Duloxetine Hydrochloride
Osteoarthritis of the Knee, Musculoskeletal System, Generalized Anxiety Disorder + 6 more
Treatment
20 Active Studies for Duloxetine Hydrochloride
Treatment for
Osteoarthritis of the Knee
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
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
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
5
Patient Review
6/7/2022
Duloxetine Hydrochloride for Chronic Muscle or Bone Pain
5
Patient Review
7/23/2022
Duloxetine Hydrochloride for Neuropathic Pain
5
Patient Review
11/1/2022
Duloxetine Hydrochloride for Major Depressive Disorder
3.7
Patient Review
9/28/2022
Duloxetine Hydrochloride for Anxiousness associated with Depression
2.3
Patient Review
5/30/2022
Duloxetine Hydrochloride for Chronic Muscle or Bone Pain
2.3
Patient Review
8/9/2022
Duloxetine Hydrochloride for Neuropathic Pain
1.7
Patient Review
7/17/2022
Duloxetine Hydrochloride for Major Depressive Disorder
1.7
Patient Review
7/10/2022
Duloxetine Hydrochloride for Neuropathic Pain
1.7
Patient Review
6/24/2022
Duloxetine Hydrochloride for Major Depressive Disorder
1.3
Patient Review
10/10/2022
Duloxetine Hydrochloride for Anxiousness associated with Depression
1
Patient Review
8/2/2022
Duloxetine Hydrochloride for Neuropathic Pain
1
Patient Review
10/14/2022
Duloxetine Hydrochloride for Chronic Muscle or Bone Pain
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