Posted by yxibow on December 27, 2005, at 23:21:21
In reply to Afraid to Start Cymbalta, posted by Phillipa on December 27, 2005, at 13:23:30
> Even crazy meds said to start cymbalta at 20mg. My new pdoc says 30mmg ,60mg, 90mg, 120mg. Each a week apart. What side effects should I expect. I am an anxious as you know person so I am scared to start. Need some help! Fondly, Phillipa
Well, first thing as one who takes Cymbalta in two sizes is I dont understand this pellet extraction business -- it sounds like an awful lot of work and at a few pellets, 2 or 3mg, it really is just a placebo. But hey, placebos work 33% of the time :) Also just judging from individual colour differences in the outside of the 20mg pills, I'd place a fair bet that the capsules vary in pellets and the pellets vary in strength. They were meant to be taken at once -- I'm not sure if they're extended release or not.
I do understand your concerns over dosing though -- and I don't think a week, at least my doctor anyway, is enough of a time to give the medication its full trial or work through side effects. I would say 2 weeks to a month.
As for high dosage -- some people respond to it; it is noted for changes in somatic (pain, internalization) parts of depression at doses beyond 60mg. Personally I don't find it at all like Effexor which is like 12 cups of coffee mixed with amphetamines. All jokes aside, everyone tolerates different dosing, but I would think the minimum realistic and psychiatrically relevant dose is 20 or 30mg.
hope that helps
poster:yxibow
thread:592448
URL: http://www.dr-bob.org/babble/20051221/msgs/592650.html