Cymbalta (duloxetine) is a serotonin-norepinephrine reuptake inhibitor (SNRI) predominately used to treat anxiety or depression, but may be used in a number of other conditions as well:

• Diabetic peripheral neuropathy
• Fibromyalgia
• Chronic musculoskeletal pain
• Stress urinary incontinence
• Major depressive disorder
• Generalized anxiety disorder

Note that it may be difficult to buy Cymbalta for some of the above conditions in certain areas; approved uses may vary by region. Clients who buy Cymbalta from Kiwi Drug are wholly responsible for complying with local regulations.

This mediation is also known by the brand names Ariclaim, Xeristar, Yentreve, Duzela and Dulane.

Treatment with Cymbalta

The medication comes in capsules, which should be swallowed whole; do not open and sprinkle on food or mix in a beverage. They may be taken with or without a meal according to preference; taking on a full stomach may ease some side effects.

Dosage and administration depends on the condition being treated:

• Depression - 30 to 60 mg each day. Doses may be taken all at once or split into two smaller doses.
• Anxiety - 60 mg per day, taken all at once.
• Diabetic peripheral neuropathy - 60 mg once daily.
• Fibromyalgia - 60 mg once daily.
• Chronic musculoskeletal pain - 60 mg once daily.
• Stress urinary incontinence - 80 mg per day, split into two 40 mg doses.

In all cases, a half-dose is typically given for one week at the start of treatment. For example, if prescribed 60 mg per day to treat anxiety, the first week of treatment would be 30 mg per day. This is to allow the body to adjust to treatment, reducing the risk and severity of side effects.

Also in all cases it typically takes several weeks for the medication's full effects to be felt, though many individuals notice some improvement after just a few days. Treatment is typically long-term, spanning weeks, months, or years.

Warnings & Adverse Effects

As with any SNRI, Cymbalta may produce certain side effects. Most common are nausea, drowsiness, dizziness, dry mouth, constipation, mental or physical restlessness, and insomnia. These symptoms are not of concern unless severe.

Sexual side effects are relatively common with SNRI use; namely loss of libido (interest in sex) and difficulty achieving or maintaining an erection. These symptoms will likely reverse when treatment stops. A doctor may be able to suggest additional medications to reduce the severity.

A more rare side effect, particularly in patients under 24 years of age, is an increase in depression, which may lead to suicidal thoughts. Younger patients should be monitored closely for increasing depression.

Cymbalta can be habit-forming, especially after long-term use. Withdrawal effects can be both psychological and physical, and are most likely, and more severe, when the treatment ends abruptly. Ideally the medication is gradually tapered off over several weeks.

The medication is known to interact with numerous other medications, both prescription and non-prescription. Of particular concern are MAO inhibitors and other medications which effect the central nervous system. Additionally certain stimulants, such as amphetamine, methamphetamine or cocaine can lead to life-threatening complications.

Parents of unborn babies should discuss potential risks with a doctor before starting treatment. It should not be used while breast-feeding.

Buy Cymbalta Hassle-Free at Kiwi Drug

As a client of New Zealand's favorite online pharmacy, you can rest assured your medications will be authentic and your order will be handled by licensed professionals. Kiwi Drug is a legitimate pharmacy, subject to the same regulatory standards as any brick & mortar pharmacy.

A prescription is not required to buy Cymbalta at Kiwi Drug, but, as mentioned above, there may be restrictions in some areas. Clients who buy Cymbalta take full responsibility for any local violations.