I am suffering from urinary incontinence since last 5 years. Doctors have prescribed dulane 20 which I am taking since last 3 years. What are the side effects of this medicine? I shall be grateful for an advice.

Hello my self Dr. Ambalal patil, general physician, each medicines have its own side effects, dulane 20 is a serotonin-norepinephrine reuptake inhibitor and possible side effects are as follows:- heart- hot flush, palpitations, heart attack, hypertensive crisis, abnormal heart rhythm. Central nervous system- drowsiness, headache, dizziness, sleeplessness, fatigue, decreased appetite, lack of energy, agitation, tremor, decreased sexual activities, tingling, abnormal dreams, anxiety, migraine, elevated body temperature, sleep disorder, yawning, partial loss of sensitivity, lethargy, vertigo, aggression, anger, restless leg syndrome, seizures upon treatment discontinuation. Skin- abnormally increased perspiration, rash, itching, redness of the skin. Eye and ent- nasopharynx inflammation, pharynx and larynx pain, blurred vision, sudden eye pressure, perception of sound within the human ear in the absence of corresponding external sound gastrointestinal- nausea, dry mouth, constipation, diarrhea, vomiting, upset stomach, abdominal pain, loose stools, stomach flu, flatulence. Genitourinary- frequent daytime urination, abnormal orgasm, urinary tract infection, abnormal uterine bleeding. Hypersensitivity- anaphylactic reaction, rapid swelling (edema) of the dermis, hypersensitivity. Metabolic- loss of appetite, decreased weight, increased weight, increased sugar level in blood. Musculoskeletal- muscle cramps, musculoskeletal pain, muscle spasm, muscle pain. Respiratory- upper respiratory tract infection, cough. Miscellaneous- fever, seasonal allergy, influenza, chill/rigors. Make sure dont stop this medicine without opinion of treating doctor. 

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