Muscle stiffness. It can also treat pain-related conditions such as fibromyalgia, chronic muscle pain, and diabetic neuropathy (nerve pain). Side Effects. This medicine’s product information is available in all official EU languages. Some of these effects are not easy to detect—such as changes in blood pressure. Tips. Cymbalta is a potent medication. 3 out of 10 from a total of 1878 ratings on Drugs. benefit; in short-term studies of antidepressants vs. Full Prescribing Information. Others can be confused with various ailments, such as colds or the flu. Cymbalta has an average rating of 6. It could be a back Medications also discussed in this post: Neurontin lyrica. However, Effexor differs as it is more likely to cause decreased libido, abnormal ejaculation Mar 13, 2023 · Cymbalta’s more common side effects include: fatigue (lack of energy) nausea. Call your Aug 4, 2023 · Cymbalta is available as a 20 mg, 30 mg, and 60 mg oral capsule. Nausea, dry mouth, constipation, loss of appetite, tiredness, drowsiness, or increased sweating may occur. These should improve over time as your body gets used to the medication. This Feb 18, 2023 · atypical sensations, such as burning or prickling. Jun 1, 2023 · Celexa and Cymbalta are both commonly used antidepressants for treating depression and anxiety, but they do not work in similar ways in the body. But if any Cymbalta side effects become bothersome, talk to your healthcare team. Nov 28, 2014 · Reducing the tinnitus a great deal! I have no long dissertation, but try it , has no real side effects. 51% of reviewers reported a positive experience, while 30% reported a negative experience. Talk to your prescriber for guidance on how to lower your dose slowly and safely if you need to stop taking it. 64% of reviewers reported a positive effect, while 21% reported a negative effect. Cymbalta is available in 2 strengths: 30 mg and 60 mg. please let me know if there's somewhere else I should be posting. Anxiety. Cymbalta users seek class-action certification in California, Massachusetts, Missouri and New York. suicide risk; observe all Duloxetine is a medication that has been used to treat depression, anxiety, and chronic pain. Severe effects of Cymbalta withdrawal include: Suicidal thoughts (increasing the risk of dangerous behavior) Electric shock like sensations known as brain zaps. 6 Dosage for Treatment of Chronic Musculoskeletal Pain in Adults. I'm at the end of my rope and looking for reassurance. 2013. South Carolina federal court rules in favor of Eli Lilly in lawsuit claiming the company failed to warn of withdrawal symptoms. Coma. I have general anxiety and a few weeks ago started with frequent panic Jun 5, 2024 · Common Side Effects of Cymbalta (Duloxetine) The most common side effects of Cymbalta are nausea, headache, dry mouth and sleepiness, but more serious side effects may occur. Cymbalta isn’t known to cause food interactions. Agitation and irritability. diabetic peripheral neuropathy. Duloxetine (Cymbalta) is in the drug class SSRI. By Colleen de Bellefonds Published: Apr 24, 2018. Get duloxetine for as low as $11. Cymbalta is a delayed-release product. com . Oct 31, 2022 · Summary. I’ve read all of the negative posts about terrible side May 23, 2023 · Low blood pressure. Apr 6, 2021 · vivid or bizarre dreams. Risk of suicidal thoughts and behaviors Jul 31, 2020 · Aug 2, 2020. Hi all, I'm new here and not sure if this is the place to bring my questions. 2 out of 10 from a total of 250 reviews for the treatment of Fibromyalgia. It’s often raised to 60 mg once daily after 1 to 2 weeks. 33 KB - PDF) First published: 12/08/2009 Last updated: 09/07/2024. depression. w/ incr. Hi Becky. This can lead to too much duloxetine in the body. Nevertheless, as everyone's medical situation is unique, be Cymbalta ( duloxetine ) is a member of the serotonin-norepinephrine reuptake inhibitors drug class and is commonly used for Anxiety, Back Pain, Chronic Pain, and others. The Full List of Psychological Symptoms: Depression. You may report side effects to FDA at 1-800-FDA-1088. Jun 18, 2020 · Cymbalta is available as a 20 mg, 30 mg, and 60 mg oral capsule. CYMBALTA and initiate supportive treatment . You can register by calling 1-866-814-6975 or by visiting www. Aug 12, 2021 · Dosage for major depressive disorder. Apr 1, 2024 · The bottom line. Then increased to 30 mg per day now in week 7. The cost for Cymbalta 30 mg oral delayed release capsule is around $305 for a supply of 30 capsules, depending on the pharmacy you visit. Other languages (24) Latest procedure affecting product information: PSUSA/00001187/202308. The recommended Cymbalta dosage typically starts at 30 mg daily. Suicidality. For the first week on 20 mg I felt jittery, nausea but that soon went as your body adjusts, and it will. Fibromyalgia is characterized by widespread pain, fatigue, and tenderness in certain areas of the body. Apr 25, 2021 · Cymbalta and Lyrica treat a variety of health conditions, but they are both approved treatments for diabetic peripheral neuropathy and fibromyalgia. Cymbalta may be given once a day or twice a day but for those people experiencing insomnia, it should be taken just once a day in the morning. They work differently but both can be used to treat muscle and nerve pain. For treating fibromyalgia in adults, the recommended Cymbalta starting dosage is 30 mg once per day for the first week. robe 4. reduced appetite. 53% of reviewers reported a positive effect, while 30% reported a negative effect. incr. fibromyalgia. Symptoms may include: headache. May be taken with or without food. Cymbalta ( duloxetine ) is a member of the serotonin-norepinephrine reuptake inhibitors drug class and is commonly used for Anxiety, Back Pain, Chronic Pain, and others. Cymbalta (duloxetine) is an antidepressant that can cause side effects such as nausea, constipation, and drowsiness. And this raises the risk of side effects like drowsiness, dry mouth, and constipation. Mar 25, 2024 · Cymbalta is an antidepressant approved to treat mood and pain disorders. 4) • Abnormal Bleeding: CYMBALTA may increase the risk of Aug 23, 2018 · anxiety. Looseness of the bowels. See also Warning section. nausea, vomiting, or diarrhea. Low salt (sodium) levels in the blood. Cymbalta works in the brain to treat conditions like depression and Jul 11, 2024 · Manufacturer: ZYDUS PHARMS. May 7, 2021 · SNRI medications like Cymbalta work on both serotonin and norepinephrine in the brain, while SSRI medications like Prozac work on serotonin. Apr 27, 2022 · For most individuals, it is safe to take gabapentin and Cymbalta (duloxetine) together. However, if an overdose on Cymbalta is suspected, users should not wait for the more severe symptoms to emerge. Maximum dose: 120 mg/day. It is best not to abruptly discontinue Cymbalta ( duloxetine ). Mar 26, 2017 · Always Hopeful, I'm glad you started a new topic dedicated to Cymbalta (generic name: duloxetine). The bottom line . You may be able to reduce the Cymbalta price to $10. suicidality risk in children, adolescents, and young adults w/ major depressive or other psychiatric disorders; weigh risk vs. Celexa is a selective serotonin reuptake inhibitor (SSRI) and Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor (SNRI). December 2013. Cymbalta 30mg once day use for about a month then move up over time to 60mg. Elderly people may be at greater risk for this. It’s also approved for use in children ages 13 years and older with fibromyalgia. 2 out of 10 from a total of 2419 ratings on Drugs. . Lexapro belongs to the group of antidepressants known as selective serotonin reuptake inhibitors (SSRIs). The 30 mg capsules are blue and white and are printed with ‘30 mg’ and the code ‘9543’. Surgery and Questions. Connect with a licensed mental health Feb 28, 2023 · Cymbalta has antidepressant, anti-anxiety, and pain-relieving properties; however, it has been associated with a discontinuation syndrome on withdrawal even when tapered. Dizziness. It has been discussed in various discussions throughout Connect by a number of members, like @sandytoes14 @kdubois @jimhd @oldnana @kathyv @lauriedr @jenapower @janie56 to name a few. In fact, they are commonly used in combination to treat certain conditions, like neuropathy (nerve-type pain). placebo, suicidality risk not incr. headache. Also, you may experience symptoms such as dizziness, confusion, mood swings, headache, tiredness, diarrhea, sleep changes, and brief feelings similar to electric shock. Duloxetine (marketed as Cymbalta) is included in the class of drugs called selective serotonin/norepinephrine reuptake inhibitors (SNRIs). Jan 9, 2024 · Here are some ways you can improve sleep while taking Cymbalta: Take your dose of Cymbalta in the morning. These side effects can range from mild to severe and include any of Jul 26, 2021 · constipation. g. A subreddit for discussing the prescription drug Cymbalta (Duloxetine), commonly used in the treatment of depression, generalised anxiety disorder and neuropathic pain. Cymbalta may: increase your blood pressure. Sometimes when people find out they are pregnant, they think about changing how Jul 17, 2018 · Even though such side effects are scary, there is another problem with Cymbalta. One of the main reasons I’m getting off it is because of being weak and tired all the time. These medications may be counterfeit and potentially unsafe. Higher levels of available serotonin are Apr 10, 2024 · Cymbalta (duloxetine) is an antidepressant that treats depression and anxiety. in pts >24 yo, and risk decr. But more subtle effects, such as restless legs, muscle twitches or spasms, or leg jerks may be experienced by a larger number of people. Typical maintenance dosage: Total daily dose of 40 mg (given as 20-mg The most common version of Cymbalta is covered by 62% of insurance plans at a co-pay of $60. Fluvoxamine helps boost serotonin levels in the brain. It may help to relieve common symptoms of depression including disinterest in typical Cymbalta, also known as duloxetine, is used to relieve the symptoms of fibromyalgia, a chronic pain disorder. Side effects to inform your doctor about immediately include: abdominal swelling. excessive sweating. Withdrawal symptoms can begin as early as several hours after reducing or stopping an antidepressant. drowsiness or fatigue. Read a personal account of how cymbalta helped with depression and anxiety, and compare it with other experiences on Reddit. * To learn more about this side effect, see May 30, 2019 · It is barely possible to compile a comprehensive Cymbalta withdrawal symptoms list since they differ from person to person; however, medical professionals can distinguish the following most frequently reported effects. 10 A person can develop a dependency on the way Cymbalta makes them feel. Swallow Cymbalta capsules whole, do not crush or chew. , dizziness, nausea, headache, paresthesia, fatigue, vomiting, irritability, insomnia, diarrhea, anxiety, hyperhidrosis) Wait 14 days or more after discontinuance of monoamine oxidase inhibitor ( MAOI) therapy to initiate duloxetine therapy; wait 5 days or more after Jun 26, 2016 · Stormboy1 becky24558. It can have serious effects on your body, especially when mixed Jun 23, 2020 · If you become pregnant while taking Cymbalta, talk to your healthcare provider about registering with the Cymbalta Pregnancy Registry. You might have a really hard time quitting. dizziness. Cymbalta is prescribed for the treatment of depression, generalized anxiety disorder, and neuropathic pain associated with diabetic peripheral neuropathy. Also 3 times a day NAC-NA-Cetyl 600 mg each dose this is a supplement, which you can buy online. The side effects listed above are only a few of the possible side effects that can happen with Cymbalta. Abruptly stopping the medication can cause a lot of unwanted symptoms. 896 cases of drug withdrawal syndrome. A 2021 review of Cymbalta clinical trials found that participants who took the drug were more likely to experience common side effects than those who took a placebo. Since it could help with the pain my anxiety and depression too. Symptoms more commonly begin within a few days of dose reduction. Sep 5, 2023 · If you are taking Cymbalta (duloxetine) to treat depression or another mental health condition, it is important to avoid mixing your medication with alcohol. Cold- or flu-like symptoms, like shivering or perspiring. in pts 65 yo and older; depression and certain other psychiatric disorders themselves assoc. English (EN) (581. Official answer. Jun 2, 2023 · When prescribed for depression or anxiety, Cymbalta is often administered to a target dose of 60 milligrams (mg) per day. It’s up to your psychiatric clinician’s professional judgment whether medication is prescribed. Emotional volatility or annoyance. In addition to these benefits, the medication can produce a variety of negative and potentially harmful effects as well. Save Article. It is sold under brand names such as Cymbalta® and Irenka®. Jan 1, 2024 · It may take up to 6 to 8 weeks for the full effects of Cymbalta to be seen, although some improvement in symptoms, such as sleep, energy, or appetite may show an improvement in 1-2 weeks. I still have to have an afternoon nap or I’m in a fog for the rest of the day. Filter by condition. Bupropion has an average rating of 7. 786 cases of paraesthesia (abnormal sensation such as burning, prickling, tingling, etc. decrease your blood pressure when standing and cause dizziness or fainting, mostly when first starting Cymbalta or when increasing the dose. Call your doctor for medical advice about side effects. increased sweating. I was in the exact situation you were when I went to primary physician. Constipation. Lexapro works by blocking the reuptake of serotonin at the neuronal Apr 30, 2024 · Withdrawal symptoms. ) 784 cases of depression. May 14, 2024 · Cymbalta is used to treat the following conditions in adults: generalized anxiety disorder; major depressive disorder (commonly referred to as depression); chronic (long-term) musculoskeletal pain Mar 13, 2023 · Cymbalta’s more common side effects include: fatigue (lack of energy) nausea. 00, which is 91% off the average retail price of $128. It doesn’t matter how little sleep or how much sleep I get I’m exhausted all day. dry mouth. The maximum dosage for this drug is 120 mg daily. Quiting cymbalta after 2 months was harder then quiting effexor used for years,. Nov 1, 2021 · Common side effects may include: drowsiness; nausea, constipation, loss of appetite; dry mouth; or. constipation. However, higher doses of duloxetine are associated with more adverse effects without more positively impacting symptom reduction. The most common side effects of Cymbalta are nausea, dry mouth, constipation, diarrhea, insomnia, and dizziness. 5. Hello. If you are in a life threatening situation – don’t use this site. We would like to show you a description here but the site won’t allow us. com. In clinical studies, both weight gain and weight loss were reported in adults who took Cymbalta, but these weight changes weren’t common. Comments: Some patients may require 30 mg orally once day for 1 week, before increasing the dose to 60 mg per day. Taking Cymbalta and alcohol together can lead to potentially risky drug interactions and health complications, including liver damage, worsened side effects, anxiety, and depression. Symptoms such as depressed mood and lack of interest in activities may take the full 6-8 weeks to resolve. However, in children who took Cymbalta, weight loss was one of the more common side effects reported. 53% of reviewers reported a positive effect, while 31% reported a negative effect. The drug belongs to a class of antidepressant medicines known as serotonin and norepinephrine reuptake bad Pins & Needles. Antidepressant drug addiction, though rare, is on the rise according to research that is ongoing on the topic. Approval date: January 8, 2014. 0 out of 10 from a total of 2858 ratings on Drugs. Most May 30, 2019 · Racing heart. Some conditions may become worse when this drug is suddenly stopped. View. get this from your doctor. There are some precautions, that I list below, but generally, they are of low risk. May 30, 2019 · With Effexor vs. How to try to prevent suicidal thoughts or actions in your child. Call +1 (800) 273-8255 or use these resources to get immediate help. Can't find what you're looking for? Contact us for answers to your medical questions. I’m about to start taking Cymbalta for anxiety, 30 mg daily. I started with 20 mg per day for 4 weeks, just so I could get used to it slowly. Duloxetine has an average rating of 6. Abrupt discontinuance may result in symptoms (e. Effexor would be my pick if you can you are able to escape or tolerate the side effects. May 14, 2024 · Cymbalta is approved for use in children ages 7 years and older with generalized anxiety disorder (GAD). You should watch for certain signs if your child is taking an antidepressant. You will have more energy, but it is overstimulating for many. 3. Leisure clothes 3. Cymbalta can cause many of your symptoms - weakness, fatigue do understand that your vomiting began before the Cymbalta , however from what I'm reading, your neurological symptoms didn't. 906 cases of fatigue. I have been taking duloxetine DR capsules (Cymbalta) twice daily for acute anxiety for a Cymbalta (duloxetine) is commonly used to treat depression and generalized anxiety. Fluvoxamine blocks one of the enzymes (proteins) that breaks duloxetine down. The drug has a long list of interactions, and possible side effects include nausea, increased sweating and withdrawal Cymbalta (Generic Name: duloextine) is a once-daily serotonin and norepinephrine reuptake inhibitor (SNRI) medication primarily used to treat depression and anxiety disorders in adolescents and adults. After that, your doctor will likely increase your Gradually reduce dosage. sweating more than usual *. Gabapentin has an average rating of 7. Additionally, Cymbalta is used to treat fibromyalgia and diabetic peripheral neuropathy pain Cymbalta has an average rating of 6. 4. Data are lacking to show that doses greater than 60 mg per day May 14, 2024 · Cymbalta (duloxetine) is a brand-name drug that’s prescribed for certain conditions, such as depression. 3 days ago · Parents or guardians need to think about 4 important things when their child is prescribed an antidepressant: 1. Swallow Cymbalta capsules whole; do not crush, chew, or open up the capsules and sprinkle them May 29, 2019 · New to forum-questions about Cymbalta for anxiety. 53% of reviewers reported May 5, 2024 · The list of long-term effects of Cymbalta continues to grow as more users report the ill effects they’ve experienced over time. Begin treatment at 30 mg once daily for one week, to allow patients to adjust to CYMBALTA before increasing to 60 mg once daily. Mar 1, 2024 · Common duloxetine side effects may include: drowsiness; nausea, constipation, loss of appetite; dry mouth; or. agitation. If any of these effects last or get worse, tell Feb 25, 2019 · increased sweating. When people try to stop taking this drug they frequently report unpleasant withdrawal symptoms. New to Cymbalta- looking for positive experiences. May 21, 2024 · Cymbalta Effects And Abuse. May 11, 2023 · 7. Cymbalta restores balance by preventing 2. These studies did not show an increase in the risk of suicidal thoughts and behavior with antidepressant use in patients over age 24; there was a reduction in risk with antidepressant use in patients aged 65 or Mar 1, 2022 · Headache and shock-like symptoms in the head. You can currently purchase Cymbalta for a cash price of around $360. I had already been diagnosed with Fibro prior to that day by a neurologist and was on gabbapentin. Apr 11, 2024 · Dosage for fibromyalgia. Zoloft is classified as a selective serotonin reuptake inhibitor and works by blocking the reuptake of only serotonin at the neuronal synapse. Strength (s): EQ 20MG BASE [ AB], EQ 30MG BASE [ AB], EQ 60MG BASE [ AB] Note: Fraudulent online pharmacies may attempt to sell an illegal generic version of Cymbalta. The recommended CYMBALTA dosage is 60 mg once daily in adults with chronic musculoskeletal pain. Feb 6, 2024 · Insomnia. 61% of reviewers reported a positive effect, while 20% reported a negative effect. bad Pins & Needles. Learn more about Cymbalta (duloxetine) for anxiety and depression. It was one of Eli Lilly’s most profitable drugs. So my primary weaned me off the gabbapentin and put me on Cymblata. Its safety has not been established for children. I have general anxiety and a few weeks ago started with frequent panic Aug 8, 2023 · If you or someone you know is taking Cymbalta and experiences worsening depression, thoughts of self-harm, panic attacks, difficulty sleeping, or any other sudden changes in behavior, seek emergency medical attention or call 988 to reach the Suicide and Crisis Lifeline. May 14, 2024 · Lilly settles lawsuit with Peter Schilf’s parents for undisclosed amount. Cymbalta for Fibromyalgia User Reviews. Cymbalta works by increasing the levels of serotonin and norepinephrine in the brain, which helps regulate mood and pain signals. 1,052 cases of headaches. Mood swings that suddenly transform irritation into rage. cymbaltapregnancyregistry. Cymbalta : EPAR - Product Information. Talk with your doctor first if you want to stop treatment. This is not a complete list of side effects and others may occur. Cymbalta has interactions with some other drugs and certain supplements. 50, however, some pharmacy coupons or cash prices may be lower. 20/06/2024. I would think that changing the cymbalta would be a logical first step. There is a risk of suicidal thoughts or actions. Pins and needles. 2. 9. In the sections below, we review other possible mild and Each capsule of Cymbalta contains pellets of duloxetine hydrochloride with a covering to protect them from stomach acid. According to the research, side effects of Cymbalta withdrawal can appear hours or days after tapering off or stopping the drug. Cymbalta is used to treat or manage Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), Diabetic Peripheral Neuropathic Pain, Fibromyalgia, and Chronic Musculoskeletal Pain. Jul 10, 2023 · Cymbalta works to bring balance back to the neurotransmitters serotonin and norepinephrine, both of which are connected to panic disorder. Zoloft (sertraline) is also a prescription medication indicated in the treatment of MDD. This class of drugs is used to treat depression Sep 21, 2023 · Warning. Jan 19, 2017 · I’ve been on Cymbalta for 8-9 years and I’m now tapering off it. increased anxiety. Your dose may need to be gradually decreased to reduce side effects. When Cymbalta is used for pain, it generally On this page about Cymbalta you will find information relating to side effects, age restrictions, food interactions, whether the medicine is available at a government subsidised price on the pharmaceutical benefits scheme (PBS) as well as other useful information. Cymbalta is a serotonin norepinephrine reuptake inhibitor (SNRI) while Lyrica is an analgesic and anticonvulsant. Taking Cymbalta can improve mood, sleep, appetite, and energy levels in consumers while simultaneously decreasing nervousness. “Cymbalta is a dual receptor medication that works on serotonin and norepinephrine systems. It works by preventing the body from reabsorbing two neurotransmitters: serotonin and norepinephrine. #2. Lexapro (escitalopram) is also a prescription medication indicated in the treatment of both MDD and GAD. If concomitant use of CYMBALTA with other serotonergic drugs is clinically warranted, patients should be made aware of a potential increased risk for serotonin syndrome, particularly during treatment initiation and dose increases (5. Mild Cymbalta, also known as duloxetine, is used to relieve the symptoms of fibromyalgia, a chronic pain disorder. Maintenance dose: 60 mg per day, given either once a day OR 30 mg orally 2 times a day. anxiety or irritability. A reader recently sent us this question about stopping duloxetine (Cymbalta): Q. Cymbalta is also indicated to treat certain types of pain, like fibromyalgia, musculoskeletal pain, and diabetic neuropathic pain, in addition to depression and anxiety. 3 out of 10 from a total of 1877 ratings on Drugs. 00-$87. Cymbalta in terms of adverse reactions, both of these drugs can cause a number of shared side effects, the most common being nausea, drowsiness, dry mouth (xerostomia), constipation, loss of appetite (anorexia), and sweating. Seizures are listed as a rare but serious side effect of Cymbalta, occurring in roughly 3 out of every 10,500 patients. 1 out of 10 from a total of 2526 ratings on Drugs. Anxiety May 29, 2019 · New to forum-questions about Cymbalta for anxiety. 87 for 30, 60MG Capsule Delayed Release Particles. Getty Images. Duloxetine belongs to a group of medications known as serotonin-norepinephrine reuptake inhibitors (SNRIs). 92 for 30, 60mg Capsule Delayed Release Particles of generic Cymbalta by using a SingleCare Cymbalta coupon at participating pharmacies such as CVS, Target, Walmart, Kroger Apr 14, 2022 · Yes, Cymbalta can sometimes affect weight. allergic reactions like itching, rash or hives, swelling of face, lips Cymbalta has an average rating of 6. 77 for the most common version, by using a GoodRx coupon. Effexor is way better in my opinion. Oral route (Capsule, Delayed Release) Antidepressants increased the risk of suicidal thinking and behavior in children, adolescents, and young adults in short-term studies. many medications including Neurontin, Lyrica, and Cymbalta that all treat nerve symptoms. 960 cases of insomnia. nausea. ”. suicide risk; observe all . Seizures. irritability. * To learn more about this side effect, see More about Cymbalta ( duloxetine ) Ratings & Reviews. Slowly stopping Cymbalta treatment over 2 to 4 weeks is the best way to help avoid withdrawal symptoms like dizziness, nausea or headache. medication (Fentanyl, cymbalta , carbamezapine) 5. Apr 24, 2018 · 11 Cymbalta Side Effects You Should Know About. Documented Side Effects of Cymbalta: Linkedin. May 29, 2019, 08:00 AM. chronic musculoskeletal pain. Prickling or tingling sensation on the skin called paresthesias. Serotonin is involved in regulating functions including mood and sleep, while norepinephrine regulates the fight-or-flight stress response and reactions to anxiety. Stopping duloxetine (Cymbalta) suddenly can cause withdrawal symptoms such as nausea, upset stomach, anxiety, irritation, confusion, trouble sleeping, dizziness, and headache. Initially 60mg once daily (may start at 30mg once daily for 1 week then increase to 60mg once daily); usual target 60mg/day (doses up to 120mg/day have been given; if needed, may increase by Dec 19, 2022 · It interacts with duloxetine in two ways. 738 cases of hepatic enzyme increased. Depression. Adult dosage (ages 18 years and older) Typical starting dosage: 30–60 mg per day. Leg Jerks, Muscle Twitches, and Rarely Seizures. What do you think Oct 23, 2023 · Initial dose: 20 mg to 30 mg orally 2 times a day. 20, 30 and 60 mg capsules. sc zc ux xh sa cb to yw rv qv