Taking Care of Yourself

Taking care of yourself is an important part of getting better. Feeling the way you do now probably didn't happen overnight. Feeling better may take a little time, too. If you are just beginning treatment, this might mean putting off big decisions for a little while and letting friends and family help you. Reaching out to the people around you is a great step toward improvement. Try to spend more time with them, talk about how you're feeling, stay in touch, and remember to ask for help. Try writing down your feelings in a notebook or journal. Some people find this comforting, and you may, too. You can even be creative and write a poem about how you're feeling.

As you respond to treatment with Cymbalta, look at your depression as an opportunity for a positive, lasting change. If you find that you are starting to feel better, talk with your doctor about how long you should continue treatment. Do not stop taking your medicine until you speak to your doctor directly. He or she may decide to steadily reduce your dose. If you stop taking your medicine, you may experience dizziness, nausea, headache, or other potential side effects.

If you're already feeling better, you may feel like actively pursuing lifestyle changes that may complement your treatment and enhance your general health, like improving your eating habits, getting a good night's sleep, or getting more exercise. Talk with your doctor before starting or changing an exercise program. The following suggestions may not be right for everyone, so work with your healthcare provider to determine what may work best for you.

Improve your eating habits
You are what you eat, and what you eat can affect the way you feel. Talk to your healthcare provider about the types of food you can eat. He or she may be able to make a recommendation for you or refer you to a specialist, such as a dietician or nutritionist, to get you on the road to healthy eating. Limiting your intake of caffeine and sugar may help you feel better.

Get a restful night's sleep
It is important to have healthy sleeping habits. Getting a restful night's sleep can certainly affect the way you feel in the morning and throughout the day. By creating a sleep-friendly environment, you will feel more rejuvenated and refreshed, ready to take on a new day. Your sleep environment should be a quiet, calming, soothing retreat. Turn your alarm clock to the wall—you'll be less likely to count down the time until sunrise. Don't force yourself to fall asleep. If you are still awake after being in bed for 20 minutes, do something relaxing, such as reading a book or watching TV until you feel tired. Minimize your daily intake of caffeine, sugary foods, and nicotine. These substances can cause you to be wide awake at night. It's a good idea to have a consistent sleep time and wake time. If you go to bed and wake up at the same time each day, your body will adjust to this pattern, and you'll feel much more relaxed and awake in the morning. If you have a hard time falling asleep at night, be sure not to nap during the day. It will make it more difficult for you to fall asleep when you should.

Be sure to discuss your sleep habits with your doctor and how they may be affecting your daily functioning. Write down when you go to bed and when you get up every day.

Be more active
By adding a little exercise to your day, you can feel better—emotionally and physically. According to healthcare providers, at least 30 minutes of exercise a day is sufficient. You don't have to join a gym—you can take walks or work out at home. By walking with a friend, you get the benefits of exercise and good company. You can work out at home by renting an exercise DVD or VHS tape. Maybe you can borrow one from a friend. Other things you can do to incorporate exercise into your daily routine include taking the stairs rather than the elevator and parking your car farther away from the supermarket, so you walk more.

You should talk to your doctor before starting or changing any exercise program.

Learn more about being good to your body.

Indication

Cymbalta is indicated for the treatment of major depressive disorder (MDD). The efficacy of Cymbalta was established in four short-term and one maintenance trial in adults.

Cymbalta is indicated for the treatment of generalized anxiety disorder (GAD). The efficacy of Cymbalta was established in three short-term and one maintenance trial in adults.

Cymbalta is indicated for the management of diabetic peripheral neuropathic pain (DPNP) and fibromyalgia.

Important Safety Information About Cymbalta

Antidepressants can increase suicidal thoughts and behaviors in children, teens, and young adults. Suicide is a known risk of depression and some other psychiatric disorders. Call your doctor right away if you have new or worsening depression symptoms, unusual changes in behavior, or thoughts of suicide. Be especially observant within the first few months of treatment or after a change in dose. Approved only for adults 18 and over.

What should I talk about with my healthcare provider?

Patients on antidepressants and their families or caregivers should watch for new or worsening depression symptoms, unusual changes in behavior, thoughts of suicide, anxiety, agitation, panic attacks, difficulty sleeping, irritability, hostility, aggressiveness, impulsivity, restlessness, or extreme hyperactivity. Call your healthcare provider right away if you have thoughts of suicide or if any of these symptoms are severe or occur suddenly. Be especially observant within the first few months of antidepressant treatment or whenever there is a change in dose.

Who should NOT take Cymbalta?

You should not take Cymbalta if:

  • You have recently taken a type of antidepressant called a monoamine oxidase inhibitor (MAOI)
  • You have uncontrolled narrow-angle glaucoma (increased eye pressure)
  • You are taking Mellaril® (thioridazine)

What other important information should I discuss with my healthcare provider?

Before starting Cymbalta, talk with your healthcare provider:

  • about all of your medical conditions, including kidney or liver problems, glaucoma, diabetes, seizures, or if you have bipolar disorder. Cymbalta may worsen a type of glaucoma or the control of blood sugar in some patients with diabetes
  • about your alcohol use
  • if you are taking nonprescription or prescription medicines, including those for migraine, to address a possible life-threatening condition
  • if you are taking NSAID pain relievers, aspirin, or blood thinners. Use with Cymbalta may increase bleeding risk
  • if you are pregnant, plan to become pregnant during therapy, or are breastfeeding an infant

While taking Cymbalta, talk with your healthcare provider:

  • if you have itching, right upper belly pain, dark urine, yellow skin/eyes, or unexplained flu-like symptoms, which may be signs of liver problems. Severe liver problems, sometimes fatal, have been reported
  • if you have high fever, confusion, and stiff muscles to address a possible life-threatening condition
  • before stopping Cymbalta or changing your dose
  • if you experience dizziness or fainting upon standing, especially when first starting Cymbalta or when increasing the dose
  • about your blood pressure. Cymbalta can increase your blood pressure. Your healthcare provider should check your blood pressure prior to and while taking Cymbalta
  • if you experience headache, weakness, confusion, problems concentrating, memory problems, or feel unsteady while taking Cymbalta which may be signs of low sodium levels
  • if you develop problems with urine flow

If you have any questions, talk to your healthcare provider before taking Cymbalta.

What are the possible side effects of Cymbalta?

The most common side effect of Cymbalta was nausea. Other common side effects included dry mouth, constipation, sleepiness, increased sweating, decreased appetite, dizziness, and weakness. This is not a complete list of side effects.

Other safety information about Cymbalta:

Cymbalta may cause sleepiness and dizziness. Until you know how Cymbalta affects you, you should not drive a car or operate hazardous machinery.

Please read additional Safety Information and Boxed Warning for a complete list.

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