Dulot 20mg Capsule 10'S

Talk to your doctor before taking this medicine, if you: Are allergic to duloxetine or any of the other ingredients of this medicine Have liver disease, severe kidney disease Have high blood pressure or heart disease Have had seizures (fits) Have had mania Suffer from bipolar disorder Have eye problems, such as certain kinds of glaucoma (increased pressure in the eye) Have a history of bleeding disorders (tendency to develop bruises) Are at risk of low sodium levels If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine DULOT 20MG should normally not be used for children and adolescents under 18 years DULOT 20MG may make you feel sleepy or dizzy. Do not drive or use any tools or machines until you know how DULOT 20MG affects you

Always take this medicine exactly as your doctor has told you DULOT 20MG is for oral use You should swallow your medicine whole with a drink of water Take DULOT 20MG, you may find it easier to take it at the same times every day For depression and diabetic neuropathic pain: The usual dose of DULOT 20MG is 60 mg once a day, but your doctor will prescribe the dose that is right for you For generalized anxiety disorder: The usual starting dose of DULOT 20MG is 30 mg once a day after which most patients will receive 60 mg once a day, but your doctor will prescribe the dose that is right for you. The dose may be adjusted up to 120 mg a day based on your response to DULOT 20MG To help you remember to take DULOT 20MG, you may find it easier to take it at the same times every day If you take more DULOT 20MG Call your doctor immediately if you take more than the amount of DULOT 20MG prescribed by your doctor Symptoms of overdose include sleepiness, coma, serotonin syndrome (a rare reaction which may cause feelings of great happiness, drowsiness, clumsiness, restlessness, feeling of being drunk, fever, sweating or rigid muscles), fits, vomiting and fast heart rate If you forget to take DULOT 20MG If you miss a dose, take it as soon as you remember. Do not take a double dose to make up for a forgotten dose. Do not take more than the daily amount of DULOT 20MG that has been prescribed for you in one day If you stop taking DULOT 20MG Do not stop taking your medicine without the advice of your doctor even if you feel better

Like all medicines, this medicine can cause side effects, although not everybody gets them. Lack of appetite Trouble sleeping, feeling agitated, less sex drive, anxiety, difficulty or failure to experience orgasm, unusual dreams dizziness, feeling sluggish, tremor, numbness, including pricking or tingling of the skin Blurred eyesight Tinnitus (hearing sound in the ear when there is no external sound) Feeling the heart pumping in the chest Increased blood pressure, flushing Increased yawning Constipation, stomach pain, being sick (vomiting), heartburn or indigestion, breaking wind Increased sweating, (itchy) rash Muscle pain, muscle spasm Painful urination, frequent urination Problems getting an erection, changes in ejaculation Falls (mostly in elderly people), fatigue Weight loss Headache, feeling sleepy Throat inflammation that causes a hoarse voice Suicidal thoughts, grinding or clenching the teeth, feeling disorientated, lack of motivation Sudden involuntary jerks or twitches of the muscles Large pupils, problems with eyesight Fast and/or irregular heart beat Throat tightness, nose bleeds Vomiting blood, or black tarry stools (faeces), gastroenteritis, burping, difficulty swallowing Inflammation of the liver that may cause abdominal pain and yellowing of the skin or whites of the eyes (jaundice) Night sweats, hives, cold sweats, sensitivity to sunlight, increased tendency to bruise Muscle tightness, muscle twitching Difficulty or inability to pass urine Abnormal vaginal bleeding, abnormal periods, including heavy, painful, irregular or prolonged periods, unusually light or missed periods, pain in the testicles or scrotum Chest pain, feeling cold, thirst, shivering, feeling hot, abnormal gait Weight gain Increases in liver enzymes or blood levels of potassium, creatine phosphokinase, sugar, or cholesterol Serious allergic reaction which causes difficulty in breathing or dizziness with swollen tongue or lips or face or throat Decreased thyroid gland activity which can cause tiredness or weight gain Dehydration, low levels of sodium in the blood “Serotonin syndrome” (a rare reaction which may cause feelings of great happiness, drowsiness, clumsiness, restlessness, feeling of being drunk, fever, sweating or rigid muscles), fits increased pressure in the eye (glaucoma) Inflammation of the mouth, passing bright red blood in your stools, bad breath, inflammation of the large intestine (leading to diarrhoea) Stevens-Johnson syndrome (serious illness with blistering of the skin, mouth, eyes and genitals) Contraction of the jaw muscle Abnormal urine odour Menopausal symptoms, abnormal production of breast milk in men or women Inflammation of the blood vessels in the skin (cutaneous vasculitis)

Tell your doctor if you are taking, Other medicines containing duloxetine Another antidepressant medicine called a monoamine oxidase inhibitor (MAOI). Examples of MAOIs include moclobemide (an antidepressant) and linezolid (an antibiotic) Fluvoxamine, used to treat depression Ciprofloxacin or enoxacin which are used to treat some infections Benzodiazepines, strong painkillers, antipsychotics, phenobarbital and antihistamines Triptans, tramadol, tryptophan, SSRIs (such as paroxetine and fluoxetine), SNRIs (such as venlafaxine), tricyclic antidepressants (such as clomipramine, amitriptyline), pethidine Herbal medicine such as St John’s Wort (Hypericum perforatum) and MAOIs (such as moclobemide and linezolid) Medicines with oral anticoagulants or antiplatelet agents

Keep this medicine out of reach of children Do not use this medicine after the expiry date Store at room temperature (15-25°C)