Duloxetine was approved for the treatment of major depression in 2004. While duloxetine has demonstrated improvement in depression-related symptoms compared to placebo, comparisons of duloxetine to other antidepressant medications have been less successful. A 2012 Cochrane Review did not find greater efficacy of duloxetine compared to SSRIs and newer antidepressants. Additionally, the review found evidence that duloxetine has increased side effects and reduced tolerability compared to other antidepressants. It thus did not recommend duloxetine as a first line treatment for major depressive disorder, given the (then) high cost of duloxetine compared to inexpensive off-patent antidepressants and lack of increased efficacy. do not list duloxetine among the recommended treatment options. A review from the Annals of Internal Medicine lists duloxetine among the first line drug treatments, however, along with citalopram, escitalopram, sertraline, paroxetine, and venlafaxine. The last time I saw my PM/Physiatrist she talked to me about Cymbalta for my back pain. I turned it down for a number of reasons.1) I'm concerned about the side effects/systemic effects2) If it doesn't work I'm concerned about the WD symptoms (read some horror stories)3) The stigma associated with it4) Most importantly, I just don't believe that it could help. I know it's an ignorant thought, but I'm just being honest. I'm a pharm D student with a great interest in psychopharm. I understand the biological and psychological mechanisms of pain how how an antidepressant might work to relieve pain. On a parallel, I've never thought my pain to be associated with my stress/mood, and I have thought about it a lot, as objectively as possible. [Instead I took a prescription of Zanaflex (muscle relaxant). I tried it for a couple weeks, at different dosages, and not once did I feel a muscle relaxing effect. Valacyclovir 1 gm Clonidine wikipedia Zoloft cmi Cheapest place to buy zovirax Visits and larger body of evidence for chronic pain disorders. With more FDA-approved indications, duloxetine may be useful for simultaneously treating the chronic pain disorder and co-occurring disorders such as depression with one drug “dual use”. Duloxetine, sold under the brand name Cymbalta among others, is a medication used to treat major depressive disorder, generalized anxiety disorder, fibromyalgia, and neuropathic pain. It is taken by mouth. Duloxetine 60mg Gastro-resistant Capsules, hard - Patient Information Leaflet PIL by Accord-UK Ltd The findings, which were presented at the American Academy of Pain Medicine's Annual Meeting in February 2010, were based on results from the Brief Pain Inventory (BPI). The BPI is a scientific tool used to rate a patient's degree of pain. In this experiment, researchers studied 401 patients with chronic low back pain. Over the course of 3 months, one group of patients received a 60-mg dose of Cymbalta, while the other group received a placebo. The patients in the Cymbalta group reported a significant reduction in their pain, compared to the placebo group. However, the researchers also noted that Cymbalta's negative side effects caused 30 of the 198 patients in the Cymbalta group to drop out of the study. These common side effects include nausea, headache, and dizziness. My oncologist told me today that he's had several patients that had good results from using 60 mg/day of duloxetine to calm their chronic pain. He gave a link to the Cochrane Reviews and said that Cochrane was the benchmark for evidence based health care practice. While going through chemo, the oxaliplatin masked the pain (one of the only good side effects! ) but now it's back and I'm wondering if anyone else has tried using this medication for relief from pain? My GP gave me two weeks worth of Cymbalta 30mg samples, saying that it'd help me with the chronic pain I've been dealing with since September, caused by occipital neuralgia. air after birth followed by tylex, Pethidine and finally an epidural which was the only thing that relieved the pain. A blast of cold air really makes the pain untolerable and I don't want to be popping 7 tylenols a day for the next few months. As it stands I have pain in the pelvic region (unable to have sexual relations), constant urgency & frequency to urinate and pain in the coxic region. I'm also taking Wellbutrin XL 150mg for depression, Klonopin 1mg as needed for anxiety, and recently my doctor added Aderrall 10mg/day to help with my ADD-PI. Original diagnostics were broken coxic and scar tissue. Duloxetine chronic pain Cymbalta Duloxetine Hcl Side Effects, Interactions., Duloxetine - Wikipedia Metformin categoryFluconazole ophthalmic solutionClomid success rateWhere can i order propecia onlineCheap proscar Pain 2.1 1 HIGHLIGHTS OF PRESCRIBING INFORMATION. These highlights do not include all the information needed to use Cymbalta safely and effectively. Reference ID 2860327. Duloxetine 60mg Gastro-resistant Capsules, hard - Patient.. Pain management Digestive Distress. Duloxetine is a drug used to treat depression and urinary urge incontinence leakage of urine and it can be also be useful for certain types of pain. Pain can arise spontaneously when there is damage to nerves that carry pain information to the brain neuropathic pain. Because some people are concerned about the potential for abuse with drugs used for chronic pain, this eMedTV segment assures readers that nonaddictive drugs for pain are available. It also addresses factors that increase a person's risk for addiction. Cymbalta is the brand name for duloxetine, an antidepressant prescribed to treat the symptoms of depression. In addition to depression, doctors can prescribe Cymbalta to treat anxiety that lasts.