Country: United States
Language: English
Source: NLM (National Library of Medicine)
Duloxetine hydrochloride (UNII: 9044SC542W) (Duloxetine - UNII:O5TNM5N07U)
Rebel Distributors Corp.
Duloxetine hydrochloride
Duloxetine 30 mg
ORAL
PRESCRIPTION DRUG
Cymbalta is indicated for the treatment of major depressive disorder (MDD). The efficacy of Cymbalta was established in four short term and one maintenance trial in adults [see Clinical Studies (14.1)] . A major depressive episode (DSM-IV) implies a prominent and relatively persistent (nearly every day for at least 2 weeks) depressed or dysphoric mood that usually interferes with daily functioning, and includes at least 5 of the following 9 symptoms: depressed mood, loss of interest in usual activities, significant change in weight and/or appetite, insomnia or hypersomnia, psychomotor agitation or retardation, increased fatigue, feelings of guilt or worthlessness, slowed thinking or impaired concentration, or a suicide attempt or suicidal ideation. Cymbalta is indicated for the treatment of generalized anxiety disorder (GAD). The efficacy of Cymbalta was established in three short-term trials and one maintenance trial in adults [see Clinical Studies (14.2)] . Generalized anxiety disorder is defined by the DSM
Cymbalta is available as delayed release capsules in the following strengths, colors, imprints, and presentations: a equivalent to duloxetine base † Identi-Dose® (unit dose medication, Lilly) Store at 25°C (77°F); excursions permitted to 15-30°C (59-86°F) [see USP Controlled Room Temperature]. Cymbalta, duloxetine HCl Delayed Release Capsules, 30 mg Bottles of 15 tablets. NDC 21695-145-15 Bottles of 30 tablets. NDC 21695-145-30 Cymbalta, duloxetine HCl Delayed Release Capsules, 60 mg Bottles of 15 tablets. NDC 21695-146-15 Bottles of 30 tablets. NDC 21695-146-30 Store at 20°-25°C (68°-77°F) [See USP Controlled Room Temperature]. Protect from light and moisture. Dispense in a tight, light-resistant container as defined in the USP using a child-resistant closure. Manufactured by: Eli Lilly and Company Indianapolis, IN 46285 Repackaged by: Rebel Distributors Corp. Thousand Oaks, CA 91320
New Drug Application
CYMBALTA- DULOXETINE HYDROCHLORIDE CAPSULE, DELAYED RELEASE Rebel Distributors Corp. ---------- Medication Guide Antidepressant Medicines, Depression and other Serious Mental Illnesses, and Suicidal Thoughts or Actions Read the Medication Guide that comes with your or your family member's antidepressant medicine. This Medication Guide is only about the risk of suicidal thoughts and actions with antidepressant medicines. Talk to your, or your family member's, healthcare provider about: • all risks and benefits of treatment with antidepressant medicines • all treatment choices for depression or other serious mental illness What is the most important information I should know about antidepressant medicines, depression and other serious mental illnesses, and suicidal thoughts or actions? 1. Antidepressant medicines may increase suicidal thoughts or actions in some children, teenagers, and young adults within the first few months of treatment. 2. Depression and other serious mental illnesses are the most important causes of suicidal thoughts and actions. Some people may have a particularly high risk of having suicidal thoughts or actions. These include people who have (or have a family history of) bipolar illness (also called manic- depressive illness) or suicidal thoughts or actions. 3. How can I watch for and try to prevent suicidal thoughts and actions in myself or a family member? • Pay close attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings. This is very important when an antidepressant medicine is started or when the dose is changed. • Call the healthcare provider right away to report new or sudden changes in mood, behavior, thoughts, or feelings. • Keep all follow-up visits with the healthcare provider as scheduled. Call the healthcare provider between visits as needed, especially if you have concerns about symptoms. Call a healthcare provider right away if you or your family member has any of the following symptoms, especially if they are new, worse, or wo Read the complete document
CYMBALTA- DULOXETINE HYDROCHLORIDE CAPSULE, DELAYED RELEASE REBEL DISTRIBUTORS CORP. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE CYMBALTA SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR CYMBALTA. CYMBALTA (DULOXETINE HYDROCHLORIDE) CAPSULE, DELAYED RELEASE FOR ORAL USE INITIAL U.S. APPROVAL: 2004 WARNING: SUICIDALITY AND ANTIDEPRESSANT DRUGS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ INCREASED RISK OF SUICIDAL THINKING AND BEHAVIOR IN CHILDREN, ADOLESCENTS, AND YOUNG ADULTS TAKING ANTIDEPRESSANTS FOR MAJOR DEPRESSIVE DISORDER (MDD) AND OTHER PSYCHIATRIC DISORDERS. CYMBALTA IS NOT APPROVED FOR USE IN PEDIATRIC PATIENTS (5.1). RECENT MAJOR CHANGES Indications and Usage, Generalized Anxiety Disorder (1.2) 11/2009 Dosage and Administration, Maintenance/Continuation/Extended Treatment (2.2) 11/2009 Warnings and Precautions, Serotonin Syndrome or Neuroleptic Malignant Syndrome (NMS)-like Reactions (5.4) 01/2009 INDICATIONS AND USAGE Cymbalta is a serotonin and norepinephrine reuptake inhibitor (SNRI) indicated for: Major Depressive Disorder (MDD) (1.1) Efficacy was established in 4 short-term and one maintenance trial in adults (14.1). Generalized Anxiety Disorder (GAD) (1.2) Efficacy was established in 3 short-term and one maintenance trial in adults (14.2). Diabetic Peripheral Neuropathic Pain (DPNP) (1.3) Fibromyalgia (FM) (1.4) DOSAGE AND ADMINISTRATION Cymbalta should generally be administered once daily without regard to meals. Cymbalta should be swallowed whole and should not be chewed or crushed, nor should the capsule be opened and its contents be sprinkled on food or mixed with liquids (2.1). INDIC ATIO N STARTING DOSE TARGET DOSE MAXIMUM DOSE MDD (2.1, 2.2) 40 mg/day to 60 mg/day Acute Treatment: 40 mg/day (20 mg twice daily) to 60 mg/day (once daily or as 30 mg twice daily); Maintenance Treatment: 60 mg/day 120 mg/day GAD (2.1) 60 mg/day 60 mg/day (once daily) 120 mg/day DPNP (2.1) 60 mg/day 60 mg/day (on Read the complete document