Making the Most of Your Treatment

Just as fibromyalgia can be difficult to diagnose, it can be difficult to manage as well. While there is no known cure for fibromyalgia, you and your healthcare provider can develop a treatment plan to manage its symptoms. This plan may include:

The most important thing is finding the right treatment plan for you.

Education

Learning more about your condition may actually help relieve some of your symptoms. Studies have shown that people with fibromyalgia who participate in group discussions, attend lectures, and read about their condition experience less pain than those who don't.

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Medication

Cymbalta has been approved by the FDA for the management of fibromyalgia and has been demonstrated to help reduce pain in people with fibromyalgia. Cymbalta is available only by prescription.

Cymbalta comes in a capsule and can be taken once a day to help relieve pain and tenderness associated with fibromyalgia. Cymbalta has also been demonstrated to improve functioning in patients with fibromyalgia. Plus, Cymbalta can be taken with or without food. You should not break, open, or chew the capsule. It should be swallowed whole. Make sure you take only the dose your doctor prescribes.

Cymbalta is not for everyone. As with all medications, certain side effects may be experienced.

In clinical studies of fibromyalgia, the most commonly reported side effect of Cymbalta was mild to moderate nausea. Read more about the most common side effects and potential risks associated with treatment. For complete product information, please read the full Prescribing Information and Boxed Warning and Important Safety Information.

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Exercise

Researchers and clinicians agree that regular, low- to moderate-intensity physical activity can help you manage some of your fibromyalgia symptoms.

One study found that people with fibromyalgia who took part in a structured exercise program improved their symptoms, their self-efficacy, and aspects of their physical, emotional, and social function. The exercise program included walking and flexibility training with or without strength training.

Every fibromyalgia patient is different. It is important that you and your physician work together to find the right balance of exercise activity and intensity.

Learn more about taking care of yourself.

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Behavioral Therapy

To help you feel better, you may need to change your daily habits and routines. This could mean changing the way you think about your fibromyalgia pain.

Some researchers believe that by changing the way you think about your fibromyalgia pain, you may be able to reduce your perception of it. Some methods that are thought to help you think about your pain differently include:

Be sure to check with your healthcare provider to find out more about behavioral therapies and which types may work best for you.

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Support From Loved Ones

Pain of fibromyalgia can be challenging. Your loved ones can be a source of comfort and support. They may even help you with practical things like finding a doctor or therapist.

You don't have to face fibromyalgia pain alone. After talking to friends and family about it, you might actually feel better.

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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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