking it suddenly without consulting your doctor, as this may cause withdrawal symptoms
• It may take several weeks to feel the full benefit

IF YOU MISS A DOSE

• Take it as soon as you remember on the same day
• If it is almost time for your next dose, skip the missed one
• Do not take a double dose to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep out of reach of children and pets
• Do not use after the expiry date printed on the pack
• Do not store in the bathroom or near a sink

Safety Information and Precautions for SYMBAL 20 TABLET (Duloxetine 20mg)

This is a prescription-only medicine in India and should not be taken without a doctor's advice.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to duloxetine or any of its ingredients
• Have uncontrolled narrow-angle glaucoma
• Are taking or have recently stopped taking MAO inhibitors
• Have severe kidney or liver disease

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Are pregnant, planning pregnancy, or breastfeeding
• Have a history of seizures, bipolar disorder, or bleeding problems
• Have high blood pressure or heart problems
• Have a history of suicidal thoughts or self-harm
• Drink alcohol regularly, as it may increase liver risk

MEDICINES THAT CAN INTERACT

• MAO inhibitors
• Other antidepressants (SSRIs, SNRIs, tricyclics)
• Blood thinners like warfarin or aspirin
• NSAID painkillers
• Certain migraine medicines (triptans)

FREQUENTLY ASKED QUESTIONS

Can I stop taking it once I feel better?

No, stopping suddenly can cause withdrawal symptoms; your doctor will guide you on tapering the dose gradually.

Is it safe to drink alcohol while on this medicine?

It is best to avoid alcohol as it can increase drowsiness and liver-related risks.

Will it make me drowsy?

• It can cause drowsiness or dizziness in some people, so avoid driving or operating machinery until you know how it affects you.
• Doctor ya pharmacist se salah lein.