Symbal 20 Tablet
Prescription Required
Product introduction
Symbal 20 Tablet is used in the treatment of depression, anxiety disorder, diabetic nerve pain, fibromyalgia (a condition in which there are generalized pain and tenderness in the body), neuropathic pain, and stress urinary incontinence.
Symbal 20 Tablet works by increasing the level of chemical messengers (serotonin and noradrenaline) in the brain that have a calming effect on the brain and relax the nerves, thus treating your illness. It may be taken with or without food. It is advised to take this medicine at a fixed time each day to maintain a consistent level in the blood. If you miss any doses, take it as soon as you remember. Do not skip any doses and finish the full course of treatment even if you feel better. This medication mustn't be stopped suddenly as it may worsen your symptoms.
Some common side effects of this medicine include nausea, headache, decreased libido, abnormal dreams, blurred vision, and dry mouth. It even causes dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. However, these side effects are temporary and usually resolve on their own in some time. Please consult your doctor if these do not subside or bother you.
Before taking Symbal 20 Tablet, inform your doctor if you have any problems with your kidneys, heart, liver, or have a history of seizures (epilepsy or fits). Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or if you have any suicidal thoughts.
Uses of Symbal Tablet
- Depression
- Diabetic nerve pain
- Anxiety disorder
- Neuropathic pain
- Overactive bladder (OAB) symptoms
- Fibromyalgia
- Treatment of Stress urinary incontinence
Benefits of Symbal Tablet
In Treatment of Stress urinary incontinence
Stress urinary incontinence refers to the loss of urine without conscious intention. It may occur due to a disturbed state of mind and thoughts. Symbal 20 Tablet helps in increasing the activity of those nerves in the brain that control muscles in our bladder that are responsible for passing urine. This helps in improving bladder control.
Side effects of Symbal Tablet
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Symbal
- Nausea
- Headache
- Dryness in mouth
- Sleepiness
- Dizziness
- Blurred vision
- Decreased libido
- Abnormal dreams
How to use Symbal 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. Symbal 20 Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Symbal Tablet works
Symbal 20 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.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Symbal 20 Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Symbal 20 Tablet 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.
Breast feeding
CONSULT YOUR DOCTOR
Symbal 20 Tablet 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
Symbal 20 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Symbal 20 Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Symbal 20 Tablet may be needed. Please consult your doctor.
Liver
UNSAFE
Symbal 20 Tablet is probably unsafe to use in patients with liver disease and should be avoided. Please consult your doctor.
What if you forget to take Symbal Tablet?
If you miss a dose of Symbal 20 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.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
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Quick tips
- Symbal 20 Tablet 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 Symbal 20 Tablet 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 Symbal 20 Tablet as it may cause excessive drowsiness and increase the risk of liver damage.
- 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.
Fact Box
Chemical Class
Naphthalene Derivative
Habit Forming
No
Therapeutic Class
NEURO CNS
Action Class
Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
Interaction with drugs
Taking Symbal with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Concurrent use may cause fatal rise in blood serotonin levels.
Avoid concurrent use unless your doctor considers it safe.
Concomitant use may cause an increase in blood serotonin levels. Patients may experience agitation, increased body temperature, fast heartbeat, muscle rigidity, and loss of coordin
Concomitant use may cause an increase in blood serotonin levels. Patients may experience agitation, increased body temperature, fast heartbeat, muscle rigidity, and loss of coordin
Concomitant use may cause an increase in blood serotonin levels. Patients may experience agitation, increased body temperature, fast heartbeat, muscle rigidity, and loss of coordin
Concurrent use may cause serotonin syndrome.
If concurrent use is essential, watch out for symptoms of serotonin syndrome such as tremors, fever, diarrhea or agitation and consult
Patient concerns
User feedback
Patients taking Symbal 20 Tablet
Once A Day
60%
Twice A Day
40%
What are you using Symbal Tablet for?
Neuropathic p*
35%
Depression
23%
Diabetic nerv*
20%
Anxiety disor*
12%
Others
11%
*Neuropathic pain, Diabetic nerve pain, Anxiety disorder
How much was the improvement?
Average
35%
Excellent
33%
Poor
33%
What were the side-effects while using Symbal 20 Tablet?
Sleepiness
31%
No Side Effec*
18%
Dizziness
18%
Dryness in mo*
15%
Decreased lib*
5%
*No Side Effect, Dryness in mouth, Decreased libido
How do you take Symbal Tablet?
With food
69%
With or witho*
31%
*With or without food
Please rate Symbal 20 Tablet on price
Average
56%
Expensive
37%
Not Expensive
7%
FAQs
How long does Symbal 20 Tablet take to work?
In people with depression and anxiety, Symbal 20 Tablet 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.
If I start feeling better, can I stop taking Symbal 20 Tablet?
No, you should not stop Symbal 20 Tablet 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 the long term. Your doctor will keep monitoring your response to the medicine every few months.
Is Symbal 20 Tablet highly addictive?
No, Symbal 20 Tablet is not habit-forming (addictive). This means that it does not make you physically or psychologically dependent on it.
What will be the consequences if I stop taking Symbal 20 Tablet suddenly?
If you stop Symbal 20 Tablet 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 Symbal 20 Tablet. Your doctor will reduce the dose gradually.
I am taking warfarin, does Symbal 20 Tablet interfere with warfarin? Is it safe to take both together?
You should be cautious if you are taking both Symbal 20 Tablet and warfarin since there is a risk of bleeding or you may experience petechiae or purpura.
Is Symbal 20 Tablet safe to use for long term?
Symbal 20 Tablet is safe to use for a long duration, provided you follow your doctor’s advice regarding the treatment.
I am a hypertensive patient. I have noticed that my blood pressure has increased after I started taking Symbal 20 Tablet. Is it because of Symbal 20 Tablet, what should be done?
Symbal 20 Tablet 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 Symbal 20 Tablet dose either needs to be reduced or discontinued gradually.
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Disclaimer:
Tata 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 everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. 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
- 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.
- 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.
- Duloxetine hydrochloride. Basingstoke, Hampshire: Eli Lilly and Company Limited; 2004 [revised 09 Nov. 2018]. [Accessed 23 Jan. 2019] (online) Available from:
- Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Duloxetine. [Updated 2020 Jan 20]. [Accessed 20 Feb. 2020] (online) Available from:
- Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:
- Duloxetine Gastro-Resistant Tablets [Patient Information Sheet]. Gangtok, Sikkim: Torrent Pharmaceuticals Ltd.; 2022. [Accessed 20 Feb. 2024] (online) Available from:
Marketer details
Name: Torrent Pharmaceuticals Ltd
Address: Off. Ashram Road, Ahmedabad - 380 009., Gujarat, India
Country of origin: India
Expires on or after: November, 2025
A licensed vendor partner from your nearest location will deliver Symbal 20 Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
Expires on or after: November, 2025
A licensed vendor partner from your nearest location will deliver Symbal 20 Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
In case of any issues, contact us
Email ID: [email protected]Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
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