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16 Oct 2019 | 01:31 PM (IST)
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Sylonex 20 mg Capsule

Prescription Required

Overview

Introduction of Sylonex Capsule

Sylonex 20 mg Capsule is a prescription medicine used in the treatment of depression, anxiety disorder, diabetic nerve pain, fibromyalgia, neuropathic pain and stress urinary incontinence.

Sylonex 20 mg Capsule helps by increasing the level of chemical messengers (serotonin and noradrenaline) in the brain that maintains mental balance and stop the movement of pain signals in the brain. It is taken by mouth with or without food. Take it at a fixed time each day to maintain consistent level of medicine in the blood. If you have missed any dose, take it as soon as you remember it. Never skip any doses and finish the full course of treatment even if you feel better. It is important that this medication is not stopped suddenly without talking to doctor as it may worsen your symptoms.

Some common side effects of this medicine includes nausea, headache, and dryness of mouth. It may cause an increase in blood pressure, especially during the first month of treatment, it is important to monitor your blood pressure regularly. It may even cause dizziness and sleepiness, do not drive or do anything that requires mental focus until you know how this medicine affects you. It is important to inform doctor if you develop any unusual changes in mood as it may lead to suicidal thoughts.

Sylonex Capsule side effects

Common
  • Nausea
  • Headache
  • Dryness in mouth
  • Sleepiness
  • Dizziness

How to use Sylonex Capsule

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. Sylonex 20 mg Capsule may be taken with or without food, but it is better to take it at a fixed time.

How Sylonex Capsule works

Sylonex 20 mg Capsule 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.

Sylonex Capsule related warnings

Alcohol
UNSAFE
Sylonex 20 mg Capsule may cause excessive drowsiness with alcohol
Pregnancy
CONSULT YOUR DOCTOR
Sylonex 20 mg Capsule may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Lactation
CONSULT YOUR DOCTOR
Sylonex 20 mg Capsule is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Sylonex 20 mg Capsule may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Sylonex 20 mg Capsule should be used with caution in patients with severe kidney disease. Dose adjustment of Sylonex 20 mg Capsule may be needed. Please consult your doctor.
Dose adjustment is not recommended in patients with mild and moderate kidney disease.
Liver
UNSAFE
Sylonex 20 mg Capsule 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 Sylonex Capsule?

If you miss a dose of Sylonex 20 mg Capsule, 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.
Sylonex 20 mg Capsule
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Expert Advice

  • Sylonex 20 mg Capsule helps in treating depression and anxiety.
  • It may also  be used to treat nerve pain from diabetes and some other forms of chronic pain.
  • It may take 2 to 4 weeks for Sylonex 20 mg Capsule to start working. Keep taking it as prescribed.
  • It may cause dizziness and sleepiness. Do not drive or do anything requiring concentration until you know how it affects you.
  • Avoid consuming alcohol when taking Sylonex 20 mg Capsule as it may cause excessive drowsiness and increase the risk of liver damage.
  • It may cause an increase in blood pressure, especially during the first month of treatment. Monitor your blood pressure regularly.
  • It may cause a sensation of restlessness, especially when you first start taking it. Inform your doctor if this happens to you.
  • Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
  • Do not stop taking the medication suddenly without talking to your doctor.

Interaction with Drugs

Taking Sylonex with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Kopram, Ecit, Escnx
SERIOUS
Brand(s): Psycolith
SERIOUS
Brand(s): Leparox, Prx, Paromec
SERIOUS
Brand(s): Flotin, Serodep, Fluxen
SERIOUS
Brand(s): Attera
SERIOUS
Brand(s): Zosert, Sernit
SERIOUS

Patient Concerns

Questions Related to Sylonex

arrow
Body pain and stress and anxiety disorder and nerves system and insomnia
Dr. Shallu Garg
Pain and Stress Management
Cap Ashwajith 1-1
Maine rexipra fx 10, clobazam and toficalm 50 ka dose kuch mahino se liya hain .isme koi side effects hota hai. This drug me confused. Chest pain . Body sensitivity change.breath problem hota hainMujhe bahut tention .and nervousnees and breath prob . Body weakness . No eating energy nahi hota . Bahut psy doctors paas giya ta .lekin solution nahi mil raha hain . Iska koi solution hain
Dr. Jyoti Kapoor Madan
Psychiatrist
You are receiving medicines for anxiety disorder. Based in your clinical history, your doctor plans the type of medicine and it's dose and duration. For first episode of anxiety/ depression/ panic, the usual maintenance phase is 6 months of asymptomatic period, after which medicines can be gradually tapered. But treatment may need to continue longer depending on severity and frequency of episodes. To take any decision to change medication or stop them, several factors have to be taken in account for which regular follow up with your psychiatrist is important. For second opinion, seek a proper consultation with another psychiatrist and take along your previous prescriptions.
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User Feedback


FAQs

Q. How long does Sylonex take to work?

In people with depression and anxiety, Sylonex mostly starts working within two weeks of treatment. However, you may take 2-4 weeks to feel better. Consult your doctor if you do not see any improvement after this time. In people with diabetic neuropathic pain, you may take a few weeks to feel better. Consult your doctor if you do not feel better after 2 months.

Q. If I start feeling better, can I stop taking Sylonex?

No, you should not stop Sylonex suddenly and without consulting your doctor. In cases of depression and anxiety, if you have been feeling better for 6 months or more, your doctor may reduce your doses gradually. In case of pain and incontinence, if you are feeling better, continue taking it for long term. Your doctor will keep monitoring your response to the medicine every few months.

Q. Is Sylonex highly addictive?

No, Sylonex is not habit-forming (addictive). This means that it does not make you physically or psychologically dependent on it.

Q. What will be the consequences if I stop taking Sylonex suddenly?

If you stop Sylonex suddenly, you may feel dizzy, tired, agitated or restless, anxious and irritated. You may also experience sleep disturbances (vivid dreams, nightmares, inability to sleep), nausea, vomiting, shaking, muscle pain, diarrhea, a piercing sensation (pins and needles) especially in the head and excessive sweating or vertigo. Always consult your doctor before you stop taking Sylonex. Your doctor will reduce the dose gradually.

Q. I am taking warfarin, does Sylonex interfere with warfarin? Is it safe to take both together?

You should be cautious if you are taking both Sylonex and warfarin since there is a risk of bleeding or you may experience petechiae or purpura.

Q. Is Sylonex safe to use for long term?

Sylonex is safe to use for a long duration, provided you follow your doctor’s advice regarding the treatment.

Q. I am a hypertensive patient. I have noticed that my blood pressure has increased after I started taking Sylonex. Is it because of Sylonex, what should be done?

Sylonex may cause an increase in blood pressure. Therefore, regular monitoring of blood pressure is required, especially during the first month of use. If your blood pressure increase is constant, consult your doctor. It may indicate that your Sylonex dose either needs to be reduced or discontinued gradually.

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Disclaimer: 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
  1. Stahl SM, editor. Duloxetine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 219-24.
  2. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 442-43.
  3. Duloxetine hydrochloride. Basingstoke, Hampshire: Eli Lilly and Company Limited; 2004 [revised 09 Nov. 2018]. [Accessed 23 Jan. 2019] (online) Available from:External Link
  4. U.S. National Library of Medicine. Duloxetine. [Accessed 22 Mar. 2019] (online) Available from:External Link
  5. Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:External Link
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