Duxel 20mg Tablet

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Tripada Healthcare Pvt Ltd

Composition for Duxel 20mg Tablet

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Primarily used for

Potentiallyunsafewith
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Alcohol
60
₹6.0/Tablet
10 tablets in 1 strip
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Medicine Overview of Duxel Tablet

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Uses of Duxel Tablet

Duxel 20mg Tablet is used in the treatment of depression, anxiety disorder, diabetic nerve disease, fibromyalgia, neuropathic pain and stress urinary incontinence.
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Side effects of Duxel Tablet

Common

Nausea, Headache, Dry mouth, Sleepiness, Dizziness.

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How to use Duxel 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. It can be taken with or without food, but it is better to take Duxel 20mg Tablet at a fixed time.

How Duxel Tablet works

Duxel 20mg 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.

In Depth Information on Duxel Tablet

Expert advice for Duxel Tablet

  • You may have to wait for 2 to 4 weeks to get the full effect.
  • If your doctor asks you to stop Duxel, 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.
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Warnings
Special precautions for Duxel 20mg Tablet
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Alcohol
CAUTION
Duxel 20mg Tablet may cause excessive drowsiness and calmness with alcohol.
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Pregnancy
WEIGH RISKS VS BENEFITS
Duxel 20mg 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.
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Lactation
CAUTION
Duxel 20mg Tablet is probably usafe to use during lactation.
Limited human data suggests that the drug could represent a significant risk to the baby.
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Driving
Duxel 20mg Tablet may make you feel dizzy, sleepy, tired, or
decrease alertness. If this happens, do not drive.
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Kidney
Duxel 20mg Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Duxel 20mg Tablet may be needed. Please consult your doctor.

Dose adjustment is not recommended in patients with mild and moderate kidney disease.
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Liver
UNSAFE
Duxel 20mg Tablet is probably unsafe to use in patients with
liver disease and should be avoided. Please consult your doctor.
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Severely interacts with other drugs like
Ornida 100mg Tablet, Danavir 600mg Tablet, Ritomune 100mg Capsule, Cipralex 5mg Tablet

Missed Dosageuses

If you miss a dose of Duloxetine, 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.

Patient Concerns

Frequently asked questions for Duxel 20mg Tablet

Frequently asked questions for Duloxetine

No. Duxel 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.
No. Duxel 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.
No. Duxel is not a blood thinner. Blood thinners prevent the formation of harmful blood clots.
No. Duxel is not a stimulant. Stimulants are the medicines which activate the central nervous system.
No. Duxel 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.
No. Duxel is not a tricyclic antidepressant (TCA). It belongs to a class of anti-depressants called SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors).
No. Duxel 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.
No. Duxel is not a narcotic. It means it does not have habit-forming potential. Narcotics are the substance which can cause addiction and dependence.
Yes. A psychotropic is a medicine that affects mind, emotions, and behaviour. Duxel, being an anti-depressant agent reduces the symptoms of depression and is a psychotropic agent.
Duxel 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 Duxel. Taking Duxel increases the risk of liver toxicity and fatty liver in Hepatitis C virus-infected patients.<br>
The maximum plasma concentration [Cmax] of Duxel is 6 hours post oral dose. Food taken with Duxel 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 Duxel with Vitamin D?
Yes. Duxelcan be taken with vitamin D. It does not have any known interaction with Vitamin D.
The elimination half-life of Duxel ranges from 8 to 17 hours (mean 12 hours).
Q. Which is better in depression, Duxel or fluoxetine?
Fluoxetine has not been found to be different in either tolerability or efficacy when compared with Duxel in major depression. Duxel is good for treating depression, anxiety and may help with chronic pain.
Q. Which is better Duxel vs sertraline?
Duxel 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. Duxel has been found to be better than sertraline for neuropathic pain.
Q. Which is better for chronic pain, Duxel or pregabalin?
In patients with fibromyalgia Duxel is found to be better than pregabalin in reducing depressed mood. Pregabalin is better in reducing fatigue. Duxel and pregabalin generally provide equally comparable pain relieving efficacy in the treatment of diabetic peripheral neuropathic pain (DPNP).
Q. Which is better Duxel or fluoxetine?
Duxel 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, Duxel 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, Duxel or venlafaxine?
Currently, there is not enough information to firmly recommend one antidepressant over another. Many doctors favour Duxel over venlafaxine when pain conditions coexist with depression.
No. Duxel is not a barbiturate. Barbiturates belong to the Sedative-Hypnotic class of drugs and are likely to have abuse potential.
Duxel can cause difficulty in sleep (insomnia). Hence, it is advised to be taken in the morning than at night.
Usually, the action of Duxel takes about three to four weeks to appear. Do not discontinue the therapy in between, thinking that it is not effective.
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.
Duxel 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 Duxel with amitriptyline?
It is better to avoid Duxel 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 Duxel with sertraline?
It is better to avoid Duxel 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 Duxel with tramadol?
Duxel 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 Duxel with bupropion?
Bupropion can cause inhibition of metabolism of Duxel 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, Duxel is found to be better than pregabalin in reducing depressed mood. Pregabalin is better in reducing fatigue. Duxel and pregabalin generally provide equally comparable pain relieving efficacy in the treatment of diabetic peripheral neuropathic pain (DPNP).
No. Duxel does not cause a high. It does not create a feeling of euphoria and has no recreational potential.
Duxel 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.
No, Duxel 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.
Obsessive-compulsive disorder (OCD) is a type anxiety disorder. It is approved for the treatment of obsessive-compulsive disorder. Research studies suggest that Duxel may provide a significant reduction in symptoms for patients with obsessive-compulsive disorder.
No. Duxel 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.
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.
No. Duxel 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.
Duxel is approved for the treatment of chronic pain states including neuropathic pain (nerve pain) associated with Diabetes Mellitus and fibromyalgia.
Yes. Duxel is approved for use in nerve pain or neuropathic pain conditions, most commonly seen in patients suffering from Diabetes Mellitus.
No. Duxel 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.
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One of the following vendor pharmacies will deliver Duxel 20mg Tablet: OIP, SBL, PTS, RSS, ADT, NDP, DEL, SBA, AGT, HEX, PEN, OWP, MPC, BSN, SSA, PLT, RPP, HBV, BDN, GNC, HGI, 9T9, SHP, SJP, RUS, GPT, NWP, ENP, OHM, RKS, OLT, MMS, DYG, EQN, DLP, LCC, NVL, MAK, WSI, PNT, BIO, LHA, JIV, GTK, DDR, GTC, ATP, BTM, JMJ, KHH, SHM, PSP, SWA, DFP, ZVP, FGH, ATL, SAT, IPL, MAX, EMB, MOM, BLP, AAY, AYU, STA, DPP, USF, RJH, HIP

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