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Symbal 40 Tablet

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Overview

Introduction

Symbal 40 Tablet is a prescription medicine 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 40 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. It is important that this medication is not stopped suddenly as it may worsen your symptoms.

Some common side effects of this medicine include nausea, headache, 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 40 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.

Side effects of Symbal Tablet

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

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 40 Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Symbal Tablet works

Symbal 40 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 40 Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Symbal 40 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.
Breastfeeding
CONSULT YOUR DOCTOR
Symbal 40 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 40 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Symbal 40 Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Symbal 40 Tablet may be needed. Please consult your doctor.
Dose adjustment is not recommended in patients with mild and moderate kidney disease.
Liver
UNSAFE
Symbal 40 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 40 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.
Symbal 40 Tablet
₹17.23/Tablet
Dulodep 40mg Tablet
East West Pharma
₹11.93/Tablet
save 31%
Duloren 40mg Tablet
La Renon Healthcare Pvt Ltd
₹11.95/Tablet
save 31%
Duloxee 40 Tablet
Talent India
₹12.1/Tablet
save 30%
Dulata 40mg Tablet
Healing Pharma India Pvt Ltd
₹14.2/Tablet
save 18%
Duvanta 40 Tablet
Intas Pharmaceuticals Ltd
₹16.7/Tablet
save 3%

Quick Tips

  • Symbal 40 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 40 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 40 Tablet 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 Symbal 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): Atazor, Atavir, Virataz
SERIOUS
Brand(s): Attera, Atomoxet, Atonext
SERIOUS
Brand(s): Vocita
SERIOUS

Patient Concerns

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Whenever i laugh very much my urine gets released
Dr. Praveen Pushkar
Urology
Consult urologist nearby. U r having stress urinary incontinence
Most of the times when I get excited or have orgasm I feel pain in my testis and around it .
Dr. Pranay Gandhi
Sexology
hi PATIENT neuropathic pain mostly. take tablet emanzen d 1 bd
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Do you have any questions related to Symbal 40 Tablet ?

User Feedback


FAQs

Q. How long does Symbal take to work?

In people with depression and anxiety, Symbal 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 Symbal?

No, you should not stop Symbal 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 Symbal highly addictive?

No, Symbal 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 Symbal suddenly?

If you stop Symbal 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. Your doctor will reduce the dose gradually.

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

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

Q. Is Symbal safe to use for long term?

Symbal 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 Symbal. Is it because of Symbal, what should be done?

Symbal 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 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. 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:External Link
  5. Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:External Link
Manufacturer/Marketer Address
Off. Ashram Road, Ahmedabad - 380 009., Gujarat, India
A licensed vendor partner from your nearest location will deliver Symbal 40 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.
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