DUVANTA NP 20 MG is a fixed-dose combination medication that contains Methylcobalamin (500.00MCG/Tablet) and Duloxetine (20.00mg/Tablet).  This combination medication is prescribed to address deficiencies of Vitamin B12 and provide relief from associated symptoms, while also managing mood-related disorders. It helps in improving nerve health and regulating neurotransmitter levels. DUVANTA NP 20 MG may be used under medical supervision to provide combined therapeutic benefits for patients requiring both Methylcobalamin and Duloxetine.

• Treatment of Vitamin B12 deficiency
• Relief from neuropathic pain
• Management of depressive disorders
• Treatment for fibromyalgia

• Vomiting
• Nausea
• Dizziness
• Sedation
• Dry mouth
• Increased sweating

Take DUVANTA NP 20 MG orally with or without food, as directed by your doctor. Follow the prescribed dosage and duration of treatment. Do not stop taking this medication abruptly without consulting your doctor.

• Pregnancy - It is not recommended to use DUVANTA NP 20 MG during pregnancy unless prescribed by a doctor. Consult your doctor for advice.
• Alcohol - It is advisable to avoid alcohol consumption while taking DUVANTA NP 20 MG as it may increase the risk of side effects.
• Old Age - No specific precautions need to be taken while using DUVANTA NP 20 MG in the elderly population. However, dosage adjustments may be required based on individual health conditions.
• Breast Feeding - DUVANTA NP 20 MG should be used with caution during breastfeeding. Consult your doctor for advice.
• Children - DUVANTA NP 20 MG is not recommended for use in children as the safety and efficacy in this age group have not been established.

• Store DUVANTA NP 20 MG in a cool and dry place, away from direct sunlight. -
• Keep it out of the reach of children. -

• Drug-Drug - There are several known drug interactions with DUVANTA NP 20 MG. Inform your doctor about all the medications you are currently taking to avoid any potential interactions.
• Drug-Food - No significant interactions between DUVANTA NP 20 MG and specific foods have been reported.
• Drug-Disease - DUVANTA NP 20 MG should be used with caution in patients with the following conditions: liver disease, kidney disease, cardiovascular diseases, and bleeding disorders. Consult your doctor for appropriate dosage adjustments and monitoring.

• Q. Can DUVANTA NP 20 MG be used for the management of anxiety?
  Yes, Duloxetine, one of the components of DUVANTA NP 20 MG, is used for the management of anxiety disorders. However, it should be used only as prescribed by your doctor.
• Q. How long does it take for DUVANTA NP 20 MG to show its effects?
  The onset of action and duration of treatment may vary depending on individual health conditions. It is important to follow the prescribed dosage and duration as advised by your doctor.
• Q. Can I stop taking DUVANTA NP 20 MG if I feel better?
  No, it is not advisable to stop taking DUVANTA NP 20 MG without consulting your doctor. Sudden discontinuation may lead to withdrawal symptoms or a relapse of the condition. Your doctor will guide you on the proper procedure to gradually reduce the dosage and discontinue treatment if required.
• Q. What should I do if I miss a dose of DUVANTA NP 20 MG?
  If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.
• Q. Can DUVANTA NP 20 MG cause weight gain?
  DUVANTA NP 20 MG may cause weight gain as a side effect. It is recommended to monitor your weight while taking this medication and inform your doctor if you notice any significant changes.