ptmsw@yahoo.com urinary question ? new medication causing problem

	Asked by Unregistered (Male; 39; USA; htn diabetes depression hypercholerterol reflux; Relevant drugs:nexium, effexor, cymbalta, crestor, toprol xl, lotrel 10/20, metformin, multi vit, ) on Wed 20, Aug 2008 10:57am :
	what would cause suddon onset of incontinence...without warning and unable to stop it? recently started cymbalta, discontinuing effexor.
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	Answer by Dr Simran, MD (doctor) on Mon 25, Aug 2008 10:46am: Hello ptmsw, Since the mechanism of action of duloxetine is believed to be related to enhanced urethral closure forces there is risk of acute urinary retention and incontinence.You need to discuss this with your physician and may need to switch to another option. Reference http://www.biopsychiatry.com/duloxetine-urinary.htm Best
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