{"id":56855,"date":"2024-02-27T17:10:31","date_gmt":"2024-02-27T17:10:31","guid":{"rendered":"https:\/\/medsname.com\/dulata\/"},"modified":"2026-04-30T10:24:34","modified_gmt":"2026-04-30T10:24:34","slug":"dulata","status":"publish","type":"product","link":"https:\/\/medsbase.com\/nl\/dulata\/","title":{"rendered":"Dulata"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8d6;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">\u26a1 Snel antwoord<\/h3>\n<p style=\"margin-bottom:0;\">Dulata (Duloxetine 20 \/ 30 \/ 40 \/ 60 mg) is a serotonin-noradrenaline reuptake inhibitor used for major depression, generalised anxiety, diabetic peripheral neuropathy, fibromyalgia, and chronic musculoskeletal pain. Particularly useful when depression is paired with chronic pain.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Wat u krijgt bij MedsBase:<\/strong> WHO-GMP gecertificeerde fabrikant \u00b7 Discrete verpakking \u00b7 Wereldwijde verzending \u00b7 1.400+ geverifieerde <a href=\"https:\/\/medsbase.com\/nl\/reviews\/\">klantbeoordelingen<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Elke bestelling is gedekt door onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.<\/p>\n<h3>Waarom bestellen bij MedsBase<\/h3>\n<p>Dulata at MedsBase is supplied directly from a WHO-GMP certified manufacturer in plain, discreet packaging. Every order is covered by our <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance Policy<\/a> \u2014 20 werkdagen levertermijn of wij sturen kosteloos opnieuw \u2014 en komt in aanmerking voor ons <a href=\"https:\/\/medsbase.com\/nl\/loyalty-points\/\">klantenloyaliteitsprogramma<\/a>. Wereldwijde verzending is beschikbaar naar de meeste bestemmingen.<\/p>\n<h2>What Dulata is and how it works<\/h2>\n<p>Dulata is a 20 \/ 30 \/ 40 \/ 60 mg duloxetine delayed-release capsule supplied by Sun Pharma. Duloxetine is a balanced inhibitor of both serotonin (5-HT) and noradrenaline (NA) reuptake at their presynaptic transporters. The dual-action profile is what makes it effective for both mood and pain.<\/p>\n<p>The therapeutic effect on mood and anxiety builds over 4\u20136 weeks; analgesic effects on neuropathic and musculoskeletal pain often appear within 1\u20132 weeks at the same dose.<\/p>\n<h2>Indicaties en dosering<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indicatie<\/th>\n<th>Startdosering<\/th>\n<th>Streefdosering<\/th>\n<th>Maximaal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Depressie<\/td>\n<td>30 mg OD \u00d7 1 wk<\/td>\n<td>60 mg OD<\/td>\n<td>120 mg (split BID)<\/td>\n<\/tr>\n<tr>\n<td>Generalised anxiety<\/td>\n<td>30 mg OD \u00d7 1 wk<\/td>\n<td>60 mg OD<\/td>\n<td>120 mg<\/td>\n<\/tr>\n<tr>\n<td>Diabetic peripheral neuropathy<\/td>\n<td>30 mg OD \u00d7 1 wk<\/td>\n<td>60 mg OD<\/td>\n<td>60 mg<\/td>\n<\/tr>\n<tr>\n<td>Fibromyalgia<\/td>\n<td>30 mg OD \u00d7 1 wk<\/td>\n<td>60 mg OD<\/td>\n<td>60 mg<\/td>\n<\/tr>\n<tr>\n<td>Chronic musculoskeletal pain<\/td>\n<td>30 mg OD \u00d7 1 wk<\/td>\n<td>60 mg OD<\/td>\n<td>60 mg<\/td>\n<\/tr>\n<tr>\n<td>Stress urinary incontinence (off-label, EU)<\/td>\n<td>20 mg BID<\/td>\n<td>40 mg BID<\/td>\n<td>40 mg BID<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Belangrijke veiligheidsoverwegingen<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Hepatic \u2014 avoid in significant alcohol use or hepatic impairment<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Duloxetine has a baseline hepatotoxicity signal that becomes clinically important in patients with significant alcohol intake (\u22653 drinks\/day) or chronic liver disease. <strong>Avoid in any clinically significant hepatic impairment.<\/strong> Check baseline LFTs in older adults and patients on multiple hepatically-cleared drugs.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Bloeddruk<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Duloxetine produces a small but real rise in BP \u2014 average +2\u20133 mmHg systolic at therapeutic doses. Less than venlafaxine, but enough to matter in poorly-controlled hypertension. Check BP at baseline, at 2 weeks, and at every dose increase.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Discontinuation syndrome<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Duloxetine has a short elimination half-life (12 hours) \u2014 abrupt cessation produces dizziness, paraesthesia (&#8220;zaps&#8221;), nausea, headache, and dysphoria within 24\u201372 hours. Always taper over at least 2\u20134 weeks. The lowest available capsule strength (20 mg or 30 mg, depending on market) sets the floor of the taper \u2014 beading the capsule contents is sometimes used clinically for the final step.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Zwarte waarschuwing voor su\u00efcidaliteit (onder 25)<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Alle antidepressiva dragen een FDA zwarte waarschuwing voor verhoogde su\u00efcidale gedachten bij pati\u00ebnten onder de 25.<\/p>\n<\/div>\n<h2>Veelvoorkomende bijwerkingen<\/h2>\n<ul>\n<li><strong>Vaak voorkomend:<\/strong> nausea (worst in first week), dry mouth, constipation, hyperhidrosis, somnolence or insomnia, fatigue.<\/li>\n<li><strong>Sexual:<\/strong> reduced libido, delayed orgasm \u2014 similar incidence to SSRIs.<\/li>\n<li><strong>BP \/ HR:<\/strong> small mean increase in BP and HR \u2014 usually clinically silent.<\/li>\n<li><strong>Hepatisch:<\/strong> transient AST\/ALT rises; clinically significant hepatotoxicity is rare but described.<\/li>\n<li><strong>Overig:<\/strong> hyponatraemia (especially older adults), abnormal bleeding (additive with NSAIDs), urinary hesitancy.<\/li>\n<\/ul>\n<h2>Geneesmiddelinteracties<\/h2>\n<ul>\n<li><strong>MAO-remmers<\/strong> \u2014 absolute contraindication; 14-day washout each direction.<\/li>\n<li><strong>Strong CYP1A2 inhibitors<\/strong> (fluvoxamine, ciprofloxacin, enoxacin) \u2014 significantly raise duloxetine levels; avoid co-prescription.<\/li>\n<li><strong>Strong CYP2D6 inhibitors<\/strong> (paroxetine, fluoxetine, bupropion, quinidine) \u2014 moderate rise in duloxetine levels.<\/li>\n<li><strong>Other serotonergic drugs<\/strong> (triptans, tramadol, linezolid, methylene blue, St John&rsquo;s wort) \u2014 serotonin syndrome risk.<\/li>\n<li><strong>NSAIDs \/ aspirin \/ anticoagulants<\/strong> \u2014 additive bleeding risk.<\/li>\n<\/ul>\n<h2>Zwangerschap, borstvoeding, pediatrie<\/h2>\n<p>Pregnancy: limited data; weigh against untreated maternal depression. Late-pregnancy exposure can produce a neonatal adaptation syndrome. Breastfeeding: small amounts pass into milk; usually compatible with monitoring. Paediatric: not first-line; evidence base for adolescent depression is weaker than for SSRIs.<\/p>\n<h2>Opslag<\/h2>\n<p>Bewaren bij 15\u201330 \u00b0C in originele verpakking.<\/p>\n<h2 id=\"faqs\">Veelgestelde vragen<\/h2>\n<h3>How is Dulata different from an SSRI?<\/h3>\n<p>Duloxetine adds noradrenergic reuptake inhibition on top of serotonergic action. The clinical translation: better evidence for chronic pain conditions (DPN, fibromyalgia), useful when fatigue or motivation is the dominant depressive symptom, and a small BP signal that SSRIs don&rsquo;t carry. Tolerability profiles overlap heavily \u2014 nausea is the dominant first-week issue for both classes.<\/p>\n<h3>Why is Dulata a delayed-release capsule?<\/h3>\n<p>Duloxetine is acid-labile and would be destroyed in stomach acid. The enteric coating delays release until the duodenum, producing reliable absorption. Do not crush, chew, or open the capsule (contents can be sprinkled on apple sauce in difficulty-swallowing patients but should not be saved or chewed).<\/p>\n<h3>Can I take Dulata with chronic pain medications?<\/h3>\n<p>Duloxetine is often paired with gabapentin or pregabalin in DPN \u2014 the combination outperforms monotherapy. Combining with tramadol or methadone is possible but raises serotonin-syndrome risk; clinician supervision required.<\/p>\n<h3>How quickly does Dulata help neuropathic pain?<\/h3>\n<p>Pain benefit often appears within 1\u20132 weeks, faster than the mood benefit (4\u20136 weeks). Many patients on duloxetine for DPN or fibromyalgia notice the pain change first.<\/p>\n<h3>Will Dulata cause weight gain?<\/h3>\n<p>Modest \u2014 typically 1\u20133 kg over 6\u201312 months. Less than mirtazapine, less than most TCAs, comparable to SSRIs.<\/p>\n<h3>Can I drink alcohol on Dulata?<\/h3>\n<p>Avoid heavy alcohol use entirely \u2014 there is a defined hepatotoxicity interaction. Light-to-moderate alcohol (1 drink, occasional) is usually tolerated but worsens depression.<\/p>\n<h3>How do I stop Dulata?<\/h3>\n<p>Taper over at least 2\u20134 weeks. Switching from 60 mg to 30 mg for 2 weeks before stopping is the most common pattern. Some patients need slower tapers using the 20 mg or 30 mg capsule and skipping doses every other day at the bottom.<\/p>\n<h3>Wat als ik een dosis vergeet?<\/h3>\n<p>Take it as soon as you remember the same day. If it&rsquo;s nearly time for the next dose, skip and continue. Do not double up. A missed dose at 12+ hours often produces noticeable withdrawal \u2014 take it as soon as possible.<\/p>\n<h3>Is Dulata addictive?<\/h3>\n<p>No \u2014 duloxetine produces no euphoria, no compulsive use, and no escalating tolerance. It does produce physical dependence (withdrawal on abrupt cessation), which is a different phenomenon from addiction.<\/p>\n<h3>Can Dulata cause urinary retention?<\/h3>\n<p>Yes \u2014 duloxetine has mild noradrenergic action on the bladder neck and can produce hesitancy or retention, particularly in older men with BPH. Mild symptoms usually resolve; severe symptoms warrant dose reduction or switch.<\/p>\n<h2>Andere medicijnen voor geestelijke gezondheid<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/flunil\/\">Flunil (Fluoxetine SSRI)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/lexaheal\/\">Lexaheal (Escitalopram SSRI)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/mirtaz\/\">Mirtaz (Mirtazapine NaSSA)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/bupron-xl\/\">Bupron XL (Bupropion XL \u2014 NDRI)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/agoprex\/\">Agoprex (Agomelatine \u2014 melatonergic)<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:0.9em;\">\n<strong>Medisch disclaimer.<\/strong> Deze pagina is educatief en geen vervanging voor persoonlijk medisch advies. Farmacotherapie voor geestelijke gezondheid dient te worden gestart, gecontroleerd en aangepast onder begeleiding van een gekwalificeerde clinicus. Als u of iemand die u kent in een su\u00efcidale crisis verkeert, neem dan onmiddellijk contact op met de plaatselijke hulpdiensten, of bel de su\u00efcidepreventielijn van uw land (VS\/Canada: 988; VK: Samaritans 116 123; internationale lijst: <a href=\"https:\/\/findahelpline.com\/\" rel=\"nofollow noopener\" target=\"_blank\">findahelpline.com<\/a>).\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Dulata (Duloxetine 20\u201360 mg DR) \u2014 SNRI for MDD, GAD, DPN, fibromyalgia, MSK pain. pain benefit at 1\u20132 weeks, mood at 4\u20136 weeks.<\/p>","protected":false},"featured_media":56856,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3906],"product_tag":[4188,4144],"class_list":{"0":"post-56855","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-mental-health-and-psychiatric-medications","9":"product_tag-dulata","10":"product_tag-duloxetine","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product\/56855","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/comments?post=56855"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media\/56856"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media?parent=56855"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_brand?post=56855"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat?post=56855"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_tag?post=56855"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}