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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Bleeding After Taking Cymbalta?

I started taking cymbalta about 6 days ago for my ibs. I also am constantly taking birth control so I do not get my period. About 2 days after I started taking cymbalta I noticed slight bleeding and have been having light bleeding since. Could the cymbalta cancel out my birth control or cause this?
Thu, 1 Feb 2018
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OBGYN,  's  Response
Hi there, I have understood your concern and I will suggest you the best possible treatment options.

First of all do not panic.

Your tablet contains medicine called as Duloxetine.
It is taken care by your liver and also the birth control pills are metabolised in liver.
So there is interference with the activity of birth control pills.

I will suggest you not to skip your birth control pills.
Please discuss this issue with the doctor with whom you are taking Cymbalta. Also,, I will suggest you to take tablets containing Tranexamic acid and Mefenamic as needed to control the bleeding..
If needed please ask your partner to use barrier contraceptive like Condom.

Please also discuss with your treating Gynecologist about use of birth control pills.
Usually, birth control pills are taken as 21 days on tablets and then restart the new pack after a gap of 7 days.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar
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What Causes Vaginal Bleeding After Taking Cymbalta?

Hi there, I have understood your concern and I will suggest you the best possible treatment options. First of all do not panic. Your tablet contains medicine called as Duloxetine. It is taken care by your liver and also the birth control pills are metabolised in liver. So there is interference with the activity of birth control pills. I will suggest you not to skip your birth control pills. Please discuss this issue with the doctor with whom you are taking Cymbalta. Also,, I will suggest you to take tablets containing Tranexamic acid and Mefenamic as needed to control the bleeding.. If needed please ask your partner to use barrier contraceptive like Condom. Please also discuss with your treating Gynecologist about use of birth control pills. Usually, birth control pills are taken as 21 days on tablets and then restart the new pack after a gap of 7 days. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar