YENTREVE ^®

What to do if you missed your YENTREVE ^® dose

Other known brand names

Cymbalta

About Yentreve

Yentreve is manufactured by Eli Lilly and company and contains duloxetine hydrochloride, a serotonin-norepinephrine reuptake inhibitor (SNRI), as its active ingredient. It works by increasing the levels of neurotransmitters such as serotonin and noradrenaline in your nervous system. Yentreve is used to treat major depressive disorder (MDD), generalized anxiety disorder, nerve pain, such as fibromyalgia, diabetic peripheral neuropathy, and also stress urinary incontinence (SUI) in women. SUI is the accidental leaking of urine during physical exertion or when laughing, coughing, sneezing, or exercising.

Yentreve is available with a prescription as generic duloxetine or under the brand name Yentreve. NowPatient offers duloxetine or Yentreve as treatments for urinary incontinence only, following an online consultation with a prescribing clinician.

Key facts of Yentreve

• For the treatment of stress urinary incontinence in women
• It can be dangerous if you take Yentreve with certain medications. If you’re not sure if it is safe, discuss this with the prescribing clinician
• Yentreve may take 2 to 4 weeks to start working, but may take longer if you’re using it for nerve pain
• Common side effects of Yentreve include nausea, dry mouth, constipation and drowsiness
• If you decide to stop taking Yentreve, your doctor may reduce your dose in steps, to prevent withdrawal symptoms

Who is Yentreve suitable for?

Yentreve is suitable for:

• Most adults 18 years of age and over

Who is Yentreve not suitable for?

Yentreve may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before taking Yentreve if you have any of the following medical conditions:

• An allergic reaction to the active ingredient duloxetine
• Kidney or liver disease
• Heart problems or uncontrolled high blood pressure (hypertension)
• Glaucoma
• Seizures, fits, manic episodes or bipolar disorder
• Pregnancy, you are trying to get pregnant, or you’re breastfeeding

How and where to get Yentreve?

Yentreve is available with a prescription only. It is not available over the counter at a pharmacy.

NowPatient does not allow customers to buy Yentreve directly. Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with a prescribing clinician for the treatment of urinary incontinence, you can discuss if Yentreve is a suitable treatment option for you.

At the end of the consultation, the clinician will decide if a treatment plan is suitable for you. If it is, the clinician will issue you with a prescription which can then be ordered, paid for and delivered directly to your chosen address by NowPatient.

Dosage and strength for Yentreve for urinary incontinence

Yentreve is available as hard gastro-resistant capsules when used for urinary incontinence. For stress urinary incontinence, Yentreve is available in strengths ranging from 20mg and 40mg capsules.

Information about how to take Yentreve for urinary incontinence

For stress urinary incontinence, the starting dose of Yentreve is 20mg twice a day, increased to 40mg twice a day, after 2 weeks. Take Yentreve with or without food, at the same time each day. Swallow Yentreve capsules whole with a glass of water. Yentreve may be taken long term for urinary incontinence, if it is helping your symptoms. Speak to a healthcare professional or read the patient information leaflet provided for further information.

What happens if you take too much Yentreve?

If you take more than prescribed, then it can lead to some unpleasant side effects. You should talk to your doctor or reach out to one of our prescribing clinicians, if you have taken too much Yentreve and you experience any of the following side effects:

What are the side effects of Yentreve?

Side effects of Yentreve are split into common and serious.

Common side effects in clinical trials included:

• Problems sleeping
• Headaches, dizziness, blurred vision, drowsiness
• Constipation, diarrhoea
• Nausea or vomiting
• Dry mouth
• Tiredness
• Loss of appetite, weight loss

Serious side effects include:

• Serotonin syndrome – suicidal thoughts, agitation, hallucinations, shivering, muscle stiffness, fast heart rate
• Constant headaches
• Liver problems -yellowing of the whites of your eyes or skin
• Blurred vision or eye pain
• Coughing up blood or blood in your stools or urine
• Bruising easily

If you experience any serious side effects, you should contact NHS 111.

If you experience a serious allergic reaction with the signs shown below you should contact emergency services on 999.

• Your lips, mouth, throat or tongue suddenly become swollen
• You’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air)
• Your throat feels tight or you’re struggling to swallow
• Your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
• You suddenly become very confused, drowsy or dizzy
• Someone faints and cannot be woken up

Information about taking Yentreve at the same time as other medications or herbal supplements

There is not enough evidence to suggest there are any drug interactions between herbal supplements and Yentreve. In any event, you should let your prescribing clinician know if you are taking any other medicinal products, such as:

• Selective serotonin reuptake inhibitors (SSRIs) such as citalopram, fluoxetine, or sertraline
• Serotonin-norepinephrine reuptake inhibitors such as venlafaxine
• Tricyclic antidepressants such as amitriptyline
• Monoamine oxidase inhibitors (MAOIs) such as linezolid, methylene blue, or phenelzine
• Opioids such as fentanyl and tramadol
• Benzodiazepines such as diazepam or lorazepam
• St. John’s wort
• Anticoagulants such as warfarin
• Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen
• CYP1A2 inhibitors such as fluvoxamine, ciprofloxacin or enoxacin

Can Yentreve taken for urinary incontinence be taken long term?

Yes. Yentreve may be taken long term for urinary incontinence, if it is helping your symptoms. Speak to a healthcare professional or read the patient information leaflet provided for further medical advice.

Is there a herbal Yentreve?

No. Herbal Yentreve does not exist. If you have been marketed such a formulation, it may be fake.

Can women use Yentreve?

Women can only take Yentreve for the treatment of stress urinary incontinence. Yentreve is not recommended during pregnancy. Speak to your doctor if you get pregnant. You may continue to take Yentreve while breastfeeding, if your doctor says your baby is healthy. Yentreve does pass into breast milk, but does not cause side effects in breastfed babies. Speak to your doctor if you’re breastfeeding, or planning to breastfeed.

Should I avoid any particular food or drink when taking Yentreve?

You can eat and drink normally when taking Yentreve.

What lifestyle changes can I make to help me with urinary incontinence?

Modifying your lifestyle may have a positive impact on your urinary incontinence and quality of life. These may include:

• Pelvic floor muscle training to improve your bladder control
• Stay well hydrated to maintain a healthy urinary function
• Avoid caffeine, alcohol, and spicy foods
• Urinate when you feel the urge to
• When urinating, wait once you have finished for a few moments, and then try again to make sure the bladder is emptied completely

Alternatives to Yentreve

Alternatives for the treatment of urinary incontinence include tamsulosin and tolteridone.