Duloxetine + Methylcobalamin is mainly used for the management of neuropathic pain. It falls under the group of antidepressants and vitamin supplements.
Secondary uses of this combination include managing pain in conditions where traditional painkillers have been ineffective.
Nausea
Dizziness
Dry mouth
Fatigue
Duloxetine, part of the selective serotonin and norepinephrine reuptake inhibitors (SSNRIs) category, operates by increasing the levels of serotonin and norepinephrine, mood-regulating and pain-mediating neurotransmitters, in the brain.
Methylcobalamin, an activated form of vitamin B12, aids in nerve regeneration. It enhances the production of myelin, a protective sheath surrounding nerve fibres, thus contributing to nerve health.
Doctor of Medicine
BMS, FMC, MD Resident
Duloxetine + Methylcobalamin can be taken orally (capsule).
This combination is meant for use in adults and adolescents above 18 years of age.
Duloxetine + Methylcobalamin is contraindicated in patients with known hypersensitivity to either duloxetine or methylcobalamin. It is also contraindicated in patients with severe liver disease, end-stage kidney disease, and uncontrolled narrow-angle glaucoma.
Duloxetine + Methylcobalamin may interact with other SSRIs (like paroxetine and fluoxetine), TCAs (like desipramine and amitriptyline), monoamine oxidase inhibitors (like phenelzine and tranylcypromine), anticoagulants (like warfarin and heparin), NSAIDs (like ibuprofen and naproxen), antiplatelets (including aspirin and clopidogrel), benzodiazepines (such as diazepam and lorazepam), and herbal supplements (like St. John's Wort).
An overdose of Duloxetine + Methylcobalamin can cause symptoms like restlessness, tremors, overactive reflexes, rapid breathing, confusion, hallucinations, panic attacks, aggressiveness, nausea, vomiting, diarrhoea, loss of coordination, and a rapid heartbeat. If such symptoms are observed, one should immediately consult a doctor.
If you miss a dose of this medicine, take it as soon as you remember. However, if it is already time for your next dose, skip the missed dose. Do not take two doses at once to make up for a missed one.
Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
Drinking plenty of water can help manage some of the gastrointestinal side effects like constipation.
Taking medication with food can help reduce the risk of nausea.
Duloxetine + Methylcobalamin may affect your ability to drive or operate heavy machinery due to its side effects like drowsiness, dizziness, and blurred vision. It is advisable to avoid these activities until you know how the medication affects you.
The use of Duloxetine + Methylcobalamin during pregnancy and lactation is not recommended unless the potential benefits outweigh the risks. Always consult your doctor before using this medicine during these periods.
Patients with a history of mania, seizures, or bleeding disorders should exercise caution when taking Duloxetine + Methylcobalamin.
Patients with diabetes should also exercise caution while taking this combination.
Avoid alcohol as it may worsen side effects like drowsiness and increase the risk of liver damage.
Frequently asked questions
No, Duloxetine + Methylcobalamin is not a steroid. Duloxetine is an antidepressant and Methylcobalamin is an active form of Vitamin B12.
Duloxetine, one of the components, may cause insomnia or drowsiness in some individuals. If you experience sleep disturbances, you should consult your doctor.
Duloxetine + Methylcobalamin is not typically associated with affecting fertility. However, individual reactions to medicines can vary. If you have concerns, please consult your doctor.
Yes, it is safe to take Duloxetine + Methylcobalamin daily if recommended by your doctor.
The effects of Duloxetine + Methylcobalamin may start to show within a few weeks of starting the medication, but full effects may take up to 2-4 weeks.
Yes, Duloxetine + Methylcobalamin is not available over the counter and requires a prescription from a doctor.
Yes, decreased appetite and weight loss are known side effects of duloxetine, one of the active ingredients in this combination.
Duloxetine + Methylcobalamin in other salts
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