ease capsules and other antidepressant medicines may increase your risk of bleeding or bruising, especially if you take the blood thinner warfarin (Coumadin*, Jantoven*), a non-steroidal anti-inflammatory drug (NSAIDs, like ibuprofen or naproxen), or aspirin.
	5.   severe skin reactions: Duloxetine delayed-release capsules may cause serious skin reactions that may require stopping its use. This may need to be treated in a hospital and may be life-threatening. Call your healthcare provider right away or get emergency help if you have skin blisters, peeling rash, sores in the mouth, hives or any other allergic reactions.
	6.   discontinuation symptoms: Do not stop duloxetine delayed-release capsules without first talking to your healthcare provider. Stopping duloxetine delayed-release capsules too quickly or changing from another antidepressant too quickly may result in serious symptoms including:
	anxiety
	irritability
	feeling tired or problems sleeping
	headache
	sweating
	dizziness
	electric shock-like sensations
	vomiting or nausea
	diarrhea
	7.   manic episodes:
	greatly increased energy
	severe trouble sleeping
	racing thoughts
	reckless behavior
	unusually grand ideas
	excessive happiness or irritability
	talking more or faster than usual
	8.  visual problems: 
	eye pain
	changes in vision
	swelling or redness in or around the eye
	Only some people are at risk for these problems. You may want to undergo an eye examination to see if you are at risk and receive preventative treatment if you are.
	9.   seizures or convulsions 
	10.  low salt (sodium) levels in the blood. Elderly people may be at greater risk for this.
	Symptoms may include:
	Headache
	weakness or feeling unsteady
	confusion, problems concentrating or thinking or memory problems
	11.  problems with urination. Symptoms may include: 
	decreased urine flow
	unable to pass any urine
	The most common side effects of duloxetine delayed-release capsules include:
	nausea
	dry mouth
	sleepiness
	fatigue
	constipation
	loss of appetite
	increased sweating
	dizziness
	Common possible side effects in children and adolescents who take duloxetine delayed-release capsules include:
	nausea
	decreased weight
	dizziness
	Side effects in adults may also occur in children and adolescents who take duloxetine delayed-release capsules. Children and adolescents should have height and weight monitored during treatment.
	Tell your healthcare provider if you have any side effect that bothers you or that does not go away.
	These are not all the possible side effects of duloxetine delayed-release capsules. For more information, ask your healthcare provider or pharmacist.
	Call your doctor for medical advice about side effects. You may report side effects to 1-800-FDA- 1088.
	How should I store duloxetine delayed-release capsules?
	Store duloxetine delayed-release capsules at 20° to 25°C (68° to 77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature].
	Keep duloxetine delayed-release capsules and all medicines out of the reach of children. 
	General information about the safe and effective use of duloxetine delayed-release capsules
	Medicines are sometimes prescri