Symbal 60 Tablet

Composition of Symbal 60 Tablet

Symbal 60 Tablet contains Duloxetine (60mg). It belongs to the Antidepressant class of medicines.

Uses of Symbal 60 Tablet

Diabetic nerve pain Depression Anxiety disorder Neuropathic pain Overactive bladder (OAB) Fibromyalgia Treatment of Stress urinary incontinence

Key benefits

• In Treatment of Stress urinary incontinence Stress urinary incontinence refers to the loss of urine without conscious intention. It may occur due to a disturbed state of mind and thoughts. Symbal 60 Tablet helps in increasing the activity of those nerves in the brain that control muscles in our bladder that are responsible for passing urine. This helps in improving bladder control.

How Symbal 60 Tablet works

Symbal 60 Tablet works by increasing the levels of chemical messengers (serotonin and noradrenaline), natural substances in the brain that help maintain mental balance and stop the movement of pain signals in the brain.

How to take Symbal 60 Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Symbal 60 Tablet may be taken with or without food.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

If you miss a dose of Symbal 60 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

If you take too much

An overdose of this medicine can cause fits, dangerous heart rhythm disturbance and coma, and is particularly dangerous with the older tricyclic medicines. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Symbal 60 Tablet

Most side effects of Symbal are mild and settle as the body adjusts. Reported side effects include:

• Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Symbal 60 Tablet

Warnings and precautions

These medicines take two to four weeks to begin working, and longer for the full effect. Stopping at two weeks because nothing has changed is the commonest mistake. Never stop suddenly. Abrupt withdrawal causes dizziness, electric-shock sensations, irritability and flu-like symptoms — your doctor will reduce the dose gradually. Tell your doctor or go to hospital immediately if thoughts of harming yourself appear or worsen, particularly in the first weeks or after a dose change, and especially in anyone under twenty-five. Seek urgent care for agitation with fever, shivering, a racing heart, muscle twitching or confusion, particularly if more than one medicine affecting serotonin is being taken. Side effects are usually worst in the first fortnight and then settle.

Do not take Symbal if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Must not be combined with a monoamine oxidase inhibitor, or started within the gap your doctor specifies after one.

Interactions with other medicines

Tramadol, triptans for migraine, linezolid, St John's wort and other antidepressants can together raise serotonin dangerously. Anti-inflammatory painkillers and blood thinners increase the bleeding risk when combined with this group.

How to store Symbal 60 Tablet

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Symbal 60 Tablet

Symbal 60 Tablet helps in treating depression and anxiety. It may also be used to treat nerve pain from diabetes and some other forms of chronic pain. It may take 2 to 4 weeks for Symbal 60 Tablet to start working. Keep taking it as prescribed. It may cause dizziness and sleepiness. Do not drive or do anything requiring concentration until you know how it affects you. Avoid consuming alcohol when taking Symbal 60 Tablet as it may cause excessive drowsiness and increase the risk of liver damage. It may cause a sensation of restlessness, especially when you first start taking it. Inform your doctor if this happens to you. Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts. Do not stop taking the medication suddenly without talking to your doctor.

Manufacturer and class

Manufacturer:

TORRENT PHARMACEUTICALS

Therapeutic class:

NEURO CNS

Drug class:

Antidepressant

Chemical class:

Naphthalene derivative