The use of medication is a critical issue among those who struggle with anxiety on a daily basis, as well as for professionals treating anxiety disorders. For many people, medication is a positive turning point along the path to recovery. For others, medication can confuse and complicate the recovery process, when freedom from anxiety is purchased at the cost of long-term addiction to tranquilizers. For still other people—those who are either phobic of or philosophically opposed to all types of drugs—medication may seem not to be an option, even when it's needed. One thing is clear: The pros and cons of relying on medication are unique and variable in each individual case. If you feel your problem with anxiety is relatively mild (if it's more of an inconvenience or nuisance instead of a debilitating or highly distressing condition), you may want to consider cognitive behavioral therapy (as described on this site) and/or natural approaches first before trying prescription medication. Natural approaches include regular, preferably aerobic exercise, a practice of regular deep relaxation (for example, a recorded relaxation visualization or meditation), stress management, simplifying your life, and natural herbs or supplements which have a relaxing effect. The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. It is written for patients and gives information about taking or using a medicine. It is possible that the leaflet in your medicine pack may differ from this version because it may have been updated since your medicine was packaged.
This kind of anxiety can help you by making you more alert or careful. You might feel anxious before you take a test or attend an important meeting at work. Mild anxiety goes away after you're out of the situation that caused it. If you've been diagnosed with breast cancer, you might feel anxious, angry, and sad all at the same time. It's normal to be afraid of something that can threaten your life. Anxiety can be made worse by certain breast cancer treatments, including: If your anxiety is caused by medicines to treat breast cancer, it may get worse over time. You might have chest pains, trouble sleeping, or nightmares. After consolidation of the antidepressive response, it is recommended to continue treatment for several months, in order to avoid relapse. Therapeutic response is usually seen after 2-4 weeks of treatment. However, there is no clinical evidence suggesting that patients not responding to the initial recommended dose may benefit from dose up-titrations. Dosages above 60 mg once daily, up to a maximum dose of 120 mg per day have been evaluated from a safety perspective in clinical trials. Major Depressive Disorder: The starting and recommended maintenance dose is 60 mg once daily with or without food. In patients responding to duloxetine, and with a history of repeated episodes of major depression, further long-term treatment at a dose of 60 to 120 mg/day could be considered. Generalised Anxiety Disorder: The recommended starting dose in patients with generalised anxiety disorder is 30 mg once daily with or without food.
Cymbalta (Duloxetine) was officially approved by the FDA in 2004 as a new treatment for major depression. It is classified as an SNRI antidepressant which means it inhibits the reuptake of serotonin as well as norepinephrine. This medication was also devised to target more of the physical symptoms associated with depression and was approved by the FDA to treat nerve pain in diabetics. A few years later it was approved to treat anxiety disorders, fibromyalgia, musculoskeletal pain (in arthritis and lower back pain). This means that many people have turned to this drug for relief in their specific condition. This drug has become highly popularized due to the fact that it was approved to treat so many different conditions. It has also been promoted like crazy on TV and throughout various types of social media. Duloxetine comes as capsules and is only available on prescription. It's also used to treat nerve pain, such as fibromyalgia, and can be used to treat stress urinary incontinence in women. Duloxetine can be taken by adults aged 18 years and over. For stress urinary incontenince, duloxetine can only be used by women. To make sure it's safe for you, tell your doctor if you: For depression, anxiety and nerve pain, you'll usually take duloxetine once a day. For urinary incontinence, you'll usually take duloxetine twice a day. Swallow the capsules whole with a drink of water or juice. You can take duloxetine with or without food, but it's best to take it at the same time each day. For depression, anxiety and nerve pain, duloxetine comes in 30mg and 60mg capsules.
Focus Points • Despite their common use, benzodiazepine dosing in anxiety disorders remains poorly studied. • Several selective serotonin reuptake inhibitors SSRIs, including fluoxetine, citalopram, and escitalopram, have limited data regarding use in anxiety disorders Apr 24, 2018. Depression. Anxiety. Obsessive compulsive disorder. Fibromyalgia. These are just a few of the reasons why you might be prescribed Cymbalta.