The client has been prescribed duloxetine (Cymbalta) for the treatment of diabetic neuropathic pain. What information should the nurse provide to this client?
Standard Text: Select all that apply.
1. "The prescription is for a small number of capsules because the medication will be discontinued if it doesn't work in a week."
2. "This is a corticosteroid, so you may notice an increased thirst."
3. "Your dose is lower than your wife's because her prescription is for a different reason."
4. "You may feel relief in as few as 5 days."
5. "This drug is a narcotic, so be certain to keep it in a safe place."
Correct Answer: 1,3,4
Rationale 1: If improvement in pain relief is not noted in 1 week, the drug is discontinued.
Rationale 2: Duloxetine is an antidepressant, not a corticosteroid.
Rationale 3: Duloxetine is also given as an antidepressant, and that dose is generally higher.
Rationale 4: The effects of the drug usually occur in 5–7 days.
Rationale 5: Duloxetine is not a narcotic.
Global Rationale: If improvement in pain relief is not noted in 1 week, the drug is discontinued. Duloxetine is also given as an antidepressant, and that dose is generally higher. The effects of the drug usually occur in 5–7 days. Duloxetine is an antidepressant, not a corticosteroid. Duloxetine is not a narcotic.
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