Duloxetine (Cymbalta)

Psychiatry / Neurology (SNRI)

Dosing & Administration

Adult Dose

30-60 mg PO daily.

Pediatric Dose

GAD (7-17 yrs): 30 mg PO daily.

Renal Adjustment

CrCl < 30: Avoid use.

Hepatic Adjustment

Avoid in hepatic impairment/cirrhosis (hepatotoxic).

Safety & Special Populations

Pregnancy Category

C

Lactation Safety

Compatible.

Contraindications & Adverse Effects

Contraindications

  • Concurrent MAOI use
  • Uncontrolled narrow-angle glaucoma

Common Adverse Effects

  • Nausea
  • Dry mouth
  • Somnolence
  • Hepatotoxicity
  • Hypertension