Symbal 20 mg Tablets contain Duloxetine, a serotonin-norepinephrine reuptake inhibitor (SNRI) used to treat depression, generalized anxiety disorder, and neuropathic pain. It works by restoring the balance of serotonin and norepinephrine in the brain, helping to improve mood, relieve anxiety, and manage chronic pain conditions.

• Treats major depressive disorder (MDD)

• Relieves symptoms of generalized anxiety disorder (GAD)

• Manages diabetic peripheral neuropathic pain

• Provides relief from fibromyalgia and chronic musculoskeletal pain

• Enhances emotional well-being and daily functioning

Take Symbal 20 mg Tablets exactly as prescribed by your healthcare provider. Swallow the tablet whole with water, with or without food. Do not crush or chew the tablet. Take at the same time each day for the best effect.

• The usual starting dose is 20 mg once or twice daily, as directed by a doctor

• Dose may be adjusted based on individual response and condition severity

• Do not abruptly stop taking Duloxetine; tapering is recommended under medical supervision

• Follow your physician’s instructions carefully

• Inform your doctor if you have liver or kidney problems, high blood pressure, or a history of bipolar disorder

• Not recommended in combination with monoamine oxidase inhibitors (MAOIs)

• May increase the risk of suicidal thoughts in young adults; close monitoring is advised

• Avoid alcohol during treatment

• Use during pregnancy or breastfeeding only if clearly needed and approved by a doctor

Common side effects:

• Nausea

• Dry mouth

• Drowsiness

• Dizziness

• Constipation

• Increased sweating
  Serious side effects:

• Mood changes, suicidal thoughts

• Liver dysfunction (yellowing of skin/eyes)

• Unusual bleeding or bruising

• Serotonin syndrome (confusion, fever, rapid heartbeat)
  Seek immediate medical help if you experience serious adverse effects.

• Store at room temperature (15°C–30°C / 59°F–86°F)

• Keep tablets in original packaging, away from moisture and heat

• Keep out of reach of children

• Do not use after the expiry date

Q: What is Symbal 20 mg used for?
A: It is prescribed for depression, anxiety disorders, and certain chronic pain conditions.

Q: How long does it take to work?
A: Symptom improvement is usually seen within 1 to 4 weeks of starting treatment.

Q: Can I stop taking Symbal suddenly?
A: No. Stopping abruptly may cause withdrawal symptoms. Always consult your doctor before discontinuation.

Q: Are there any lifestyle precautions?
A: Yes, avoid alcohol and monitor mood regularly. Notify your doctor of any concerning changes.