Symbal 20 Mg

Last Updated on 06/06/2026 ✔ Medically Reviewed by Dr. Arjun Srivastav

What is Symbal 20 Mg?

Symbal 20 Mg is a prescription medication used to treat mental health conditions such as depression and anxiety. It contains the active ingredient Duloxetine 20 mg, which helps balance certain chemicals in the brain that affect mood and emotions.

This medicine is commonly prescribed for conditions like Major Depressive Disorder and Generalized Anxiety Disorder. In addition, this medicine can also help get rid of nerve pain in the brain, causing severe headaches or migraines.

This medicine begins to take effect by increasing the activity of nerve cells (neurons). Remember that Symbal 20 mg is a generic brand with an FDA-approved active ingredient. It is for use in patients only, as per the recommendation of the doctors.

➯ Manufacturer:

Symbal 20 mg is manufactured and marketed by Torrent Pharmaceuticals Ltd, a well-known pharmaceutical company recognized for producing a wide range of high-quality medicines across various therapeutic categories.

➯ Composition:

Duloxetine is the only generic element inside this medicine, which is from the class of drugs known as Serotonin norepinephrine reuptake inhibitors (SNRIs).

Uses of Symbal 20 mg

Symbal 20 mg tablet is primarily used to treat:

• Major Depressive Disorder (MDD)
• Generalized Anxiety Disorder (GAD)
• Diabetic Peripheral Neuropathic Pain
• Fibromyalgia
• Chronic Musculoskeletal Pain

✦ Mental Health Issues Like:

Depression or Anxiety: Here, the doctors only give this medicine for a few days or a few weeks to give temporary relief without actually curing the disorder.

✦ Nerve Pain Issues Like:

Diabetic Nerve Pain or Fibromyalgia: The use of Symbal 20 mg can give nerve pain relief occurring from diabetes or general wear and tear of the nerve tissues and cells.

✦ Other Disorders Like:

Overactive Bladder and Stress Urinary Incontinence: Use of the medicine in this case helps to control your urge to urinate and avoid conscious urine passage.

How Does Symbal 20 Mg Work?

Symbal 20 mg belongs to a class of medicines called serotonin-norepinephrine reuptake inhibitors (SNRIs).

Duloxetine 20 mg tablet works by increasing the levels of:

• Serotonin
• Norepinephrine

These neurotransmitters help improve communication between nerve cells, which may:

1. This increases the availability of these neurotransmitters, helping to regulate mood and reduce nerve pain.
2. The rise of these two chemical messengers helps to reduce nerve pain and gives temporary relief.
3. It also helps control the activity and manage the overwork of the nerve cells, which helps to feel free from anxiety or depression.

Benefits Of Symbal 20 Mg

• Helps improve mood and emotional stability.
• Reduces symptoms of anxiety.
• Improves daily functioning and quality of life
• Helps you to get relief from depression and stress, and get on with your regular work life.
• This further helps the patient to avoid other complications, such as suffering from severe lack of sleep.
• It helps to give nerve pain relief and reduce the signs of intense headache or migraine attacks.

How to Take Symbal 20 mg Tablet

• Take the Tablet at the same time each day.
• Swallow the Symbal 20mg tablet whole with a glass of water.
• Do not crush, chew, or open the capsule. It can be taken with or without food.
• Continue taking the medication regularly, even if you start feeling better.

Dosage Guidelines

Depression (Major Depressive Disorder)

• • Typical starting dose: 20–30 mg once or twice daily
  • Maintenance dose: 40–60 mg per day
  • Maximum recommended dose: 120 mg per day (if prescribed by a doctor)

Generalized Anxiety Disorder (GAD)

• Typical starting dose: 30 mg once daily
• Maintenance dose: 60 mg once daily
• Some patients may benefit from doses up to 120 mg daily under medical supervision.

Diabetic Nerve Pain

• Common dose: 60 mg once daily
• Some patients may begin with a lower dose to improve tolerability.

Fibromyalgia and Chronic Musculoskeletal Pain

• Initial dose: 30 mg once daily
• Maintenance dose: 60 mg once daily

Older Adults (65 Years and Above)

• Treatment may be started at a lower dose.
• Dose adjustments may be required based on tolerability and overall health.
• Regular monitoring is recommended.

Missed Dose: Take the missed dose as soon as you remember. If it is nearly time for the next dose, skip the missed dose. Do not take two doses at the same time to make up for a missed dose.

Overdose: Overdosing on Symbal 20 mg (Duloxetine) requires immediate medical attention. Make an appointment with a doctor or go to the nearest emergency room.

Drug Interaction Of Symbal 20 Mg

 With Other Medicines

• Medicines for sleep are given to patients suffering from insomnia.
• Sedatives
• Other painkillers
• Medicines to treat seizures or nerve pain

With Other Health Issues

The TGA in Australia, through its research over the year, has found a few patient conditions that do not suit the effects of the medicine, like-

• Severe depression or anxiety
• Heart blockage or right after a heart surgery
• With severe liver or kidney disorders

Safety Precautions

Precautions:

Before using Symbal 20 mg:

• Inform your doctor if you have liver disease or kidney problems.
• Avoid alcohol while taking this medication.
• Do not suddenly stop taking the medication without medical advice.

Pregnancy:

Given that you are pregnant, the doctors may recommend a smaller variant for you and even reduce the duration of use to avoid harm to your health or the fetus.

Breastfeeding:

Studies find that use of Symbal 20 mg over a few weeks can cause the effects of the medicine to pass on to your breastmilk and is thus harmful to your baby.

Addictions:

Taking any kind of addiction is not safe with Symbal 20 mg because-

• It reduces the effectiveness of the pill.
• It interacts with the medicine, increasing the chances of side effects.

Driving:

Remember that the effects of the pill can also create a few side effects, like dizziness or headache, which can make it difficult to drive.

Storage

Store the medicine in your bedroom in a locked cupboard to avoid children getting hold of the medicine and to avoid extreme heat and humidity.

Final Thoughts

Symbal 20 mg is an effective medicine to get rid of nerve pain, anxiety, depression, and urinary incontinence. It works slowly within a few days at its peak, giving relief temporarily. Symbal is an effective treatment for conditions such as Major Depressive Disorder and Generalized Anxiety Disorder.