Duloxetine Hydrochloride

Osteoarthritis of the Knee, Musculoskeletal System, Generalized Anxiety Disorder + 6 more

Treatment

20 Active Studies for Duloxetine Hydrochloride

What is Duloxetine Hydrochloride

Duloxetine

The Generic name of this drug

Treatment Summary

Duloxetine is a medication used to treat depression, anxiety, nerve pain, osteoarthritis, and stress incontinence. It works by increasing levels of serotonin and norepinephrine in the brain, two chemicals that help regulate mood. The drug was developed by Eli Lilly and Company and approved by the FDA in 2004 under the brand name Cymbalta. It is currently being studied for its potential to treat pain associated with cancer and surgery.

Cymbalta

is the brand name

image of different drug pills on a surface

Duloxetine Hydrochloride Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Cymbalta

Duloxetine

2004

394

Effectiveness

How Duloxetine Hydrochloride Affects Patients

Duloxetine helps treat stress urinary incontinence by increasing the strength of the muscles that control urine release. It has been shown to improve patient ratings on improvement and quality of life, and to reduce the number of incontinence episodes. It also works to reduce pain from conditions such as diabetic peripheral neuropathy and fibromyalgia by strengthening the pathways that carry pain signals from the body to the brain, making it harder for these signals to be sent. While Duloxetine is used to treat mood disorders, it is still not known exactly how it affects mood regulation. Common side effects include increased blood pressure due to increased nore

How Duloxetine Hydrochloride works in the body

Duloxetine affects the brain in several ways. It prevents serotonin and norepinephrine from leaving the neuron, which leads to increased activation of certain receptors. These receptors then cause changes in the cell that result in increased electrical activity and inhibition of pain signals. It also affects the limbic system, which is involved in emotional modulation, though it's unsure how this contributes to its uses in depression and anxiety. Duloxetine also causes vasoconstriction by increasing the availability of norepinephrine, which activates adrenergic receptors on the vascular endothelium and causes calcium release from the sarcoplasmic reticulum.

When to interrupt dosage

The proposed dosage of Duloxetine Hydrochloride is reliant upon the discerned condition, such as Low Back Pain, Fibromyalgia and Prostatectomy. The measure of dosage varies, depending on the technique of delivery (e.g. Oral or Capsule, delayed release pellets - Oral) set out in the table beneath.

Condition

Dosage

Administration

Diabetic Neuralgia

, 20.0 mg, 30.0 mg, 60.0 mg, 40.0 mg

Oral, , Capsule, delayed release, Capsule, delayed release - Oral, Capsule, delayed release pellets, Capsule, delayed release pellets - Oral, Kit, Kit - Oral; Topical, Oral; Topical

Depression

, 20.0 mg, 30.0 mg, 60.0 mg, 40.0 mg

Oral, , Capsule, delayed release, Capsule, delayed release - Oral, Capsule, delayed release pellets, Capsule, delayed release pellets - Oral, Kit, Kit - Oral; Topical, Oral; Topical

Osteoarthritis of the Knee

, 20.0 mg, 30.0 mg, 60.0 mg, 40.0 mg

Oral, , Capsule, delayed release, Capsule, delayed release - Oral, Capsule, delayed release pellets, Capsule, delayed release pellets - Oral, Kit, Kit - Oral; Topical, Oral; Topical

Stress Urinary Incontinence

, 20.0 mg, 30.0 mg, 60.0 mg, 40.0 mg

Oral, , Capsule, delayed release, Capsule, delayed release - Oral, Capsule, delayed release pellets, Capsule, delayed release pellets - Oral, Kit, Kit - Oral; Topical, Oral; Topical

Chronic Lower Back Pain

, 20.0 mg, 30.0 mg, 60.0 mg, 40.0 mg

Oral, , Capsule, delayed release, Capsule, delayed release - Oral, Capsule, delayed release pellets, Capsule, delayed release pellets - Oral, Kit, Kit - Oral; Topical, Oral; Topical

Prostatectomy

, 20.0 mg, 30.0 mg, 60.0 mg, 40.0 mg

Oral, , Capsule, delayed release, Capsule, delayed release - Oral, Capsule, delayed release pellets, Capsule, delayed release pellets - Oral, Kit, Kit - Oral; Topical, Oral; Topical

Musculoskeletal System

, 20.0 mg, 30.0 mg, 60.0 mg, 40.0 mg

Oral, , Capsule, delayed release, Capsule, delayed release - Oral, Capsule, delayed release pellets, Capsule, delayed release pellets - Oral, Kit, Kit - Oral; Topical, Oral; Topical

Generalized Anxiety Disorder

, 20.0 mg, 30.0 mg, 60.0 mg, 40.0 mg

Oral, , Capsule, delayed release, Capsule, delayed release - Oral, Capsule, delayed release pellets, Capsule, delayed release pellets - Oral, Kit, Kit - Oral; Topical, Oral; Topical

Fibromyalgia

, 20.0 mg, 30.0 mg, 60.0 mg, 40.0 mg

Oral, , Capsule, delayed release, Capsule, delayed release - Oral, Capsule, delayed release pellets, Capsule, delayed release pellets - Oral, Kit, Kit - Oral; Topical, Oral; Topical

Warnings

Duloxetine Hydrochloride Contraindications

Condition

Risk Level

Notes

Pulse Frequency

Do Not Combine

Hypertensive disease

Do Not Combine

Pulse Frequency

Do Not Combine

Liver Disease

Do Not Combine

Pulse Frequency

Do Not Combine

uncontrolled narrow-angle glaucoma

Do Not Combine

There are 20 known major drug interactions with Duloxetine Hydrochloride.

Common Duloxetine Hydrochloride Drug Interactions

Drug Name

Risk Level

Description

Azelastine

Major

Duloxetine may increase the central nervous system depressant (CNS depressant) activities of Azelastine.

Ethanol

Major

Duloxetine may increase the central nervous system depressant (CNS depressant) activities of Ethanol.

Iobenguane

Major

Duloxetine may decrease effectiveness of Iobenguane as a diagnostic agent.

Methylene blue

Major

Duloxetine may increase the serotonergic activities of Methylene blue.

Mirtazapine

Major

Duloxetine may increase the serotonergic activities of Mirtazapine.

Duloxetine Hydrochloride Toxicity & Overdose Risk

Overdosing on duloxetine can be fatal and may cause symptoms such as sleepiness, coma, confusion, seizures, fainting, low or high blood pressure, rapid heartbeat, and vomiting. There is no antidote for an overdose and it can't be removed from the body with dialysis. Treatment for an overdose includes supportive care, activated charcoal, and gastric lavage to reduce absorption. If serotonin syndrome occurs, steps may be taken to reduce body temperature or administer cyproheptadine. Long-term use of duloxetine may lead to increased risk of liver cancer in female

image of a doctor in a lab doing drug, clinical research

Duloxetine Hydrochloride Novel Uses: Which Conditions Have a Clinical Trial Featuring Duloxetine Hydrochloride?

387 active trials are studying the potential of Duloxetine Hydrochloride to relieve Musculoskeletal System, Post-Prostatectomy and Chemotherapy Induced Peripheral Neuropathy (CIPN) symptoms.

Condition

Clinical Trials

Trial Phases

Osteoarthritis of the Knee

83 Actively Recruiting

Not Applicable, Phase 1, Phase 2, Phase 3, Phase 4, Early Phase 1

Chronic Lower Back Pain

48 Actively Recruiting

Not Applicable, Early Phase 1, Phase 2, Phase 3, Phase 1

Depression

213 Actively Recruiting

Phase 3, Phase 2, Not Applicable, Phase 4, Phase 1, Early Phase 1

Diabetic Neuralgia

4 Actively Recruiting

Phase 1, Phase 2, Phase 3

Prostatectomy

1 Actively Recruiting

Not Applicable

Generalized Anxiety Disorder

7 Actively Recruiting

Not Applicable, Phase 2, Phase 3

Stress Urinary Incontinence

25 Actively Recruiting

Not Applicable, Phase 3, Phase 2, Phase 4

Musculoskeletal System

8 Actively Recruiting

Not Applicable, Phase 2

Fibromyalgia

0 Actively Recruiting

Duloxetine Hydrochloride Reviews: What are patients saying about Duloxetine Hydrochloride?

5

Patient Review

6/21/2022

Duloxetine Hydrochloride for Neuropathic Pain

This medication has had a profound and transformative effect on my life. It is by far the most effective treatment I've ever received in terms of reducing pain and improving my overall feeling of well-being.

5

Patient Review

6/7/2022

Duloxetine Hydrochloride for Chronic Muscle or Bone Pain

This medicine has been hugely beneficial for me. It's significantly reduced the pain I experience from fibromyalgia, as well as my anxiety levels. Overall, it's made a profound difference in my day-to-day life.

5

Patient Review

7/23/2022

Duloxetine Hydrochloride for Neuropathic Pain

I had a spinal fusion a few years ago which led to unbearable nerve pain and damage in my right leg. I've been taking 120mg of this medication for almost two years now and it's really helped me get by.

5

Patient Review

11/1/2022

Duloxetine Hydrochloride for Major Depressive Disorder

I'm so glad I found out about duloxetine. It's really helped me to feel calmer and more content. The intrusive thoughts and suicidal ideation have completely stopped since starting this medication, and I've generally been in a much better mood.

3.7

Patient Review

9/28/2022

Duloxetine Hydrochloride for Anxiousness associated with Depression

I'm not sure if it's the medicine or not, but I've been feeling sick lately. Has anyone else had this side effect?

2.3

Patient Review

5/30/2022

Duloxetine Hydrochloride for Chronic Muscle or Bone Pain

This medication was given to me after I mentioned suicidal ideation in relation to my back pain. While it did help to level out my mood, it completely killed my appetite. I went from 230 pounds to 170 in just a few months because I had no desire whatsoever to eat anything. My sex drive also took a huge dive while on this medication; I didn't even think about sex at all. Once I stopped taking the medication, my appetite and sex drive both returned to normal.

2.3

Patient Review

8/9/2022

Duloxetine Hydrochloride for Neuropathic Pain

I was originally prescribed Duloxetine 20mg for neuropathic nerve pain, and it worked well for the first few months. However, my mPCP suggested I up the dosage to 30mg. Unfortunately, this caused complete digestive shutdown and chronic constipation. In addition, I had to urinate excessively at night and my skin felt incredibly dry and rough. As a result, I stopped taking the medication.

1.7

Patient Review

7/17/2022

Duloxetine Hydrochloride for Major Depressive Disorder

After six years of taking sertraline, I haven't found it to be helpful at all. If anything, it's made me more paranoid and emotional. I'm also dealing with PTSD and sleep problems. It's difficult to find a way to cope that doesn't put my life at risk.

1.7

Patient Review

7/10/2022

Duloxetine Hydrochloride for Neuropathic Pain

Duloxetine was a terrible experience for me. First, I lost a lot of hair, and then I broke out in hives and welts all over my body. The itching was unbearable. Never taking that again.

1.7

Patient Review

6/24/2022

Duloxetine Hydrochloride for Major Depressive Disorder

This medication made me feel more depressed and even suicidal.

1.3

Patient Review

10/10/2022

Duloxetine Hydrochloride for Anxiousness associated with Depression

DON'T TAKE THIS DRUG! The withdrawal effects are really scary and intense. I would never want to experience that again.

1

Patient Review

8/2/2022

Duloxetine Hydrochloride for Neuropathic Pain

This medication is really difficult to stop taking. I've tried tapering down a few times, and each time I experience horrible withdrawal symptoms like brain zaps. It also seems to interact negatively with a lot of other medications, and I think it might have made my hypertension worse.

1

Patient Review

10/14/2022

Duloxetine Hydrochloride for Chronic Muscle or Bone Pain

I was prescribed this for pain related to muscle necrosis, but it did nothing for me. If anything, it made my symptoms worse. I felt nauseous all the time, could barely eat, and had severe diarrhea. On top of that, I was constantly sweating and shaking. My doctor wanted to increase the dose, but there's no way I'm taking more of this stuff. It's awful.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about duloxetine hydrochloride

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is duloxetine Hydrochloride used for?

"This medication is used to treat depression, anxiety, and nerve pain caused by diabetes. It is also used to treat muscle pain and stiffness associated with fibromyalgia."

Answered by AI

What are the side effects with duloxetine?

"...

If you're struggling to sleep, taking duloxetine first thing in the morning may help. If you're getting headaches, make sure to rest and drink plenty of fluids. If you're feeling dizzy, blurred vision, constipation, diarrhoea, nausea, or vomiting, dry mouth, these may be side effects of the medication."

Answered by AI

Is duloxetine hydrochloride a narcotic?

"Duloxetine belongs to a group of drugs known as selective norepinephrine reuptake inhibitors (SNRIs). Duloxetine is not a selective serotonin reuptake inhibitor (SSRI) or a narcotic."

Answered by AI

Is duloxetine a strong painkiller?

"The research reported in this document demonstrates that duloxetine is an effective way to treat chronic pain, as it significantly improves pain intensity, physical functioning, and overall patient improvement ratings."

Answered by AI

Clinical Trials for Duloxetine Hydrochloride

Have you considered Duloxetine Hydrochloride clinical trials?

We made a collection of clinical trials featuring Duloxetine Hydrochloride, we think they might fit your search criteria.
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Image of UCLA Semel Institute in Los Angeles, United States.

Psilocybin-assisted CBT for Depression

21 - 60
All Sexes
Los Angeles, CA

The primary objectives of this clinical investigation are to (1) determine the acceptability and feasibility of joining psilocybin-assisted therapy with cognitive-behavioral therapy (PA-CBT) for patients with depression, (2) optimize CBT to most effectively integrate the psilocybin experience with psychotherapy and (3) examine the clinical benefit of psilocybin as an adjunct to cognitive-behavioral therapy (CBT) for major depressive disorder. This study is a randomized, two-arm, fixed dose trial that will test the feasibility, acceptability, and participant and therapist adherence to PA-CBT. Both treatment arms will receive two doses of psilocybin (10mg and then 25mg, separated by one month). In Phase II, participants will be randomized (1:1) to either a 12-session PA-CBT or a 6-session standard psilocybin-assisted therapy (PAT) condition (3 hours of preparation plus 3 hours of supportive therapy integration following the psilocybin experiences).

Phase 1 & 2
Recruiting

UCLA Semel Institute

Image of University of Rochester Medical Center in Rochester, United States.

Deaf CBT-TS for Suicide Risk

18+
All Sexes
Rochester, NY

The goal of this clinical trial is to learn if a short, Zoom-based intervention, Cognitive Behavioral Therapy for Treatment-Seeking for Deaf Individuals (Deaf CBT-TS) can change beliefs about mental health treatment and increase treatment-seeking behaviors in Deaf adults with untreated mental health or alcohol use problems. It will also see if Deaf CBT-TS may reduce suicide risk and explore factors that may increase the effectiveness of Deaf CBT-TS. The main questions it aims to answer are: * Does Deaf CBT-TS increase positive beliefs about treatment and increase treatment-seeking behaviors? * Does Deaf CBT-TS increase hope and reduce mental health symptoms, suicide ideation, and alcohol use? * Is Deaf CBT-TS more effective for individuals with less cultural stress compared to those with high levels of cultural stress? * Is Deaf CBT-TS more effective for Deaf individuals in residential areas with more Deaf resources than those with less Deaf resources? Researchers will compare individuals who complete Deaf CBT-TS to those on a waitlist to see if Deaf CBT-TS works to increase positive beliefs about treatment and treatment-seeking behaviors. Participants will: * Complete a baseline assessment including demographic information, measures of hope, general mental health and functioning, alcohol use, suicide ideation, cultural stress, and beliefs about treatment. * Receive Deaf CBT-TS (2 sessions) or be placed on a waitlist with the option of receiving Deaf CBT-Ts after 4 months * Complete two follow-up assessments in 2 and 4 months.

Waitlist Available
Has No Placebo

University of Rochester Medical Center

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Psychotherapy for Depression

18 - 65
Female
Hamilton, Canada

The RESPOND trial explores the link between early life adversity and later life depressive symptoms. The investigators have designed a new psychological therapy tailored to address the symptoms that can be caused by difficult experiences in early life. These symptoms include low mood, emotional dysregulation, and distressing thoughts and beliefs related to difficult or traumatic experiences. The investigators would like to see if this new therapy helps people feel better. The investigators are also studying the biological changes that can occur as a result of early life adversity, and how this therapy may influence those changes. To do this, The investigators ask questions about participants' physical and mental health and take blood samples.

Recruiting
Has No Placebo

St. Joseph's Healthcare Hamilton

Sheryl Green, PhD

Have you considered Duloxetine Hydrochloride clinical trials?

We made a collection of clinical trials featuring Duloxetine Hydrochloride, we think they might fit your search criteria.
Go to Trials