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CYMBALTA is not recommended for use in children and adolescents under the Strensiq (Asfotase Alfa for Subcutaneous Administration)- Multum of 18 years. Do not take CYMBALTA if you have liver disease.

This could increase the chance of you having liver problems during treatment with CYMBALTA. If it has expired or is damaged, return it to your pharmacist for disposal. Before you start to take it Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.

Tell your doctor if you have or have had any medical conditions, especially if you have: a condition in which the pressure of fluid in the eye Strensiq (Asfotase Alfa for Subcutaneous Administration)- Multum be high (glaucoma)high blood pressureheart problemskidney problems as you may need to take a lower dose of CYMBALTAhistory of fits (seizures)bipolar disorderdiabetes If you have high blood pressure or heart Mirtazapine (Mirtazapine Tablets)- FDA your doctor may monitor your blood pressure.

Tell your doctor if you are pregnant or plan to become pregnant or are breast-feeding. Taking other medicines Assisted reproductive technologies your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop. Some medicines and CYMBALTA may interfere with each other. These include: monoamine oxidase inhibitors (MAOIs), medicines used to treat some types of depression.

You should stop taking MAOIs at least two weeks before starting CYMBALTA. You must stop taking CYMBALTA at least 5 days before you start taking a MAOI. How to take CYMBALTA Follow all directions given to you by your doctor or pharmacist carefully.

They may differ from the information contained in this leaflet. How much to take The usual recommended dose of CYMBALTA in Major Depressive Disorder or Diabetic Peripheral Neuropathic Pain Strensiq (Asfotase Alfa for Subcutaneous Administration)- Multum one 60 mg capsule taken once daily.

Your doctor may start you on a lower dose to help reduce side effects. How to take it Swallow the capsule whole with a full glass of water. CYMBALTA may be taken with or without meals. When to take it Take your medicine at about the same time each day.

How long to take it The length of treatment with CYMBALTA will depend on how quickly your symptoms improve. If you forget to take it If it is almost basic clinical pharmacology by katzung for your next dose, skip the dose you missed and take your next dose when you are meant to.

Do not take a double dose to make up for the dose that you missed. If you are not sure what to do, ask your doctor or pharmacist. If you take too much (overdose) Immediately telephone your doctor or the Poisons Information Centre (telephone 13 11 26) for advice, or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much CYMBALTA. While you are taking CYMBALTA Things you must do If you are about to be started on any new medicine, remind your doctor and pharmacist that Strensiq (Asfotase Alfa for Subcutaneous Administration)- Multum are taking CYMBALTA.

If you are going to have surgery, tell the surgeon or anaesthetist that you are taking this medicine If you become pregnant while taking this medicine, tell your doctor immediately. Keep all of your Strensiq (Asfotase Alfa for Subcutaneous Administration)- Multum appointments so that your progress can ibs illness checked.

Your doctor may do some tests from time to time to make sure the medicine is working and to prevent unwanted side effects. Contact your doctor or a mental health professional right away or go to the nearest hospital for treatment if you or someone you know is showing any of the following warning signs of suicide: worsening of your depressionthoughts or talk of Strensiq (Asfotase Alfa for Subcutaneous Administration)- Multum or suicidethoughts or talk of self-harm or harm to othersany recent attempts of self-harmincrease in aggressive behaviour, Strensiq (Asfotase Alfa for Subcutaneous Administration)- Multum or any other unusual changes in behaviour or mood.

All mentions of suicide or violence must be taken seriously. If you notice any of the following contact your doctor right away. Your doctor may do some blood tests to check your liver or tell you to stop taking your medicine. Signs of liver problems include: itchy skindark urineyellowing of the skin or eyestenderness over the liversymptoms of the 'flu' These may be signs of serious liver damage.

Things you must not do Do not take CYMBALTA to treat any other complaints unless your doctor tells you to. Do not drive or operate machinery until you know how CYMBALTA affects you. CYMBALTA may cause dizziness or drowsiness in some people. Do not let yourself run out of CYMBALTA over the weekend or on holidays.

Things to be careful of Be careful when drinking alcohol while you are taking this medicine. Drinking large amounts of alcohol during treatment with CYMBALTA can cause severe liver injury. Side effects Tell your doctor Strensiq (Asfotase Alfa for Subcutaneous Administration)- Multum pharmacist as soon as possible if you do not feel well while you are taking CYMBALTA.

Ask your doctor or pharmacist to answer any questions you may have. Tell your doctor or pharmacist if you notice any of the following and they worry you: dry mouth, mouth ulcers, thirst, bad tasteburping or belching, indigestion, stomach pain, nausea, vomiting,constipation, diarrhoea, wind (flatulence)bad breathloss of appetite, weight lossheadachetrouble sleepingdream abnormalitiesdrowsinessfeeling tired or having no energysexual problemsdizzinesstremorblurred visionfeeling anxious, agitated or restlessconfusion and attention problemstingling and numbness of hands, face, mouth and feetyawning or throat tightnessdifficulty urinating (passing water), urinating frequently or needing to urinate at nightirregular heart beathot and cold sweatssore ears, sore throatringing in earsmuscle pain, stiffness or twitchingwalking problemsflushingskin rashrestless legs These are the more common side effects of your medicine.

This may be because you have low sodium levels in the blood (hyponatraemia or syndrome of inappropriate antidiuretic hormone)abdominal pain, traces of blood in your stools, or if your stools are dark in colour. This may because you have increased bleeding, possibly in the gastric tract (gastrointestinal bleeding). You may need urgent medical attention or hospitalisation. Tell your doctor or pharmacist if you notice anything that is making you feel unwell. After taking CYMBALTA Storage Keep assay capsules in the pack until it is time to take them.

If you take the capsules out of the pack they may not keep as well.

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