SYMBAL 60 MG TABLET
Generic : Duloxetine (60mg)
Treatment : Depression, Anxiety Disorder, Diabetic Nerve Pain, Fibromyalgia, Neuropathic Pain
Pack size : 10 (Tablet )
Manufacturer : Torrent Pharmaceuticals Ltd
Made In : INDIA
PRODUCT INTRODUCTION
Symbal 60 Tablet is used in the treatment of depression, anxiety disorder, diabetic nerve pain, fibromyalgia (a condition in which there are generalized pain and tenderness in the body), neuropathic pain, and stress urinary incontinence.
Symbal 60 Tablet works by increasing the level of chemical messengers (serotonin and noradrenaline) in the brain that have a calming effect on the brain and relax the nerves, thus treating your illness. It may be taken with or without food. It is advised to take this medicine at a fixed time each day to maintain a consistent level in the blood. If you miss any doses, take it as soon as you remember. Do not skip any doses and finish the full course of treatment even if you feel better. This medication mustn’t be stopped suddenly as it may worsen your symptoms.
Before taking Symbal 60 Tablet, inform your doctor if you have any problems with your kidneys, heart, liver, or have a history of seizures (epilepsy or fits). Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or if you have any suicidal thoughts.
BENEFITS OF SYMBAL TABLET
In Treatment of Depression
Symbal 60 Tablet increases the levels of certain chemicals in the brain that improve our mood and behavior. This creates a feeling of wellbeing, relieves anxiety, reduces tension, helps you sleep better, and increases your energy levels. It is an effective antidepressant but may cause drowsiness. You need to take it regularly as it is prescribed for it to be most effective and should not stop taking it suddenly, even if you feel better, as it may worsen your condition.
In Treatment of Anxiety disorder
Symbal 60 Tablet stops your brain from releasing the chemicals that make you feel anxious so it can reduce the symptoms of excessive anxiety and worry. It can also reduce feelings of restlessness, tiredness, difficulty concentrating, feeling irritable, and sleep problems that often come with Anxiety Disorder. It will therefore help you go about your daily activities more easily and be more productive. Keep taking this medicine even if you feel well. Stopping suddenly can cause serious problems.
In Treatment of Diabetic nerve pain
High levels of blood sugar (glucose) levels in diabetic patients can cause damage to nerves and this can cause pain sensation. Symbal 60 Tablet helps reduce this damage by affecting chemicals in the brain called neurotransmitters. By relieving pain, it helps improve your quality of life.
In Treatment of Fibromyalgia
Symbal 60 Tablet may also be used to treat pain in people with fibromyalgia. It reduces pain and also the mood changes, sleep problems, and tiredness that can be caused by the pain. It interferes with pain messages traveling through the brain. Taking this medicine regularly will have an impact on your overall quality of life. Keep taking the medicine until your doctor advises you to stop.
In Treatment of Neuropathic pain
Symbal 60 Tablet is used to treat long-lasting (chronic) pain caused by nerve damage due to diabetes, shingles, or spinal cord injury. It interferes with pain signals that travel through the damaged nerves and the brain. Taking this medicine regularly will improve your physical and social functioning and overall quality of life. It takes a few weeks to work so you need to take it regularly even if you feel it is not doing any good.
In Treatment of Stress urinary incontinence
Stress urinary incontinence refers to the loss of urine without conscious intention. It may occur due to a disturbed state of mind and thoughts. Symbal 60 Tablet helps in increasing the activity of those nerves in the brain that control muscles in our bladder that are responsible for passing urine. This helps in improving bladder control.
HOW TO USE SYMBAL TABLET
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Symbal 60 Tablet may be taken with or without food, but it is better to take it at a fixed time.
HOW SYMBAL TABLET WORKS
Symbal 60 Tablet works by increasing the levels of chemical messengers (serotonin and noradrenaline), natural substances in the brain that help maintain mental balance and stop the movement of pain signals in the brain.
SAFETY ADVICE
Alcohol
UNSAFE
It is unsafe to consume alcohol with Symbal 60 Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Symbal 60 Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Symbal 60 Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Symbal 60 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Symbal 60 Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Symbal 60 Tablet may be needed. Please consult your doctor.
Dose adjustment is not recommended in patients with mild and moderate kidney disease.
Dose adjustment is not recommended in patients with mild and moderate kidney disease.
Liver
UNSAFE
Symbal 60 Tablet is probably unsafe to use in patients with liver disease and should be avoided. Please consult your doctor.
Interaction with drugs
- CLOPIDOGREL
- WARFARIN
- IBUPROFEN
- CIPROFLOXACIN
- LINEZOLID
WHAT IF YOU FORGET TO TAKE SYMBAL TABLET?
If you miss a dose of Symbal 60 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
SIDE EFFECTS
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Symbal
- Nausea
- Headache
- Dryness in mouth
- Sleepiness
- Dizziness
FAQ's
Q. How long does Symbal 60 Tablet take to work?
In people with depression and anxiety, Symbal 60 Tablet mostly starts working within two weeks of treatment. However, you may take 2-4 weeks to feel better. Consult your doctor if you do not see any improvement after this time. In people with diabetic neuropathic pain, you may take a few weeks to feel better. Consult your doctor if you do not feel better after 2 months.
Q. If I start feeling better, can I stop taking Symbal 60 Tablet?
No, you should not stop Symbal 60 Tablet suddenly and without consulting your doctor. In cases of depression and anxiety, if you have been feeling better for 6 months or more, your doctor may reduce your doses gradually. In case of pain and incontinence, if you are feeling better, continue taking it for the long term. Your doctor will keep monitoring your response to the medicine every few months.
Q. Is Symbal 60 Tablet highly addictive?
No, Symbal 60 Tablet is not habit-forming (addictive). This means that it does not make you physically or psychologically dependent on it.
Q. What will be the consequences if I stop taking Symbal 60 Tablet suddenly?
If you stop Symbal 60 Tablet suddenly, you may feel dizzy, tired, agitated or restless, anxious and irritated. You may also experience sleep disturbances (vivid dreams, nightmares, inability to sleep), nausea, vomiting, shaking, muscle pain, diarrhea, a piercing sensation (pins and needles) especially in the head, and excessive sweating or vertigo. Always consult your doctor before you stop taking Symbal 60 Tablet. Your doctor will reduce the dose gradually.
Q. I am taking warfarin, does Symbal 60 Tablet interfere with warfarin? Is it safe to take both together?
You should be cautious if you are taking both Symbal 60 Tablet and warfarin since there is a risk of bleeding or you may experience petechiae or purpura.
Q. Is Symbal 60 Tablet safe to use for long term?
Symbal 60 Tablet is safe to use for a long duration, provided you follow your doctor’s advice regarding the treatment.
Q. I am a hypertensive patient. I have noticed that my blood pressure has increased after I started taking Symbal 60 Tablet. Is it because of Symbal 60 Tablet, what should be done?
Symbal 60 Tablet may cause an increase in blood pressure. Therefore, regular monitoring of blood pressure is required, especially during the first month of use. If your blood pressure increase is constant, consult your doctor. It may indicate that your Symbal 60 Tablet dose either needs to be reduced or discontinued gradually.
ADDITIONAL INFORMATION
Pack size – 10
pack form – Tablet
MORE INFORMATION
Information Leaflet
Always read the patient information leaflet before commencing treatment.
Important: We advise you to always read the patient information leaflet inside the medication box, as the generic medication may not always entirely match the patient information leaflet listed. Please contact us if you have any questions.
