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Symbal 20 MG Tablet

Manufactured byTorrent Pharmaceuticals Ltd.
ContainsDuloxetine
₹139.2
10 TABLET ( 10 / STRIP )

Description

Symbal 20 MG Tablet is an antidepressant. This medication is prescribed to treat depression and other mood disorders such as anxiety. It is also used to treat diabetic neuropathic pain (nerve damage due to diabetes) and fibromyalgia (widespread pain in the body). Symbal 20 MG Tablet works by increasing the level of chemical transmitters (serotonin and norepinephrine) in the brain that help maintain mental balance and stop the movement of pain signals in the brain. Symbal 20 MG Tablet can show side effects like nausea, dry mouth, heartburn, etc. Consult your doctor if side effects are bothering you or getting persistent. Avoid driving vehicles or operating machines as this medicine can make you feel drowsy or dizzy. Symbal 20 MG Tablet is usually taken with food to avoid stomach irritation. Your dose will be dependent on the severity of your condition. Take this medicine at the same time every day to maintain a constant level of medicine in your body. Do not stop taking this medicine without consulting your doctor as it can cause withdrawal symptoms. Symbal 20 MG Tablet can alter your mood and promote suicidal thoughts. Therefore, closely monitor your mood while you take this medicine. Inform your doctor about your current medications and existing medical conditions to avoid any side effects. If you are pregnant or breastfeeding, consult your doctor before taking this medicine.
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Substitutes

List of substitutes for Symbal 20 MG Tablet

2 Dep 20 MG Tablet
Orchid Chemicals & Pharmaceuticals Ltd.
Dulojoy 20 MG Tablet
Torrent Pharmaceuticals Ltd.
Duvanta 20 MG Tablet
Intas Pharmaceuticals Ltd.
Nudep 20 MG Tablet
Mankind Pharmaceuticals Ltd.
Sympta 20 MG Tablet
Ipca Laboratories Pvt. Ltd.

Side effects

Major & minor side effects for Symbal 20 MG Tablet

Nausea

Sleepiness

Dry mouth

Body pain

Abnormal ejaculation

Loose stools

Shaking of hands or feet

Heartburn

Uses of Symbal 20 MG Tablet

What is it prescribed for?

Major depressive disorder

Depression is a mental health disorder characterised by persistently depressed mood or loss of interest in activities, causing significant impairment in daily life. Symbal 20 MG Tablet reduces the severity of the symptoms of depression and shortens the recovery time.

Generalized anxiety disorder

Generalized anxiety disorder (or GAD) is marked by excessive, exaggerated anxiety and worry about everyday life events for no obvious reasons. Symbal 20 MG Tablet is used to treat the symptoms of generalized anxiety disorder like feeling restlessness, difficulty in concentrating and irregular heartbeat.

Diabetic peripheral neuropathy

Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. The condition most often affects the legs and feet. Symbal 20 MG Tablet is used to relieve the pain associated with this condition.

Chronic musculoskeletal pain

Chronic musculoskeletal pain is a type of persistent pain that affects the muscles, joints and bones and has lasted for more than 3 months. Symbal 20 MG Tablet is used to relieve chronic low back pain and other joint pain due to the wear and tear of muscle tissue during daily activities.

Fibromyalgia

Fibromyalgia is a condition that causes pain all over the body (also referred to as widespread pain), sleep problems, fatigue, and often emotional and mental distress. Symbal 20 MG Tablet is used to manage the pain associated with this condition.
Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?

    The amount of time required for Symbal 20 MG Tablet to show its action is two hours of intake.

  • How long do the effects of this medicine last?

    Symbal 20 MG Tablet can remain in your body for three days.

  • Is it safe to consume alcohol while taking this medicine?

    Consumption of alcohol is not recommended during the treatment with Symbal 20 MG Tablet due to the increased risk of liver injury.

  • Is this a habit forming medicine?

    No habit forming tendencies were reported for Symbal 20 MG Tablet.

  • Can this medicine be taken during pregnancy?

    Symbal 20 MG Tablet is not recommended for use in pregnancy as this medicine may affect your developing foetus. Discuss all the risks and benefits with your doctor before taking this medicine.

  • Can this medicine be taken while breast-feeding?

    Symbal 20 MG Tablet is not recommended if you are breastfeeding as it passes into breast milk. Consult your doctor before taking this medicine.

Allergy

Symbal 20 MG Tablet is not recommended if you are allergic to it. Seek immediate medical attention if you notice any symptoms such as skin rash, itching/swelling (especially of your face/tongue/throat), severe dizziness, breathing difficulty, etc.

Monoamine oxidase inhibitors

MAOIs (monoamine oxidase inhibitors) are medications used to treat depression and other mental health conditions. Do not take Symbal 20 MG Tablet with MAOIs or within two weeks after discontinuing MAOIs, as it can lead to life-threatening complications.

Narrow angle glaucoma

Narrow-angle glaucoma is a condition in which pressure inside your eyes increases. It happens due to fluid build-up caused by blocked drainage canals. Symbal 20 MG Tablet is not recommended if you have narrow-angle glaucoma as it may increase the risk of mydriasis (a condition in which the pupil of the eye gets widened due to increased eye pressure).

Warnings for special population

Pregnancy

Symbal 20 MG Tablet is not recommended for use in pregnancy as this medicine may affect your developing foetus. Discuss all the risks and benefits with your doctor before taking this medicine.

Breast-feeding

Symbal 20 MG Tablet is not recommended if you are breastfeeding as it passes into breast milk. Consult your doctor before taking this medicine.

General warnings

Suicidal thoughts

Symbal 20 MG Tablet should be used with caution due to the increased risk of suicidal tendencies. Any mood change should be closely monitored.

Orthostatic hypotension and fall

Symbal 20 MG Tablet is known to cause orthostatic hypotension (sudden drop in blood pressure when you stand up from a sitting or lying position) especially during the 1st week of the treatment. Inform your doctor if you experience dizziness or unsteady walking while taking this medicine.

Abnormal bleeding

Symbal 20 MG Tablet may increase the risk of bleeding especially if you are taking blood thinners. Inform your doctor about your current medications to avoid such side effects.

Low sodium levels

Symbal 20 MG Tablet is known to lower sodium levels in the body. Inform your doctor if you experience any symptoms of unsteadiness, headache, difficulty in concentration while taking this medicine.

Withdrawal symptoms

Abrupt discontinuation of Symbal 20 MG Tablet may increase the risk of adverse effects, especially if you have been using a high dose for a long duration. A gradual dose reduction is recommended to avoid these reactions. Do not stop the use of this medicine without consulting your doctor.

Skin reactions

Symbal 20 MG Tablet is known to cause rare but serious skin reactions. Discontinue the treatment and inform your doctor if symptoms like itching, peeling skin, rashes appear.

Kidney/liver diseases

If you have kidney/liver problems, taking Symbal 20 MG Tablet for a prolonged period can potentially worsen the condition. It is recommended that you get your kidney/liver function monitored regularly as per your doctor’s guidance.

Driving or operating machinery

Symbal 20 MG Tablet may cause blurred vision or dizziness in some people. It is advised that you do not perform any activities such as driving vehicles or operating machines if you experience any of these symptoms during treatment with this medicine.

Missed Dose

Take the missed dose of Symbal 20 MG Tablet as soon as you remember. If it is almost the time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.

Overdose

Seek emergency medical treatment in case of an overdose of Symbal 20 MG Tablet.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.

Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during the treatment with Symbal 20 MG Tablet due to the increased risk of liver injury.

Interaction with Medicine

Ciprofloxacin

Aspirin

Diuretics

Dextromethorphan

Disease interactions

Diabetes

Symbal 20 MG Tablet should be used with caution if you have diabetes due to the increased risk of alteration in blood sugar levels. Your doctor may adjust your dose or suggest another medicine in such cases.

Glaucoma

Symbal 20 MG Tablet should be used with caution if you have glaucoma (a group of eye conditions that can cause blindness) due to the risk of an increase in the fluid pressure in the eye. Your doctor may adjust your dose or suggest another medicine in such cases.

Food interactions

Information not available.

Lab interactions

Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.
Take Symbal 20 MG Tablet as instructed by your doctor. Do not crush, break or chew the tablets. Symbal 20 MG Tablet is given for the long term. Therefore, complete the whole treatment for maximum benefits. Keep Symbal 20 MG Tablet away from children and pets. Throw away the unused medicine safely after the expiry date. You should not take this medicine in larger amounts than prescribed. Consult the doctor if you experience any undesirable side effects.

Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works

Symbal 20 MG Tablet works by increasing the levels of certain chemical substances in the brain and thus helps in maintaining mental balance and also stops the pain signalling to the brain.

Legal Status

Approved

Unknown

Approved

Unknown

Classification

Category

Serotonin-norepinephrine reuptake inhibitors

Schedule

Schedule H

Drugs, H., 2021. Duloxetine: MedlinePlus Drug Information. [online] Medlineplus.gov. Available at: < [Accessed 24 December 2021].

https://medlineplus.gov/druginfo/meds/a604030.html#overdose>

Pubchem.ncbi.nlm.nih.gov. 2021. Duloxetine. [online] Available at: < [Accessed 24 December 2021].

https://pubchem.ncbi.nlm.nih.gov/compound/duloxetine>

Slam.nhs.uk. 2021. [online] Available at: < [Accessed 24 December 2021].

https://slam.nhs.uk/media/19078/duloxetine.pdf>

Urmc.rochester.edu. 2021. [online] Available at: < [Accessed 24 December 2021].

https://www.urmc.rochester.edu/medialibraries/urmcmedia/medicine/general-medicine/patientcare/documents/duloxetine_brochure.pdf>

Related Questions

Question:
I am taking symbal 20 from past 16 months for my back pain suggested by doctor. Is thr any side effe...more
Answer from Dr. Prashanth Kalale
You need detailed assessment of your symptoms .
Question:
I have been prescribed symbal 20 and pregaba 75 by doctor.I missed taking symbal 20 for two days due...more
Answer from Dr. Kevin Reji
Needs more details about the disease. Consult online for further evaluation
Question:
I was suggested to take symbal 20mg by a psychiatrist to get rid out of anxiety and depression. I am...more
Answer from Dr. Akshata Bhat
Since you are already on medication I suggest you talk to your treating Psychiat...more
Question:
I was on Symbal(dulextine) for 4 years and then 1.5 years on paroxteine (Paxidep).this caused absenc...more
Answer from Dr. Ramesh Maheshwari
Stop all
Question:
Dear Doctors, My mom 75 years was on symbal 20 and defcort 6 last month ie March 2022, not taking an...more
Answer from Dr. Sarvesh Mishra
Kindly discuss for your concern
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Information on this page was last updated on 3 Feb 2022

Disclaimer

We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.

₹139.2 
10 TABLET ( 10 / STRIP )