Administer CYMBALTA orally (with or without meals) and swallow whole.

Recommended dosage range: 30-60 mg/day.

Recommended Dosage in Adults Less than 65 Years of AgeRecommended Dosage in Pediatric Patients 7 to 17 Years of AgeRecommended Dosage in Pediatric Patients 13 to 17 Years of AgeWe comply with the HONcode standard for trustworthy health information -

These opinions do not represent the opinions of WebMD. Avoid alcoholic beverages.There are no long-term effects of drug abuse for duloxetine.Neonates exposed to serotonin-norepinephrine reuptake inhibitors (SNRIs) or selective serotonin reuptake inhibitors (SSRIs) late in 3rd Increased risk of hepatotoxicity, sometimes fatal; monitor for Monitor weight and growth in adolescents and children; decrease in appetite and Use caution when administering concomitantly with CNS depressantsHeadache, dizziness, nausea, diarrhea, paresthesia, vomiting, irritability, insomnia, hyperhidrosis, anxiety, and fatigue reported in patients following abrupt discontinuation of duloxetineAngle closure glaucoma reported in patients with untreated anatomically narrow angles that do not have a patent iridectomy and are being treated with antidepressantsUse with caution in patients with conditions that slow During pregnancy, use duloxetine with caution if benefits outweigh risks. people Duloxetine is available under the following different brand and other names: Titrate dose in increments of 30 mg/day over 1 week as toleratedTarget dosage: 60 mg/day taken orally (in single daily dose or divided once every 12 hours); not to exceed 120 mg/day (safety of dosages greater than120 mg/day has not been evaluated)60 mg/day taken orally initially (in single daily dose or divided once every 12 hours); consider lowering dosage if tolerability is concernTarget dosage: 60 mg/day taken orally; not to exceed 60 mg/day60 mg/day taken orally initially (in single daily dose or divided once every 12 hours); may be increased in increments of 30 mg/day if tolerability is concernTarget dosage: 60 mg/day taken orally; not to exceed 120 mg/day30 mg/day taken orally initially for 1 week to allow for therapy adjustmentTarget dosage: 60 mg/day taken orally; not to exceed 60 mg/day; no additional benefit shown by doses greater than 60 mg in Treatment of chronic musculoskeletal pain, including discomfort from 30 mg/day taken orally initially for 1 week to allow for therapy adjustmentTarget dosage: 60 mg/day taken orally; not to exceed 60 mg/dayDosages 60 mg/day or more have not been shown to offer additional benefitsFibromyalgia: Efficacy for 12 weeks or more has not been studied; continue treatment on basis of individual patient responseChronic musculoskeletal pain: Efficacy for 13 weeks or more has not been studiedLess than 7 years: Safety and efficacy not established7-17 years: 30 mg taken orally once daily initially; after 2 weeks, may consider increasing dose to 60 mg/daySome patients may benefit from doses greater than 60 mg/day; if increased beyond 60 mg/day, use increments of 30 mg/dayMaximum dose studied was 120 mg/day; safety of doses greater than 120 mg/day has not been evaluatedAvoid use in patients with severe renal impairment (GFR <30 mL/min)This document does not contain all possible side effects and others may occur. Some patients may respond to the starting dosage.

For some patients, it may be desirable to start at 30 mg once daily for 1 week, to allow patients to adjust to CYMBALTA before increasing to 60 mg once daily.
Cymbalta Dosage for Fibromyalgia. There is no evidence that higher dosages confer additional benefit, even in patients who do not respond to a 60 mg once daily dosage, and higher dosages are associated with a higher rate of adverse reactions Avoid use in patients with chronic liver disease or cirrhosis Avoid use in patients with severe renal impairment, GFR <30 mL/minute Adverse reactions after discontinuation of CYMBALTA, after abrupt or tapered discontinuation, include: dizziness, headache, nausea, diarrhea, paresthesia, irritability, vomiting, insomnia, anxiety, hyperhidrosis, and fatigue. The maximum dose studied was 120 mg per day.Administer 60 mg once daily in adults with diabetic peripheral neuropathic pain.

It is possible but unlikely that you will get any benefit from this low dose. people

While a 120 mg/day dose was shown to be effective, there is no evidence that doses greater than 60 mg/day confer any additional benefits.

The jittery, heart racing feeling is gone, I'm not having any more weird electric shock feelings, and even though I'm still having some afternoon anxiety, it's totally manageable.

I have heard this happening before, but usually it takes like three or four weeks before someone starts to feel the benefits.The anxiety can also be caused by this stimulation of your brain, cymbalta is probably really kicking in about that time as even though its time released, there is naturally going to be a time of the day when more is entering into your system then a completely smooth day. 7-17 years: 30 mg taken orally once daily initially; after 2 weeks, may consider increasing dose to 60 mg/day.

Periodically reassess to determine the continued need for maintenance treatment and the appropriate dosage for such treatment.In geriatric patients with GAD, initiate CYMBALTA at a dosage of 30 mg once daily for 2 weeks before considering an increase to the target dose of 60 mg/day.
The dose for treating generalized anxiety disorder is 10 mg once daily. Cymbalta I suffered going down 90 from 120.