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Cymbalta (Duloxetine Hydrochloride) - Summary

 

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WARNING

Suicidality in Children and Adolescents — Antidepressants increased the risk of suicidal thinking and behavior (suicidality) in short-term studies in children and adolescents with major depressive disorder (MDD) and other psychiatric disorders. Anyone considering the use of Cymbalta or any other antidepressant in a child or adolescent must balance this risk with the clinical need. Patients who are started on therapy should be observed closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. Cymbalta is not approved for use in pediatric patients. (See WARNINGS  and PRECAUTIONS, Pediatric Use.)

Pooled analyses of short-term (4 to 16 weeks) placebo-controlled trials of 9 antidepressant drugs (SSRIs and others) in children and adolescents with major depressive disorder (MDD), obsessive compulsive disorder (OCD), or other psychiatric disorders (a total of 24 trials involving over 4400 patients) have revealed a greater risk of adverse events representing suicidal thinking or behavior (suicidality) during the first few months of treatment in those receiving antidepressants. The average risk of such events in patients receiving antidepressants was 4%, twice the placebo risk of 2%. No suicides occurred in these trials.

 

CYMBALTA SUMMARY

CYMBALTA®
(duloxetine hydrochloride) Delayed-release Capsules

Cymbalta® (duloxetine hydrochloride) is a selective serotonin and norepinephrine reuptake inhibitor (SSNRI) for oral administration.

Cymbalta is indicated for the treatment of major depressive disorder (MDD).

The efficacy of Cymbalta has been established in 8- and 9-week placebo-controlled trials of outpatients who met DSM-IV diagnostic criteria for major depressive disorder ( see CLINICAL STUDIES).

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.

The effectiveness of Cymbalta in hospitalized patients with major depressive disorder has not been studied.

The effectiveness of Cymbalta in long-term use for major depressive disorder, that is, for more than 9 weeks, has not been systematically evaluated in controlled trials. The physician who elects to use Cymbalta for extended periods should periodically evaluate the long-term usefulness of the drug for the individual patient.

Cymbalta is indicated for the management of neuropathic pain associated with diabetic peripheral neuropathy ( see CLINICAL STUDIES).

CYMBALTA NEWS HIGHLIGHTS

Media Articles Related to Cymbalta (Duloxetine)

EFNS: Mixed Results with Duloxetine (Cymbalta) for Low Back Pain
Source: MedPage Today Neurology [2008.08.29]

Patients Taking Cymbalta® Experienced Reduced Chronic Low Back Pain In New Study
Source: Pain / Anesthetics News From Medical News Today [2008.08.26]

EU Approval For Cymbalta In Generalised Anxiety Disorder
Source: Anxiety / Stress News From Medical News Today [2008.08.24]

Cymbalta Receives European Approval For The Treatment Of Generalised Anxiety Disorder
Source: Anxiety / Stress News From Medical News Today [2008.08.23]

Cymbalta Approved for Fibromyalgia
Source: MedicineNet Constipation Specialty [2008.06.17]

more>>

Published Studies Related to Cymbalta (Duloxetine)

Long-term efficacy of duloxetine in women with stress urinary incontinence. [2008.07]

Efficacy and safety of duloxetine for treatment of fibromyalgia in patients with or without major depressive disorder: Results from a 6-month, randomized, double-blind, placebo-controlled, fixed-dose trial. [2008.06]

A randomized, controlled trial of duloxetine alone vs. duloxetine plus a telephone intervention in the treatment of depression. [2008.05]

Time to response for duloxetine 60 mg once daily versus placebo in elderly patients with major depressive disorder. [2008.04]

Duloxetine versus placebo for the treatment of women with stress predominant urinary incontinence in Taiwan: a double-blind, randomized, placebo-controlled trial. [2008.01.25]

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Clinical Trials Related to Cymbalta (Duloxetine)

Duloxetine Versus Duloxetine Plus Non-Drug Therapy for Depression [Completed]

An Open Trial of Duloxetine on Comorbid Major Depression and Chronic Headache [Completed]

Efficacy and Safety of Duloxetine, Placebo and Pelvic Floor Muscle Training in Subjects With Stress Urinary Incontinence [Completed]

Study of Duloxetine in Elderly Patients With Major Depressive Disorder [Completed]

Duloxetine - Warfarin Pharmacodynamic Study [Completed]

more>>

Page last updated: 2008-08-29

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