Brand Name for Duloxetine
The brand name for duloxetine is Cymbalta. 1
Medication Class and Mechanism
Duloxetine (Cymbalta) is a selective serotonin-norepinephrine reuptake inhibitor (SNRI) that potently inhibits the presynaptic reuptake of both serotonin and norepinephrine in the central nervous system. 2, 3
FDA-Approved Indications
Cymbalta is FDA-approved for multiple conditions:
- Major Depressive Disorder (MDD) 1
- Generalized Anxiety Disorder (GAD) - including in children and adolescents aged 7 years and older 2, 1
- Diabetic Peripheral Neuropathic Pain (DPNP) 2, 1
- Fibromyalgia (FM) 1
- Chronic Musculoskeletal Pain 1
Standard Dosing
For most indications, the typical effective dose is 60 mg once daily. 2 The medication has a sufficiently long elimination half-life (approximately 12 hours) to permit single daily dosing. 2, 3 Duloxetine may be taken with or without food. 1
Dosing Strategy to Minimize Side Effects
To reduce nausea (the most common adverse effect), initiate treatment at 30 mg once daily for 1 week before increasing to the target dose of 60 mg once daily. 2