Dulotek 20 mg Tablet


Overview

Uses of Dulotek Tablet
Dulotek 20 mg Tablet is used in the treatment of depression, anxiety disorder, diabetic nerve pain, fibromyalgia, neuropathic pain and stress urinary incontinence.
Dulotek Tablet side effects
Common
  • Nausea
  • Headache
  • Dryness in mouth
  • Sleepiness
  • Dizziness
How to use Dulotek Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Dulotek 20 mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Dulotek Tablet works
Dulotek 20 mg Tablet works by increasing the levels of chemical messengers (serotonin and noradrenaline), natural substances in the brain that help maintain mental balance and stop the movement of pain signals in the brain.
Dulotek Tablet related warnings
Alcohol
CAUTION
Dulotek 20 mg Tablet may cause excessive drowsiness and calmness with alcohol.
Pregnancy
WEIGH RISKS VS BENEFITS
Dulotek 20 mg Tablet may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Lactation
CAUTION
Dulotek 20 mg Tablet is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.
Driving
Dulotek 20 mg Tablet may make you feel dizzy, sleepy, tired, or decrease alertness. If this happens, do not drive.
Kidney
Dulotek 20 mg Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Dulotek 20 mg Tablet may be needed. Please consult your doctor.
Dose adjustment is not recommended in patients with mild and moderate kidney disease.
Liver
UNSAFE
Dulotek 20 mg Tablet is probably unsafe to use in patients with liver disease and should be avoided. Please consult your doctor.
What if you miss a dose of Dulotek Tablet?
If you miss a dose of Dulotek 20 mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Dulotek 20 mg Tablet
₹8.1/Tablet
Symbal 20 Tablet
Torrent Pharmaceuticals Ltd
₹8.93/Tablet
10% costlier
Duvanta 20 Tablet
Intas Pharmaceuticals Ltd
₹8/Tablet
save 1%
Duloxee 20 Tablet
Talent India
₹6.5/Tablet
save 20%
Sympta 20mg Tablet
Ipca Laboratories Ltd
₹7.38/Tablet
save 9%
Duloren 20 Tablet
La Renon Healthcare Pvt Ltd
₹7/Tablet
save 14%

Expert Advice

  • You may have to wait for 2 to 4 weeks to get the full effect.
  • If your doctor asks you to stop Dulotek 20 mg Tablet, you should not discontinue it abruptly. Many patients tolerate decreasing 50% dose every 3 days however if the withdrawal symptoms emerge during tapering it would require more gradual tapering over few weeks.
  • Inform your doctor if you have ever been diagnosed with any heart problems (heart attack, heart failure, slow or irregular heart rate).
  • Inform your doctor if you have ever been diagnosed with kidney or liver problems.
  • It can cause a sensation of restlessness or an inability to sit or stand still. This is most likely to occur within the first few weeks of treatment. You should tell your doctor if this happens to you.
  • It may be more effective in some patients with depression who fails to respond to selective serotonin receptor inhibitors (SSRI) e.g. Fluoxetine.
  • Monitor blood pressure (BP) frequently.

Interaction with Drugs

Taking Dulotek with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): R Zin, Zina, Thiolite
LIFE-THREATENING
Brand(s): Zosert, Sernit, Taline
SERIOUS
Brand(s): Leparox, Prx, Paromec
SERIOUS
Brand(s): Attera
SERIOUS
Brand(s): Nel
SERIOUS
Brand(s): Kopram, Ecit, Escnx
SERIOUS
Brand(s): Psycolith, Cartil, A Lith
SERIOUS
Brand(s): Boxamine, Voxinix, Fluvox
SERIOUS
Brand(s): Vocita, Celexa
SERIOUS
Brand(s): Flotin, Fluxen, FT
SERIOUS

Patient Concerns

Questions Related to Dulotek

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sir, my self im very depressing while comparing me to others& i dont talk to much bcoz i feel im not in level to talk with them & feel me about myself everyday about my negetativity.this type thinking stressess me very much how can i come from this type of stress?? i feel this is b.coz my weight & height at the age of 21 im right sir??
Dr. Jyoti Kapoor Madan
Psychiatrist
If you let your confidence down, you will develop helplessness ehic leads to depression. Instead of worrying about your weight, take action. Seek professional help. If you feel unmotivated, meet a psychiatrist, its neither too early nor too late for professional advice.
Sir i m suffering from mindly disturbance last 8 days because i have fail in love . Now i dont get to sleep. Only 2-3 hrs sleeping please help me. Im in more depression
Dr. Mehtab Baig
Physiotherapist
Think one mantra ,,,,,duniya jaye bhad me ,,,,, if u don't you takes always on medicine plz ignore all your memories with your ex And deleted
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Do you have any questions related to Dulotek 20 mg Tablet?

FAQs

Q. Is Dulotek a non-steroidal anti-inflammatory drug (NSAID)?
No. Dulotek is not a non-steroidal anti-inflammatory drug (NSAID). It belongs to the anti-depressant class of drugs, more specifically SNRI (Serotonin-Norepinephrine Reuptake Inhibitor). It works by increasing the levels of chemical messengers (serotonin and noradrenaline) in the nervous system.
Q. Is Dulotek a steroid?
No. Dulotek is not a steroid. It belongs to the anti-depressant class of drugs, more specifically SNRI (Serotonin-Norepinephrine Reuptake Inhibitor). It works by increasing the levels of chemical messengers (serotonin and noradrenaline) in the nervous system.
Q. Is Dulotek a blood thinner?
No. Dulotek is not a blood thinner. Blood thinners prevent the formation of harmful blood clots.
Q. Is Dulotek a stimulant?
No. Dulotek is not a stimulant. Stimulants are the medicines which activate the central nervous system.
Q. Is Dulotek a pain killer?
No. Dulotek is not a classical painkiller e.g. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs).Duloxetine is used for the treatment of chronic pain conditions like neuropathic pain, diabetic neuropathy or fibromyalgia.
Q. Is Dulotek a tricyclic antidepressant (TCA)?
No. Dulotek is not a tricyclic antidepressant (TCA). It belongs to a class of anti-depressants called SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors).
Q. Is Dulotek a benzodiazepine?
No. Dulotek is not a benzodiazepine. It belongs to a class of anti-depressants called SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors). Benzodiazepines belong to the sedative-hypnotic class of drugs and include agents like diazepam, lorazepam, alprazolam etc.
Q. Is Dulotek a narcotic?
No. Dulotek is not a narcotic. It means it does not have habit-forming potential. Narcotics are the substance which can cause addiction and dependence.
Q. Is Dulotek a psychotropic?
Yes. A psychotropic is a medicine that affects mind, emotions, and behaviour. Dulotek, being an anti-depressant agent reduces the symptoms of depression and is a psychotropic agent.
Q. Can I take Dulotek if I have Hepatitis C virus infection?
Dulotek should be used with caution in patients with Hepatitis C virus infection. Cases of liver injury, including severe elevations of liver enzymes (>10-times upper limit of normal), hepatitis, and jaundice have been reported with Dulotek. Taking Dulotek increases the risk of liver toxicity and fatty liver in Hepatitis C virus-infected patients.<br>
Q. What is the peak plasma concentration [Cmax] of Dulotek?
The maximum plasma concentration [Cmax] of Dulotek is 6 hours post oral dose. Food taken with Dulotek may delay the time to reach the peak plasma concentration from 6 to 10 hours. This may marginally decrease the extent of absorption (approximately 11%).
Q. Can I take Dulotek with Vitamin D?
Yes. Dulotekcan be taken with vitamin D. It does not have any known interaction with Vitamin D.
Q. What is half life of Dulotek?
The elimination half-life of Dulotek ranges from 8 to 17 hours (mean 12 hours).
Q. Which is better in depression, Dulotek or fluoxetine?
Fluoxetine has not been found to be different in either tolerability or efficacy when compared with Dulotek in major depression. Dulotek is good for treating depression, anxiety and may help with chronic pain.
Q. Which is better Dulotek vs sertraline?
Dulotek and sertraline are found to be equally effective in the treatment of Major Depressive Disorder (MDD). Certain symptoms like agitation and anxiety are reduced better by sertraline. Dulotek has been found to be better than sertraline for neuropathic pain.
Q. Which is better for chronic pain, Dulotek or pregabalin?
In patients with fibromyalgia Dulotek is found to be better than pregabalin in reducing depressed mood. Pregabalin is better in reducing fatigue. Dulotek and pregabalin generally provide equally comparable pain relieving efficacy in the treatment of diabetic peripheral neuropathic pain (DPNP).
Q. Which is better Dulotek or fluoxetine?
Dulotek has been found to be better for the treatment of chronic pain than Fluoxetine. Fluoxetine is good for treating depression and anxiety.
Q. Which is better for depression, Dulotek or mirtazapine?
Currently, there is not enough information to firmly recommend one antidepressant over another. However, both these drugs have been found to be safe and efficacious in the treatment of depression.
Q. Which is better for depression, Dulotek or venlafaxine?
Currently, there is not enough information to firmly recommend one antidepressant over another. Many doctors favour Dulotek over venlafaxine when pain conditions coexist with depression.
Q. Is Dulotek a barbiturate?
No. Dulotek is not a barbiturate. Barbiturates belong to the Sedative-Hypnotic class of drugs and are likely to have abuse potential.
Q. When to take Dulotek?
Dulotek can cause difficulty in sleep (insomnia). Hence, it is advised to be taken in the morning than at night.
Q. When does Dulotek start working?
Usually, the action of Dulotek takes about three to four weeks to appear. Do not discontinue the therapy in between, thinking that it is not effective.
Q. How much dose of Dulotek can produce overdose?
Overdose can occur at a doses as low as 1000 mg. Signs and symptoms of overdose (duloxetine alone or in combination with other medicinal products) included somnolence, coma, serotonin syndrome, seizures, vomiting and tachycardia.
Q. How does Dulotek work in urinary incontinence?
Dulotek is thought to work by interfering with certain chemicals (called serotonin and noradrenaline) that are used within the nerves that send messages to your pelvic floor muscles. This helps the muscles around the bladder outlet to contract more strongly, and this in turn controls the flow of urine and helps to prevent any leakage.
Q. Can I take Dulotek with amitriptyline?
It is better to avoid Dulotek and amitriptyline together. It can increase the risk of a serious condition called the serotonin syndrome, with symptoms such as confusion, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea.
Q. Can I take Dulotek with sertraline?
It is better to avoid Dulotek and sertraline together. It can increase the risk of a serious condition called the serotonin syndrome, with symptoms such as confusion, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea.
Q. Can I take Dulotek with tramadol?
Dulotek and tramadol together can increase the risk of a serious condition called the serotonin syndrome, with symptoms such as confusion, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Please inform your doctor if you are taking any of these medicines before coming to him.
Q. Can I take Dulotek with bupropion?
Bupropion can cause inhibition of metabolism of Dulotek in the body, resulting in toxic effects of Duloxetine. The concomitant use of these two drugs can result in seizures. Mention it to your doctor if you are taking any of these medications from before.
Q. Which is better in diabetic neuropathy, duloxetine or pregabalin?
In patients with fibromyalgia, Dulotek is found to be better than pregabalin in reducing depressed mood. Pregabalin is better in reducing fatigue. Dulotek and pregabalin generally provide equally comparable pain relieving efficacy in the treatment of diabetic peripheral neuropathic pain (DPNP).
Q. Can Dulotek get me high?
No. Dulotek does not cause a high. It does not create a feeling of euphoria and has no recreational potential.
Q. Can I use Dulotek for arthritis?
Dulotek is not approved for the treatment of arthritis. It is used in the treatment of depression, anxiety disorder, diabetic nerve disease, neuropathic pain and overactive urinary bladder.
Q. Can I use Dulotek for sciatica?
No, Dulotek is not approved for the treatment of sciatica. It is used in the treatment of depression, anxiety disorder, diabetic nerve disease, neuropathic pain and overactive urinary bladder.
Q. Can I use Dulotek for obsessive-compulsive disorder (OCD)?
Obsessive-compulsive disorder (OCD) is a type anxiety disorder. It is approved for the treatment of obsessive-compulsive disorder. Research studies suggest that Dulotek may provide a significant reduction in symptoms for patients with obsessive-compulsive disorder.
Q. Can I use Dulotek for hot flashes?
No. Dulotek is not approved for use in hot flashes. It may be used in the treatment of depression in postmenopausal women suffering from menopausal vasomotor symptoms (hot flashes, night sweats) and insomnia.
Q. Can I use Dulotek for headaches?
No, Duloxetine is not approved for use in headaches. It is used in the treatment of depression, anxiety disorder, diabetic nerve disease, neuropathic pain and overactive urinary bladder.
Q. Can I use Dulotek for a migraine?
No. Dulotek is not approved for use in a migraine. It is used in the treatment of depression, anxiety disorder, diabetic nerve disease, neuropathic pain and overactive urinary bladder.
Q. Can I use Dulotek for chronic pain?
Dulotek is approved for the treatment of chronic pain states including neuropathic pain (nerve pain) associated with Diabetes Mellitus and fibromyalgia.
Q. Can I use Dulotek for nerve pain?
Yes. Dulotek is approved for use in nerve pain or neuropathic pain conditions, most commonly seen in patients suffering from Diabetes Mellitus.
Q. Can Dulotek raise blood sugar levels?
No. Dulotek may affect blood sugar levels. If you are diabetic and notice a change in the results of your blood or urine sugar tests, check with your doctor.
Related Lab Tests

Related Ayurvedic Ingredients

Information last updated by Dr. Varun Gupta, MD Pharmacology on 10th Jul 2018.
The medicine details are for information purpose only. Consult a doctor before taking any medicine.
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2099 ,STREET NO 1 ,PREM NAGAR, PATEL NAGAR CENTRAL DELHI-DELHI 110008
MRP
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10 tablets in 1 strip
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