Symbal M 20mg/500mcg Tablet
By Symbal M
Rx
10 Tablet in a Strip

Composition
Duloxetine(20mg) + Methylcobalamin(500mcg)

Manufacturer - Torrent Pharmaceuticals Ltd
Off. Ashram Road, Ahmedabad - 380 009., Gujarat, India

Expires on or after
September, 2025
About Symbal M 20mg/500mcg Tablet
Symbal M 20mg/500mcg Tablet is a medication that combines two active ingredients and is used to address neuropathic pain. This medicine shields the nerve fibers from damage and repairs any existing nerve damage. By doing so, it effectively reduces pain sensations and can also help improve mood. It can be consumed with or without food, but it is recommended to take it at the same time daily to ensure a consistent level of the drug in the body. Adhering strictly to the prescribed dosage and duration is crucial for optimal results. Missing a dose should be managed by taking it as soon as remembered, but completing the full course of treatment even if feeling better is important to achieve the desired outcome. Abruptly stopping the medication is cautioned against.
Some common side effects that may occur while taking Symbal M 20mg/500mcg Tablet include nausea, constipation, headaches, difficulty sleeping, ejaculation issues, erectile dysfunction, and reduced sexual desire. Generally, these side effects are temporary and resolve on their own. However, if they persist or become bothersome, consulting a healthcare provider is advised. It is advisable to refrain from consuming alcohol while on this medication as it may exacerbate certain adverse effects. Additionally, this medicine can lead to weight gain, hence maintaining a balanced diet, avoiding calorie-rich snacks, and regular exercise are essential. Informing a doctor about any unusual changes in mood or behavior, new or worsening depression, or thoughts of harming oneself is imperative.
Symbal M 20mg/500mcg Tablet belongs to a class of medicines known as Antidepressants and serves mainly as a treatment for depression and anxiety. It also addresses neuropathic pain such as fibromyalgia linked to diabetic peripheral neuropathy and can be used for stress urinary incontinence in women. Depression involves persistently low mood or loss of interest affecting daily life, while anxiety manifests as varying degrees of unease or fear. Fibromyalgia presents as widespread body pain, and urinary incontinence is the inadvertent leakage of urine during physical activities. The active ingredient in Symbal M 20mg/500mcg Tablet is Duloxetine, which heightens levels of mood-regulating chemicals in the brain, thereby improving emotions, enhancing mood, and aiding in better quality of life. This mechanism of action relieves conditions like depressive and anxiety disorders, neuropathic pain, fibromyalgia, among others.
Common side effects associated with Symbal M 20mg/500mcg Tablet include nausea, dry mouth, headaches, constipation, and drowsiness. While most of these side effects do not necessitate immediate medical attention and tend to alleviate over time, persistent symptoms warrant medical consultation. It is crucial not to alter or discontinue the dosage without prior consultation with a healthcare provider, as doing so could precipitate unpleasant symptoms like vomiting, agitation, or confusion. It is essential to inform the doctor of any known allergies, hypersensitivities, or existing medical conditions such as kidney, liver, or heart disorders before initiating this medication. Pregnant or breastfeeding individuals should disclose their status to the healthcare provider to evaluate benefits versus risks. Communication with the doctor regarding health status and current medications is key to mitigating potential side effects.
Benefits
Symbal M 20mg/500mcg Tablet is a powerful solution for managing neuropathic pain, which is chronic pain caused by nerve damage resulting from conditions like diabetes, shingles, or spinal cord injury. By combining the benefits of Duloxetine and Methylcobalamin, this medication effectively reduces pain while also addressing associated symptoms such as mood changes, sleep disturbances, and fatigue. Duloxetine, an SSRI inhibitor, works to increase serotonin and noradrenaline levels in the brain, helping regulate pain signals traveling through damaged nerves. On the other hand, Methylcobalamin, a form of vitamin B12, plays a crucial role in rejuvenating and protecting damaged nerve cells by promoting the production of myelin, a protective layer for nerve cells.
Regular use of Symbal M 20mg/500mcg Tablet can significantly enhance physical and social functioning, leading to an overall improvement in the quality of life. It is important to note that this medication may take a few weeks to show its full efficacy, so consistency in taking it as prescribed is key. Even if you start feeling better, it is essential to continue the treatment until advised otherwise by your doctor to ensure sustained relief from symptoms.
In summary, Symbal M 20mg/500mcg Tablet stands out as a reliable option for those suffering from neuropathic pain, offering not just pain relief but also addressing the root causes of nerve damage and promoting proper nerve signal functioning in the body.
How to use the Symbal M 20mg/500mcg Tablet
To use Symbal M 20mg/500mcg Tablet, follow your doctor's instructions on dosage and duration. Swallow the tablet whole with a glass of water; avoid crushing, chewing, or breaking it. You can take this medicine with or without food, but it's recommended to take it at the same time every day for better results. Remember to always follow your physician's guidance when taking this medication for optimal effectiveness.
Uses of Symbal M 20mg/500mcg Tablet
Symbal M 20mg/500mcg Tablet is primarily used in the treatment of neuropathic pain. This medicine is specifically designed to address the discomfort and symptoms associated with neuropathic pain conditions. By targeting neuropathic pain, Symbal M 20mg/500mcg Tablet helps to alleviate the sensations of discomfort caused by nerve damage. This medication serves as an effective remedy for neuropathic pain, providing relief to individuals experiencing such conditions.
What conditions Symbal M 20mg/500mcg Tablet treats?
Neuropathic pain is a type of chronic nerve condition that develops from nerve damage due to disease, infection, or injury. This pain can vary from intermittent to continuous, often manifesting as prickling, stabbing, tingling, or burning sensations. Individuals with neuropathic pain may experience numbness and a reduced sense of touch. Unlike the usual pain response to injury, neuropathic pain occurs spontaneously without any trigger, resulting in symptoms like unusual, shooting, burning, or stabbing pain, disrupted sleep, and evoked pain from non-painful stimuli.
Should you consult a doctor?
If you experience uncontrolled blood pressure, seizures, mania, major depressive disorder, bipolar disorder, depression, anxiety, glaucoma, Leber's disease, history of bleeding disorders, low sodium or potassium levels, urinary incontinence or retention, orthostatic hypotension, syncope, decreased gastric emptying, diabetes, pernicious anemia, iron or folic acid deficiency, or any concomitant illness, it is essential to consult your doctor before using Symbal M 20mg/500mcg Tablet TABLET. Additionally, this medication may not be suitable for children and adolescents under 18 years old unless deemed necessary, in which case consultation with a doctor is advised prior to use. It is important to seek medical advice to ensure the safe and appropriate use of this medication based on individual health conditions.
Side effects of Symbal M 20mg/500mcg Tablet
Symbal M 20mg/500mcg Tablet may cause side effects in some individuals. Most side effects are temporary and may go away as your body gets used to the medication. However, if you experience persistent or concerning side effects, it is important to consult your doctor. Common side effects of Symbal M 20mg/500mcg Tablet may include nausea, constipation, headache, insomnia (difficulty sleeping), ejaculation disorder, erectile dysfunction, low sexual desire, drowsiness, dry mouth, increased sweating, and loss of appetite.
Other potential side effects that may occur but are less common include throat inflammation leading to a hoarse voice, suicidal thoughts, difficulty sleeping, involuntary muscle twitches, restlessness, nervousness, changes in vision, dizziness, heart palpitations, fainting, cold extremities, vomiting blood, night sweats, muscle tightness, urinary issues, abnormal vaginal bleeding, chest pain, abnormal periods, testicular pain, weight changes, liver enzyme increases, changes in blood sugar and cholesterol levels, and more.
In rare cases, Symbal M 20mg/500mcg Tablet may cause severe side effects that require immediate medical attention. These include allergic reactions with symptoms like rash and swelling, Stevens-Johnson syndrome with serious blisters, liver disease symptoms such as jaundice and abdominal pain, mania, hallucinations, aggressive behavior, suicidal thoughts, worsening depression or anxiety, restlessness, panic attacks, irritability, aggressiveness, violent behavior, and other significant changes in mood or behavior. If you experience any of these severe reactions, stop taking the medication and contact your physician immediately.
Safety advice

liver
Symbal M 20mg/500mcg Tablet should be avoided by patients with liver disease as it is considered unsafe to use in such cases. It is important to consult your doctor before using this medication to ensure your safety and well-being.

kidney
Symbal M 20mg/500mcg Tablet should be used carefully in patients with severe kidney disease. Adjusting the dose may be necessary. Consult your doctor for guidance. No dose adjustment is needed for patients with mild and moderate kidney disease.

alcohol
Consult your doctor when consuming alcohol with Symbal M 20mg/500mcg Tablet.

driving
When taking Symbal M 20mg/500mcg Tablet, be cautious while driving as it can reduce alertness, vision, and cause drowsiness or dizziness. Avoid driving if experiencing these effects.

pregnancy
Symbal M 20mg/500mcg Tablet is considered unsafe during pregnancy. Animal studies indicate potential harm to the developing baby. Consult your doctor for a thorough evaluation of benefits versus risks before using this medication.

breastfeeding
Caution for Breastfeeding Symbal M 20mg/500mcg Tablet may not be safe during breastfeeding as it could pass into the breastmilk and harm the baby.
Age above 75(Geriatrics)
Symbal M 20mg/500mcg Tablet TABLET should be used with caution in elderly patients (aged 65 years or above). Contact your doctor before taking it.
Consumption warning before consuming Symbal M 20mg/500mcg Tablet
Before consuming Symbal M 20mg/500mcg Tablet Tablet 10's, it is important to be aware of certain precautions. Inform your doctor if you have recently taken any antidepressants or medications for infections. Consult your doctor before discontinuing the medication to avoid withdrawal symptoms like dizziness, tingling, disturbed sleep, restlessness, nausea, headache, or sweating. Even if your symptoms improve, do not suddenly stop taking the medicine as it could lead to increased suicidal thoughts. Caution is advised for patients with mania, bipolar disorder, or depression.
Long-term use of Symbal M 20mg/500mcg Tablet Tablet 10's may impact sodium levels, blood pressure, and blood sugar levels, necessitating regular medical monitoring. This medication can also raise the risk of bleeding and worsen glaucoma conditions. If you experience any eye or bleeding issues, seek medical advice promptly.
What if you forgot to take Symbal M 20mg/500mcg Tablet?
If you forget to take a dose of Symbal M 20mg/500mcg Tablet, try to take it as soon as you remember. But if it's nearly time for your next scheduled dose, it's better to skip the missed one and continue with your normal dosing routine. Avoid taking a double dose to make up for the missed one.
What happens if you take overdose of Symbal M 20mg/500mcg Tablet?
In case of accidentally taking too much Symbal M 20mg/500mcg Tablet, it is crucial to seek immediate medical advice. An overdose of this medication can lead to various symptoms such as extreme drowsiness, possible coma, and serotonin syndrome. Serotonin syndrome may manifest as feelings of intense happiness, drowsiness, clumsiness, restlessness, drunkenness sensation, fever, sweating, rigid muscles, as well as seizures, syncope, tachycardia, hypotension, hypertension, and vomiting. If you suspect an overdose, do not hesitate to contact your doctor for prompt assistance.
Additional Information
Habit Forming | No |
Chemical Class | - |
Therapeutic Class | NEURO CNS |
Action Class | - |
FAQs
Disclaimer
The information provided on this website is to the best of our abilities to ensure it is accurate, reliable, and reviewed by a team of professionals. It should not be used to diagnose, prevent, or cure any health problem. The information presented here is not intended to create a doctor-patient relationship or replace a registered medical practitioner's advice, diagnosis, or treatment. The absence or provision of any information or warning regarding any medicine should not be assumed as an implied or explicit assurance of safety or efficacy. We highly recommend consulting your registered medical practitioner for all queries or doubts related to your medical condition. Do not ignore professional medical advice or delay seeking it based on the content encountered on our website. We intend to support, not replace, the doctor-patient relationship.
₹68
Inclusive of all taxes
Content verified by

Dr. Mansi Chaudhari
MBBS - General Medicine
Last update on 01-Oct-2024