Symbal 30Mg Strip Of 10 Tablets

• Generalised anxiety disorder (uncontrolled worry and excessive anxiety)
• Major depressive disorder (a condition with a depressed mood and loss of interest in daily activities)
• Diabetic peripheral neuropathic pain (a type of nerve pain caused due to damage to peripheral nerves in diabetic patients)
• Stress Urinary incontinence (unintentionally passing urine)
• Chronic musculoskeletal pain
• Fibromyalgia (Generalised musculoskeletal pain all over the body)

• If you’re allergic to Duloxetine or any component of Symbal Tablet.
• If you are already on other antidepressants like Fluoxetine.
• Narrow-angle glaucoma (increase in fluid pressure inside the eye)
• Uncontrolled high blood pressure
• If you have suicidal thoughts.
• If you are on treatment with monoamine oxidase inhibitors (MAOIs) like Moclobemide or Linezolid
• Renal failure
• If you have any condition with increased risk of bleeding
• Uncontrolled diabetes
• Chronic inflammation of the liver or any liver failure
• If you have very low blood sodium levels
• If you have severe skin conditions or any previous history of medicine induced skin reactions in the past. This medicine can rarely cause conditions like stevens-Johnson syndrome or erythema multiforme (both are severe skin conditions)

• Nausea
• Diarrhoea
• Constipation
• Difficulty in sleeping
• Drowsiness
• Heartburn
• Low sexual desire
• Serious skin reactions

Other General Warnings

• You are an elderly person with comorbid conditions like hypertension and diabetes.
• You are on medications like blood thinners and other medicines that interact with Symbal Tablet.
• You get thoughts about harming yourself or ending your life.
• You experience hallucinations or become aggressive and angry.
• You are experiencing severe side effects.
• You experience a drop in blood glucose levels.
• You have started taking any medicinal herbs or supplements.
• You want to stop taking Symbal Tablet.

• Symbal Tablet should be used as advised by your doctor.
• The tablet should be swallowed whole along with a glass of water.
• You should not break or chew a Symbal Tablet.
• Symbal Tablet can be taken with or without food.
• Symbal Tablet should be taken at a fixed time every day to maintain a constant level of medicine in the body and achieve the desired clinical effect.

Overdose

Missed a Dose

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Interactions with other medicines

• Monoamine oxidase (MAO) inhibitors, such as Isocarboxazid & linezolid, can lead to serotonin syndrome (a severe condition due to raised serotonin levels characterised by symptoms of agitation, increased reflexes, tremor, sweating, increased body temperature.
• Do not mix antibiotics like Norfloxacin with Symbal Tablet. The interaction between them increases the level of the Symbal tablet in the blood and can lead to symptoms of overdose.
• Blood thinners/Antiplatelet agents like Aspirin - Using Symbal Tablet together with aspirin may increase the risk of bleeding.
• Lithium and dextromethorphan - increases the risk of serotonin syndrome.
• Anti-anxiety medicines like Lorazepam - increase side effects like drowsiness and difficulty concentrating
• Opioid analgesics like Fentanyl - increases the risk of serotonin syndrome.
• Tamoxifen - Symbal Tablet may decrease the effectiveness of Tamoxifen in the treatment of breast cancer.
• Leflunomide - Leflunomide may cause liver problems, and using Symbal Tablet increases the risk.

Interactions with food items

• Tea and coffee, when consumed along with Symbal Tablet, tend to increase the blood levels of the medicine.
• Avoid grapefruit and its juice, as it may increase the blood levels of Symbal Tablet.