Legal Online Prescriptions

Cymbalta (Duloxetine) Prescription

  • Generic name: Duloxetine HCL
  • Brand name: Cymbalta
  • Drug class: Antidepressant, Serotonin and norepinephrine reuptake inhibitor (SNRIs)

Cymbalta (duloxetine) is an antidepreant with some analgesic properties. It is used to treat depression, anxiety disorder, fibromyalgia symptoms, and pain caused by nerve damage in people with diabetes (diabetic neuropathy).

Sometimes this drug is prescribed for bipolar depression, stress urinary incontinence, and chronic fatigue syndrome.

Cymbalta may be preferred prescription choice for people who have pain syndromes along with their depression.

Other drugs similar to Cymbalta are Effexor (venlafaxine) and the newest antidepressant Pristiq (desvenlafaxine). Cymbalta differs from Effexor (venlafaxine) in that it is comparatively more noradrenergic. It blocks serotonin and norephinepherine transporters more effectively than Effexor. Cymbalta has some advantages over Effexor, including an easier titration schedule and somewhat less likely ability to cause severe discontinuation symptoms.

Duloxetine is less likely to cause sexual side effects than the SSRIs. However, unlike SSRIs, it may cause an elevation in blood pressure.

Generic Cymbalta (International)

Dosage Quantity Pharmacy Price Buy
20 mg 30 capsules 4RX.com $16
20 mg 90 capsules 4RX.com $45
20 mg 180 capsules 4RX.com $81
20 mg 360 capsules 4RX.com $149
30 mg 30 capsules 4RX.com $22
30 mg 60 capsules 4RX.com $42
30 mg 90 capsules 4RX.com $58
30 mg 180 capsules 4RX.com $106
30 mg 360 capsules 4RX.com $199
40 mg 30 capsules 4RX.com $28
40 mg 60 capsules 4RX.com $52
40 mg 90 capsules 4RX.com $77
40 mg 180 capsules 4RX.com $139
40 mg 360 capsules 4RX.com $249
60 mg 30 capsules 4RX.com $38
60 mg 60 capsules 4RX.com $74
60 mg 90 capsules 4RX.com $104
60 mg 180 capsules 4RX.com $199
60 mg 360 capsules 4RX.com $399


Brand Cymbalta (US)

For customers form the USA we recommend to buy Lilly Cymbalta from Health Solutions Network. Although it is more expensive, but they issue and fill the prescription, and you will be able to get refill in time. And it is safer than obtaining the medicine from abroad.

Dosage Quantity Pharmacy Price Shipping Buy
20 mg 60 capsules MPLLC.net $317 $18
20 mg 120 capsules MPLLC.net $569 $18
20 mg 180 capsules MPLLC.net $827 $18
30 mg 60 capsules MPLLC.net $342 $18
30 mg 120 capsules MPLLC.net $624 $18
30 mg 180 capsules MPLLC.net $907 $18

USA Health Solutions Network (MPLLC)
Payment
MasterCard, Visa, Money Order, E-check
Shipping
FedEx next day delivery
1-888-738-3822 (9am - 6pm PST)
customersupport@healthsol.net

Drug Information

Cymbalta (duloxetine hcl) is a balanced and potent reuptake inhibitor of serotonin and norepinephrine. Scientists believe its effects on depression and anxiety symptoms, and on pain perception, may be due to increasing the activity of serotonin and norepinephrine in the central nervous system.

The most frequent side effects with duloxetine are dizziness, somnolence, fatigue, and headache.

How to take

Never combine Cymbalta with MAO inhibitors (e.g. Marplan, Nardil and Parnate), and wait at least 14 days after stopping an MAO inhibitor before starting the treatment.

Swallow Cymbalta capsule whole without chewing or breaking. Take the medication at about the same time each day.

It may take several weeks before the drug begins to work. Continue taking Cymbalta even if you begin to feel better.

Duloxetine has the potential to interact with other prescription drugs (e.g. tricyclics, triptans, SSRIs) and over-the-counter cough and cold medications. Check for possible interactions with your doctor of pharmacist.

Cymbalta dosage

Major Depression:
The total daily dose ranges from 40 mg (taken as one 20 mg capsule twice a day) to 60 mg (taken as a 60 mg capsule once a day or as a 30 mg capsule twice a day).

Diabetic Peripheral Neuropathy:
The recommended dose is 60 mg taken once daily.

Before you buy or ask the doctor for a prescription you should know that Cymbalta (duloxetine) is containdicated or not recommended for people with:

  • uncontrolled narrow-angle glaucoma
  • severe kidney function impairment
  • liver function impairment

Withdrawl and Discontinuation

Do not change the dosage or stop taking Cymbalta or Duloxetine without your doctor's approval. Antidepressant should not be stopped suddenly. Abrupt discontinuation of the drug may cause withdrawal symptoms such as dizziness, nausea, headache, paresthesia, vomiting, irritability, and nightmare. Withdrawal symptoms are temporary and are not the same as addiction.

A gradual reduction in the Cymbalta dose rather than abrupt cessation is recommended whenever possible. If intolerable symptoms occur following a decrease in the dose or upon discontinuation of treatment, then resuming the previous dose may be considered. Subsequently, the physician may continue tapering duloxetine but more gradually.

Quick facts

duloxetine delayed-release
  • Smoking decreases the bioavailability of this medication by about a third.
  • At present, duloxetine is the only antidepressant with FDA approval for the treatment of fibromyalgia.
  • Cymbalta may be more effective when taken in the morning than in the evening.