In the ever-evolving world of mental health treatments, the quest for effective medication is relentless. Standing at the intersection of hope and scientific rigor is Cymbalta, a medication that’s been a subject of keen interest lately. As we delve into this review by the manufacturer, LilyMedical, we aim to gain a deeper understanding of its potential benefits and challenges.
Cymbalta, known in the pharmaceutical world as duloxetine, has carved a name for itself by aiding in the management of conditions like major depressive disorder, generalized anxiety disorder, and fibromyalgia, among others. As a dual inhibitor of serotonin and norepinephrine reuptake, it’s designed to balance chemicals in the brain that might be unbalanced in people with depression or anxiety.
But does this multi-purpose medication live up to its claims? Is it the beacon of relief it promises to be, or is it just another pill in the ever-expanding pharmaceutical sea? Let’s embark on this journey, guided by LilyMedical’s review, to unravel the truth behind Cymbalta. As we navigate this complex landscape, we’ll maintain our commitment to presenting the facts as clearly and objectively as possible, inviting healthy skepticism along the way.
What is Cymbalta?
Cymbalta is a medication that contains the active ingredient duloxetine, which belongs to the class of drugs called serotonin-norepinephrine reuptake inhibitors (SNRIs). This medication is used to treat various conditions, such as major depressive disorder, generalized anxiety disorder, diabetic peripheral neuropathic pain, fibromyalgia, and chronic musculoskeletal pain.
Cymbalta is manufactured by Eli Lilly and Company, a global pharmaceutical leader founded in 1876. Eli Lilly has a long history of developing innovative medicines to address significant unmet medical needs and improve the quality of life for patients across the globe.
The development of Cymbalta began in the late 1990s, with the aim to create a new antidepressant that could address some shortcomings of the selective serotonin reuptake inhibitors (SSRIs). The hope was that by targeting both serotonin and norepinephrine, this new drug could provide better efficacy and fewer side effects.
Eli Lilly successfully developed duloxetine, which was later given the brand name Cymbalta. The US Food and Drug Administration (FDA) first approved Cymbalta in 2004 for the treatment of major depressive disorder.
How Does It Works?
Cymbalta works by increasing the levels of serotonin and norepinephrine in your brain. These neurotransmitters help regulate mood, pain, and other important aspects of both mental and physical well-being. By targeting both of these neurotransmitters, Cymbalta is able to provide a more balanced approach to treating various conditions.
When taking Cymbalta, it’s essential to follow your healthcare provider’s instructions and be patient, as it may take several weeks for the medication to fully take effect. It’s also important to keep your doctor informed of any side effects or concerns, so they can monitor your progress and make any necessary adjustments to your treatment.
Ingredients
Cymbalta, also known as duloxetine, is a medication prescribed for various conditions such as depression, anxiety, and pain management. In this section, you will learn about the key active ingredient in Cymbalta as well as some of the inactive ingredients that aid in the medication’s effectiveness and stability.
Duloxetine
Duloxetine is the primary active ingredient in Cymbalta. It belongs to a class of drugs called serotonin-norepinephrine reuptake inhibitors (SNRIs), which work by increasing the levels of serotonin and norepinephrine in the brain to help alleviate depression, anxiety, and various types of pain. This active ingredient is responsible for the therapeutic effects of the medication.
Since Cymbalta might be available in various dosage forms, specific formulations may have additional ingredients to ensure proper stability and effectiveness.
When taking Cymbalta, it’s essential to follow the guidance provided by your healthcare professional and adhere to the instructions on the prescription label. This will ensure that you obtain the maximum benefits from the medication while minimizing potential side effects.
Health Benefits
Depression
Cymbalta, a serotonin-norepinephrine reuptake inhibitor (SNRI), has been demonstrated to be effective in treating major depressive disorder. By increasing the levels of serotonin and norepinephrine in your brain, it helps to balance your mood and alleviate depressive symptoms. In doing so, this medication can provide relief and improve your overall mental wellbeing.
Anxiety
In addition to depression, Cymbalta is also prescribed to manage generalized anxiety disorder (GAD) . By regulating neurotransmitters, this medication can help to reduce excessive worry, restlessness, and other symptoms associated with GAD, allowing you to regain control over your emotional state.
Fibromyalgia
Cymbalta has been found to be an effective treatment option for fibromyalgia, a chronic pain condition. As it works on the neurotransmitters that regulate pain, it aids in reducing your overall pain levels and improving your quality of life without the use of narcotics.
Nerve Pain
One of the primary health benefits of Cymbalta is its ability to minimize nerve pain, particularly in cases of diabetic neuropathy. By increasing the levels of serotonin and norepinephrine in the brain, it can help you manage nerve pain more effectively and improve your overall physical wellbeing.
Diabetic Neuropathy
People with diabetes often experience painful nerve damage known as diabetic neuropathy. Cymbalta has been shown to effectively reduce the pain associated with this condition, improving your daily life and making it easier for you to carry out everyday tasks.
Chronic Pain
Cymbalta’s ability to modulate neurotransmitters that affect pain perception makes it a useful treatment option for managing chronic pain. By addressing both the physical and psychological factors that contribute to pain, Cymbalta can help you improve your overall functioning and daily life.
Generalized Anxiety Disorder
As an SNRI, Cymbalta is commonly prescribed to treat generalized anxiety disorder. By increasing the levels of serotonin and norepinephrine in your brain, it helps reduce symptoms such as restlessness, irritability, and excessive worry. Taking Cymbalta can significantly improve your emotional wellbeing and allow you to regain control over the anxiety that may be affecting your life.
Pros and Cons
When considering Cymbalta, it’s important to be aware of both the potential benefits and risks associated with this medication. In this section, you will find an overview of some of the key pros and cons to help inform your decision-making process.
Pros
- Efficacy. Cymbalta has been shown to be effective in treating a variety of conditions, including depression, anxiety, fibromyalgia, and nerve pain from diabetes.
- Versatility. Because of its wide-ranging applications, Cymbalta can be a suitable treatment option for individuals with multiple, co-occurring conditions.
- Dual mechanism. Cymbalta works as both a serotonin and norepinephrine reuptake inhibitor (SNRI), making it a more comprehensive treatment option than selective serotonin reuptake inhibitors (SSRIs) like Prozac or Zoloft.
Cons
- Side effects. As with any medication, Cymbalta comes with possible side effects. Some common ones include nausea, dry mouth, dizziness, and constipation. You should discuss these potential side effects with your healthcare provider before starting treatment.
- Discontinuation syndrome. When stopping Cymbalta, some individuals may experience withdrawal-like symptoms, such as brain zaps, dizziness, or flu-like symptoms. It’s important to work closely with your healthcare provider to develop a tapering schedule if you choose to discontinue the medication.
- Potential drug interactions. Cymbalta may interact with other medications you are taking, which could either reduce its effectiveness or increase the risk of side effects. It’s crucial to inform your healthcare provider of all medications and supplements you’re currently taking.
Common Side Effects
As you start taking Cymbalta, you may experience some of the following common side effects:
- Nausea. This is one of the most frequent side effects, reported by many patients. Try eating small, frequent meals to minimize the impact of nausea on your daily life.
- Headache. This can occur in the initial stages of taking Cymbalta. Stay hydrated and take over-the-counter pain relievers as directed by your healthcare provider.
- Dry mouth. You can alleviate this by drinking water frequently, chewing sugar-free gum, or using saliva substitutes.
- Constipation. Increase your fiber intake and maintain proper hydration to help alleviate constipation.
- Dizziness. This may happen, particularly when standing up quickly. Try getting up slowly to minimize the potential for dizziness.
- Sweating. Some patients may experience excessive sweating. Wearing loose, breathable clothing can help reduce your discomfort.
- Sleep. Trouble sleeping is another possible side effect. Establishing a regular sleep schedule and practicing good sleep hygiene can help improve your sleep quality.
- Weight gain. Monitor your weight and discuss with your healthcare provider if you notice significant changes.
Serious Side Effects
While most of the side effects mentioned above are relatively mild and manageable, there are a few serious side effects that warrant immediate attention from your healthcare provider. These include:
- Blood pressure. Cymbalta may cause changes in your blood pressure, both high and low. Monitor your blood pressure regularly and report any significant fluctuations to your healthcare provider.
- Suicidal thoughts. If you experience mood changes, worsening depression, or suicidal thoughts, seek medical help immediately.
- Bruising or bleeding. Unexplained bruising or bleeding may indicate a problem with your blood’s clotting ability. Consult with your healthcare provider if you notice these signs.
- Vision changes. Any significant changes in your vision should be reported to your healthcare provider.
- Sexual problems. Cymbalta may cause sexual side effects such as decreased libido or erectile dysfunction. Discuss these issues with your healthcare provider to explore possible solutions.
- Fatigue. Although it is a less common side effect, persistent fatigue can impact your daily life. Talk to your healthcare provider if you feel excessively tired while taking Cymbalta.
Remember, it’s crucial to be vigilant about potential side effects when taking Cymbalta. Stay in regular communication with your healthcare provider to ensure you are taking the medication safely and effectively.
How to Use?
When using Cymbalta, it is essential to follow the prescribed dosage instructions provided by your doctor. The initial dose can vary depending on the condition being treated, and your healthcare professional will recommend the appropriate dosage for your specific situation. Typically, though, the starting dose for most adults ranges from 20 to 30 mg taken once or twice daily.
You should not change your dosage without consulting your doctor, as doing so could result in unwanted side effects or ineffective treatment. Gradual dosage increases or decreases may be necessary, but your healthcare provider should guide these adjustments. Remember to take the medication at the same time each day to maintain a consistent level of the drug in your system.
Cymbalta is available in capsule form. Swallow the capsules whole with a glass of water, without crushing, chewing, or breaking them. You can take the medication with or without food, but it is important not to significantly alter your eating habits, as this may affect how the drug works.
If you have difficulty swallowing capsules, consider discussing this with your healthcare provider, who may recommend alternative treatment options.
Prescription
Cymbalta is a prescription medication, meaning you can obtain it only with a valid prescription from a licensed healthcare professional. Adhere strictly to your prescription and the accompanying medication guide to ensure the safe and effective use of the drug.
It is essential to attend all follow-up appointments and communicate any concerns or side effects with your doctor. If you need to discontinue Cymbalta, your healthcare provider will likely suggest a gradual tapering process to minimize withdrawal symptoms.
By carefully following the instructions for dosage, capsule handling, and the prescription requirements, you can safely and effectively use Cymbalta to treat your condition.
Related Studies
Cymbalta primarily functions by boosting the levels of serotonin and norepinephrine in the brain. The increase of these neurotransmitters can result in enhanced mental well-being for some individuals and may alleviate pain sensations. Extensive research has been conducted into the various conditions Cymbalta is approved to treat.
A scholarly review, published in the Adis Drugs journal, examining Cymbalta’s effectiveness in treating generalized anxiety disorder found that the medication had a greater impact on reducing anxiety than a placebo. This review scrutinized four distinct studies comparing Cymbalta’s effectiveness to a placebo in treating mental health disorders.
An extensive medical examination in 2006 delved into the data surrounding Cymbalta’s role in managing depression. The researchers concluded that Cymbalta was effective in tackling major depressive disorder (MDD), which is recognized as the most intense form of depression.
Further research scrutinized Cymbalta’s usefulness in managing chronic pain. In all the three clinical trials studied, Cymbalta outperformed the placebo in reducing pain. Furthermore, it proved to be effective in mitigating the symptoms of fibromyalgia.
Therefore, based on the available research, it can be inferred that Cymbalta is a potent treatment option for managing anxiety, depression, and chronic pain.
Side Effects
When taking Cymbalta, it’s essential to be aware of possible side effects. This will help you identify any adverse reactions early on and consult with your healthcare provider if necessary. In this section, we will discuss the common and serious side effects of Cymbalta.
User Review
Cymbalta has received mixed feedback for the treatment of depression. Out of 566 reviews at Drugs.com, the average rating is 6.3 out of 10. Approximately 51% of users reported a positive experience, while 30% reported a negative experience.
Positive reviews highlight the effectiveness of Cymbalta in improving depression and anxiety symptoms. Users mentioned feeling calmer, clearer-headed, and more capable of managing daily challenges. Some reported a significant improvement in mood and energy levels. Although there were initial mild side effects like weird dreams, most of these side effects subsided over time.
Negative reviews mentioned various side effects and adverse reactions experienced with Cymbalta. These included dizziness, fatigue, brain fog, headaches, nausea, and gastrointestinal discomfort. Some users also reported a decrease in libido and difficulty achieving climax. Additionally, a few users had severe adverse reactions, such as hyponatremia (low sodium levels).
What Do Experts Say
As you delve into the topic of Cymbalta, it’s important to consider expert opinions on its use and effectiveness. Cymbalta, also known by its generic name duloxetine, is a serotonin-norepinephrine reuptake inhibitor (SNRI) commonly prescribed to treat conditions such as anxiety disorders, major depressive disorder, fibromyalgia, and chronic pain.
Experts have found that Cymbalta is effective in alleviating pain associated with depression. Studies referenced in a review highlight the usefulness of this SNRI in providing relief to patients. Moreover, Cymbalta has also gained attention for its efficacy in treating fibromyalgia symptoms. Major clinical trials, discussed in another review, support the drug’s potential in managing this chronic condition.
Additionally, a focus on chronic musculoskeletal pain, particularly osteoarthritis of the knee, reveals that duloxetine helps improve physical functioning compared to placebo. This is according to a study examining the clinical efficacy and safety of the medication.
When you consider the wide range of applications for this SNRI, it’s evident that experts appreciate Cymbalta’s versatility and effectiveness in addressing various health conditions. It’s essential to keep in mind, though, that your unique health profile and circumstances should always guide treatment decisions made in consultation with a healthcare professional.
Who Is It Good For?
Cymbalta is a medication primarily prescribed for depression and anxiety disorders. It can also be useful in treating chronic pain, particularly related to peripheral neuropathy and fibromyalgia.
As an individual considering Cymbalta, you may be curious about who this medication is particularly suitable for. It can be effective for both males and older adults in certain cases. However, it’s essential to keep in mind that everyone is different, and what works for one person
As you explore whether Cymbalta is a suitable option for you, consider the following factors:
- Personal medical history. Talk to your healthcare provider about your medical history to determine if Cymbalta is an appropriate treatment option.
- Medication interactions. Some medications may interact with Cymbalta, so it’s important to discuss any other medications you’re currently taking with your healthcare provider.
- Side effects. Be aware of potential side effects, as they can sometimes outweigh the benefits of the medication. Common side effects include nausea, dizziness, and drowsiness.
Remember, it’s essential to consult with your healthcare provider before starting any new medication, including Cymbalta. They can offer guidance on whether it’s suitable for your specific situation and discuss alternative treatment options if necessary.
Who Should Avoid It?
While Cymbalta (duloxetine) can be an effective treatment for certain conditions, there are specific situations where you should avoid using it. In this section, we’ll discuss some of the circumstances in which you should not take Cymbalta, including during pregnancy and breastfeeding, and for children.
If you’re pregnant or planning to become pregnant, you should be cautious when considering Cymbalta. Although there isn’t enough conclusive data to determine its exact safety during pregnancy, it’s best to discuss with your healthcare provider about your options. They will be able to provide you with a risk assessment and recommend alternative treatments if necessary.
Breastfeeding while taking Cymbalta may also pose risks, as the medication can pass through the breast milk in small amounts. While there haven’t been any significant issues reported, it’s important to consult your healthcare provider before continuing the medication while breastfeeding. They can help you weigh the benefits and risks for both you and your child and recommend alternatives if required.
Cymbalta is generally not recommended for children under the age of 18. The drug’s safety and efficacy have not been well-established in this age group, and there could be potential adverse effects. In fact, Cymbalta may increase the risk of suicidal thoughts and behaviors in children and adolescents.
Talk to your child’s healthcare provider about alternative treatments if they’re experiencing symptoms that Cymbalta is typically used to treat.
Additionally, people with certain medical conditions should avoid Cymbalta. According to clinical pharmacokinetics and drug interactions, individuals with hepatic impairment should avoid the drug. Speak with your healthcare provider if you have any medical conditions or concerns before starting Cymbalta.
While Cymbalta can be effective for some individuals, it is crucial to be aware of the situations in which the drug should be avoided. Always consult your healthcare provider to discuss your individual circumstances and ensure that Cymbalta is the right choice for you.
Alternatives
When considering alternatives to Cymbalta, you may come across a variety of options such as Zoloft, Prozac, Effexor, or Trintellix. Each of these medications has its own unique properties and benefits that can better suit your specific needs in managing depression or anxiety.
Zoloft (Sertraline). This selective serotonin reuptake inhibitor (SSRI) works by increasing the levels of serotonin in your brain. It is often prescribed for depression, anxiety, and other mental health disorders. Some benefits of Zoloft include fewer drug interactions and a lower risk of weight gain compared to other options.
Prozac (Fluoxetine). Another SSRI, Prozac is known for its effectiveness in treating depression, anxiety, and obsessive-compulsive disorder (OCD). It might take longer to see results when using Prozac compared to other medications, but it has a low risk of causing drowsiness.
Effexor (Venlafaxine). This medication is a serotonin-norepinephrine reuptake inhibitor (SNRI), which increases the levels of both serotonin and norepinephrine in your brain. Effexor is a popular choice for treating neuropathic pain and diabetic peripheral neuropathy, in addition to depression and anxiety.
Trintellix (Vortioxetine). A relatively new antidepressant, Trintellix is a serotonin modulator and stimulator (SMS). It aids in reducing depressive symptoms and improving cognitive function. Trintellix might be a good option if you have concerns about cognitive side effects from other medications.
When assessing your options, it is crucial to discuss these alternatives with your healthcare provider to make the best-informed decision for your needs. The effectiveness, side effects, and drug interactions will vary from person to person. Feel free to research these medications further and present any questions or concerns to your healthcare provider.
Cost and Where to Buy
The cost of Cymbalta can vary depending on the dosage and quantity of capsules purchased. Here are the estimated prices for Cymbalta oral delayed release capsules:
- 20 mg: The cost for 60 capsules is approximately $536.42, making the per-unit price around $8.94.
- 30 mg: The cost for 30 capsules is around $304.87, with a per-unit price of $10.16. The cost for 90 capsules is approximately $895.60, with a per-unit price of $9.95.
- 60 mg: The cost for 30 capsules is also around $304.87, with a per-unit price of $10.16.
It’s important to note that these prices are approximate and can vary depending on the pharmacy and any applicable discounts or insurance coverage. T
Conclusion
When considering whether Cymbalta is worth it for your treatment, it’s essential to weigh the potential benefits against the possible side effects. Cymbalta, or Duloxetine, is a popular antidepressant that has been proven effective in treating depression, anxiety, and neuropathic pain.
For many people, the relief they experience from these conditions can significantly improve their quality of life.
Finding the right balance between the drug’s benefits and side effects is key to determining if Cymbalta is worth it for you. Here are a few factors you should consider:
- Severity of your condition. If your symptoms are severe and impacting your daily life, the potential benefits of Cymbalta may outweigh the possible side effects.
- Alternative treatments. Depending on your specific condition, there might be other medications or therapies that could be more suitable with fewer side effects. Consult with your healthcare provider to explore all available options.
- Personal tolerance. Each person reacts differently to medications. You may find that you can tolerate Cymbalta’s side effects better than other individuals, making it a more viable treatment option for you.
- Financial aspect. The cost of Cymbalta can be a factor in deciding whether it’s worth it. Determine if the medication is covered by your insurance and if you can afford the out-of-pocket expenses associated with the prescription.
It’s essential to have an open dialogue with your healthcare provider about the pros and cons of Cymbalta. Evaluate your personal situation and consider all relevant factors mentioned above.
Ultimately, the decision on whether Cymbalta is worth it for your treatment lies with you and your healthcare provider’s guidance. Remember that finding the right treatment may require trial and error, and it’s crucial to stay patient and maintain a clear line of communication with your doctor throughout the process.
FAQ
What are the common withdrawal symptoms of Cymbalta?
When stopping Cymbalta, some people may experience withdrawal symptoms such as nausea, dizziness, headache, and brain zaps. To minimize these symptoms, your doctor may recommend tapering off the medication slowly.
What are some common side effects of Cymbalta?
Some common side effects you may experience while taking Cymbalta include nausea, loss of appetite, drowsiness, dizziness, and changes in sex drive. Consult your doctor if these side effects persist or become severe.
What should I do if I have an allergic reaction to Cymbalta?
Signs of an allergic reaction to Cymbalta may include rash, itching, and breathing difficulties. Seek medical help immediately if you experience any of these symptoms.
Can Cymbalta cause hyponatremia?
Yes, Cymbalta has been associated with hyponatremia, a low sodium level in the blood. It’s essential to monitor your sodium levels while taking Cymbalta, especially if you’re taking other medications that can also cause hyponatremia.
Can Cymbalta affect my liver?
In rare cases, Cymbalta may be linked to liver damage. If you have pre-existing liver problems, talk to your doctor before starting Cymbalta.
Is Cymbalta a controlled substance?
No, Cymbalta is not a controlled substance. It’s a prescription antidepressant medication used to treat several conditions, including depression, anxiety, and chronic pain.
What is the starting dose for Cymbalta?
The typical starting dose for Cymbalta is 30-60 mg per day, depending on the condition being treated. Your doctor will determine the appropriate starting dose for you.
Can Cymbalta cure my depression or anxiety?
While Cymbalta can help manage the symptoms of depression and anxiety, it is not a cure for these conditions. It’s crucial to continue taking the medication as prescribed and engage in therapy, lifestyle changes, or other treatments recommended by your healthcare provider.
What should I know about sleep disturbances and mood changes while taking Cymbalta?
Cymbalta may cause sleep disturbances such as insomnia or sleepiness. If you experience these side effects, talk to your doctor, who may adjust your dosage or switch medications if needed.
Additionally, it’s essential to monitor your mood while on Cymbalta, as it may potentially increase the risk of suicidal thoughts, especially in younger individuals. Discuss any mood changes with your healthcare provider promptly.
References
- Brown, Jacques P., and Luc J. Boulay. “Clinical Experience with Duloxetine in the Management of Chronic Musculoskeletal Pain. A Focus on Osteoarthritis of the Knee.” Therapeutic Advances in Musculoskeletal Disease, vol. 5, no. 6, 25 Oct. 2013, pp. 291–304, www.ncbi.nlm.nih.gov/pmc/articles/PMC3836379/, https://doi.org/10.1177/1759720×13508508. Accessed 16 June 2023.
- Carter, Natalie J., and Paul L. McCormack. “Duloxetine.” CNS Drugs, vol. 23, no. 6, May 2009, pp. 523–541, https://doi.org/10.2165/00023210-200923060-00006. Accessed 16 June 2023.
- Dydyk, Alexander M., and Till Conermann. “Chronic Pain.” PubMed, StatPearls Publishing, 2020, www.ncbi.nlm.nih.gov/books/NBK553030/.
- Feldman, Eva L., et al. “Diabetic Neuropathy.” Nature Reviews Disease Primers, vol. 5, no. 1, 13 June 2019, www.nature.com/articles/s41572-019-0092-1, https://doi.org/10.1038/s41572-019-0092-1.
- Kirwin, Jennifer L., and Jessica L. Gören. “Duloxetine: A Dual Serotonin-Norepinephrine Reuptake Inhibitor for Treatment of Major Depressive Disorder.” Pharmacotherapy, vol. 25, no. 3, Mar. 2005, pp. 396–410, https://doi.org/10.1592/phco.25.3.396.61600. Accessed 16 June 2023.
- Lunn, Michael PT, et al. “Duloxetine for Treating Painful Neuropathy or Chronic Pain.” Cochrane Database of Systematic Reviews, 7 Oct. 2009, https://doi.org/10.1002/14651858.cd007115.pub2.
- MALLINCKRODT, C, et al. “Duloxetine for the Treatment of Major Depressive Disorder: A Closer Look at Efficacy and Safety Data across the Approved Dose Range.” Journal of Psychiatric Research, vol. 40, no. 4, June 2006, pp. 337–348, https://doi.org/10.1016/j.jpsychires.2005.08.010. Accessed 16 June 2023.
- Mancini, Michele, et al. “Use of Duloxetine in Patients with an Anxiety Disorder, or with Comorbid Anxiety and Major Depressive Disorder: A Review of the Literature.” Expert Opinion on Pharmacotherapy, vol. 11, no. 7, 19 Apr. 2010, pp. 1167–1181, https://doi.org/10.1517/14656561003747441. Accessed 16 June 2023.
- Munir, Sadaf, and Veronica Takov. “Generalized Anxiety Disorder.” PubMed, StatPearls Publishing, 2021, pubmed.ncbi.nlm.nih.gov/28722900/.
- Sansone, Randy A, and Lori A Sansone. “Serotonin Norepinephrine Reuptake Inhibitors: A Pharmacological Comparison.” Innovations in Clinical Neuroscience, vol. 11, no. 3-4, 2014, pp. 37–42, www.ncbi.nlm.nih.gov/pmc/articles/PMC4008300/.
- Wright, Cheryl L, et al. “Duloxetine for the Treatment of Fibromyalgia.” Expert Review of Clinical Immunology, vol. 6, no. 5, Sept. 2010, pp. 745–756, www.ncbi.nlm.nih.gov/pmc/articles/PMC3056054/, https://doi.org/10.1586/eci.10.64. Accessed 16 June 2023.
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