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Dr. Bob is Robert Hsiung, MD,
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Posted by karaS on October 19, 2004, at 14:56:31
In reply to Re: Cymbalta (duloxetine) - sleepiness » golfgirl74, posted by Iansf on October 19, 2004, at 14:23:30
> > I've been on Cymbalta for a week and the sleepiness continues. I thought I'd be able to make it without a nap yesterday, but I decided to take a nap at 5:30pm. I didn't wake up until 6:30 this morning. I missed my 30th birthday dinner because of this damned drowsiness. >
>
> I'm having the same problem. Even if it does go away with time (and who knows if it really will) I don't know how I'll last through to that point because of work. I can't sleep the day away and still earn a living. Anyone come up with a successful strategy for combatting the sleepiness?
>
Does coffee help at all? I just started on Cymbalta but am at a very low dose so I don't have this problem yet. Others on the board have reported that it goes away if you can hang on longer. I think I've read that it generally takes 3-4 weeks though.
Posted by Rhapsody on October 19, 2004, at 15:02:22
In reply to Re: Cymbalta (duloxetine) - sleepiness » golfgirl74, posted by Iansf on October 19, 2004, at 14:23:30
Iansf,
When do you take Cymbalta? If you take it in the morning, try taking it at night and vice versa.
> > I've been on Cymbalta for a week and the sleepiness continues. I thought I'd be able to make it without a nap yesterday, but I decided to take a nap at 5:30pm. I didn't wake up until 6:30 this morning. I missed my 30th birthday dinner because of this damned drowsiness. >
>
> I'm having the same problem. Even if it does go away with time (and who knows if it really will) I don't know how I'll last through to that point because of work. I can't sleep the day away and still earn a living. Anyone come up with a successful strategy for combatting the sleepiness?
>
Posted by boomarang on October 19, 2004, at 16:17:35
In reply to Re: Cymbalta - sleepiness--to Iansf, posted by Rhapsody on October 19, 2004, at 15:02:22
my pdoc said that if i got too sleepy on cymbalta she would add provigil
Posted by golfgirl74 on October 20, 2004, at 10:01:28
In reply to Re: Cymbalta - sleepiness, posted by boomarang on October 19, 2004, at 16:17:35
Yesterday I actually made it through with no napping, but I conked out at 9:30PM. I feel a lot more awake today. But Cymbalta has permanently dilated my pupils, so I have vision problems. Argh. Other than that, this is a miracle drug for me.
Posted by supermom on October 21, 2004, at 21:18:32
In reply to Re: Cymbalta (duloxetine) - report » supermom, posted by Minnie-Haha on October 17, 2004, at 15:29:39
Minnie -Haha
I do have hypertension. I am taking 180 mgs. of Cardizem for it. My depressions in mostly hormonal. I think related to Perimenopause. Since taking this med. my anxiety is gone! I don't have OCD or bipolar disorder. As far as Cymbalta, I have been on it about 6 weeks and it has helped me tremendously. I haven't had much trouble with insomnia, like I did with Celexa. I do take my Cymbalta in the morning. Also, my doctor has given me a scrip for Klonapin, PRN - and I take 1/2 on nights when I am having trouble sleeping. On another thread I read that some people were having sexual side effects, but I am not having problems in that area I did with Celexa. So far, I am very happy with the results of Cymbalta.
Posted by karaS on October 22, 2004, at 1:48:20
In reply to Re: Cymbalta (duloxetine) - report, posted by supermom on October 21, 2004, at 21:18:32
> Minnie -Haha
>
> I do have hypertension. I am taking 180 mgs. of Cardizem for it. My depressions in mostly hormonal. I think related to Perimenopause. Since taking this med. my anxiety is gone! I don't have OCD or bipolar disorder. As far as Cymbalta, I have been on it about 6 weeks and it has helped me tremendously. I haven't had much trouble with insomnia, like I did with Celexa. I do take my Cymbalta in the morning. Also, my doctor has given me a scrip for Klonapin, PRN - and I take 1/2 on nights when I am having trouble sleeping. On another thread I read that some people were having sexual side effects, but I am not having problems in that area I did with Celexa. So far, I am very happy with the results of Cymbalta.
Hi supermom,
Are you having any trouble with sleepiness? I'm on a small amount now but am feeling really groggy from it. It's so hard to function now and I'm wondering if I can stay on this long enough to get to a therapeutic dosage and then to get some help from it.K
Posted by Minnie-Haha on October 22, 2004, at 11:19:04
In reply to Re: Cymbalta (duloxetine) - report, posted by supermom on October 21, 2004, at 21:18:32
> Minnie -Haha
>
> I do have hypertension. I am taking 180 mgs. of Cardizem for it. My depressions in mostly hormonal. I think related to Perimenopause. Since taking this med. my anxiety is gone! I don't have OCD or bipolar disorder. As far as Cymbalta, I have been on it about 6 weeks and it has helped me tremendously. I haven't had much trouble with insomnia, like I did with Celexa. I do take my Cymbalta in the morning. Also, my doctor has given me a scrip for Klonapin, PRN - and I take 1/2 on nights when I am having trouble sleeping...Thanks for the further details. One last Q: What is "PRN"?
Posted by jboud24 on October 22, 2004, at 12:13:58
In reply to Re: Cymbalta (duloxetine) - report, posted by Minnie-Haha on October 22, 2004, at 11:19:04
PRN = Per Rotation as Needed = as needed
Posted by konfuzed on October 30, 2004, at 17:02:03
In reply to Re: Cymbalta (duloxetine) - report, posted by Minnie-Haha on October 22, 2004, at 11:19:04
Where are you Scott? If you are still out there please talk to me. You were giving me support while I'm starting Cymbalta. I feel all alone.
Posted by SLS on October 30, 2004, at 18:00:13
In reply to Re: Cymbalta (duloxetine) - report, posted by konfuzed on October 30, 2004, at 17:02:03
> Where are you Scott? If you are still out there please talk to me. You were giving me support while I'm starting Cymbalta. I feel all alone.
Hi Konfuzed.You are never alone when you are part of this community. Are there any questions that maybe I can answer for you?
Cymbalta has not been helping me very much. It started out great, but then stopped working. Unfortunately, this has been a consistent pattern with me. I am unusually resistent to treatment. I didn't want to keep posting of my failure to respond to Cymbalta because I didn't want to discourage anyone. It seems that it is helping others, though.
What are you doing with your treatment right now?
- Scott
Posted by konfuzed on October 31, 2004, at 17:04:24
In reply to Re: Cymbalta (duloxetine) - report » konfuzed, posted by SLS on October 30, 2004, at 18:00:13
>
> Hi Konfuzed.
>
> You are never alone when you are part of this community. Are there any questions that maybe I can answer for you?
>
> Cymbalta has not been helping me very much. It started out great, but then stopped working. Unfortunately, this has been a consistent pattern with me. I am unusually resistent to treatment. I didn't want to keep posting of my failure to respond to Cymbalta because I didn't want to discourage anyone. It seems that it is helping others, though.
>
> What are you doing with your treatment right now?
>
>Thanks for responding. I have gone from 30mg (4 wks,)to 60mg in the morning for the past week and a half. I also take 2 mgs of klonopin at night, and chloral hydrate for sleep. I must be resistant to antidepressants too, because I have tried most of the others and had to stop due to side effects. Now all of a sudden my severe anxiety has disappeared and I am more not caring and have to walk or ride my bike all day cause I can't sit still. I have had an anxiety disorder since my 20's, and I was on benzos all that time and functioned very well. My DX is at first PTSD, then new DOC Major Depression. I am agoriphobic and can,t concentrate. what a mess! I'm tempted to stop all pills and go back to drinking at night! all replies appreciated.
Posted by platinumbride on October 31, 2004, at 23:52:47
In reply to Re: Cymbalta (duloxetine) - report » konfuzed, posted by SLS on October 30, 2004, at 18:00:13
Dear Scott,
I'm so sorry to read that cymbalta isn't helping. I have no suggestions. All I want to say is that I hope you find relief very very soon.
Thank you for all of the help that you give to so many of us on this board.
Be well,
Diane
> > Where are you Scott? If you are still out there please talk to me. You were giving me support while I'm starting Cymbalta. I feel all alone.
>
>
> Hi Konfuzed.
>
> You are never alone when you are part of this community. Are there any questions that maybe I can answer for you?
>
> Cymbalta has not been helping me very much. It started out great, but then stopped working. Unfortunately, this has been a consistent pattern with me. I am unusually resistent to treatment. I didn't want to keep posting of my failure to respond to Cymbalta because I didn't want to discourage anyone. It seems that it is helping others, though.
>
> What are you doing with your treatment right now?
>
>
> - Scott
Posted by SLS on November 1, 2004, at 6:44:02
In reply to Re: Cymbalta (duloxetine) - report » SLS, posted by platinumbride on October 31, 2004, at 23:52:47
Posted by phillipa on November 8, 2004, at 16:42:52
In reply to Re: Cymbalta (duloxetine) - report... Thanks. (nm) » platinumbride, posted by SLS on November 1, 2004, at 6:44:02
hello, this is my first post since following this thread since the beginning. I want to help , but I need feedback from anyone who has had positive results from Cymbalta. I have been on 60mg for 2 weeks and feel anxious, depressed and can't sleep, but haven't had the intolerable side effects (bad ones)that have occured with other antidepressants. How long before I should know if this is the right one for me?
Posted by tomrubens on December 25, 2004, at 22:09:24
In reply to Re: Cymbalta (duloxetine) - report... Thanks., posted by phillipa on November 8, 2004, at 16:42:52
It took me 6 weeks.
> hello, this is my first post since following this thread since the beginning. I want to help , but I need feedback from anyone who has had positive results from Cymbalta. I have been on 60mg for 2 weeks and feel anxious, depressed and can't sleep, but haven't had the intolerable side effects (bad ones)that have occured with other antidepressants. How long before I should know if this is the right one for me?
Posted by Phillipa on December 25, 2004, at 22:22:09
In reply to Re: Cymbalta (duloxetine) - report... Thanks., posted by tomrubens on December 25, 2004, at 22:09:24
I was on Cymbalta at 30mg for a month, then 60mg for a month and I felt like an unemotional zombie. I talked with my pharmacist and he said he felt this was long enough and we did not yet know of the long-term side effects. Since it was not working for me, and because of the terrible time some people were having coming off Effexor which is the only other SNRI I know of, I am decreasing and weaning off Cymbalta. Currently down to l0mg with only 4 capsules left. There are some more current Threads on Cymbalta also. Lots of luck. Phillipa
Posted by tendency on February 2, 2005, at 19:01:36
In reply to Re: Cymbalta (duloxetine) - report » SLS, posted by platinumbride on October 31, 2004, at 23:52:47
What's the latest on cymbalta? Has this thread pooped out too?
On another note, Scott, have you heard about the selegiline patch (I believe it's being, or will be, marketed under the name Emsam)?
Posted by iris2 on February 2, 2005, at 23:48:07
In reply to Re: Cymbalta (duloxetine) - report, posted by tendency on February 2, 2005, at 19:01:36
Has anyone ever heard of getting very emotional on Cymbalta? I only took it one day and waws way out there. Need to decide whether to try again and to stay on it longer.
Thanks,
irene
Posted by SLS on February 3, 2005, at 2:34:48
In reply to Re: Cymbalta (duloxetine) - report, posted by tendency on February 2, 2005, at 19:01:36
> What's the latest on cymbalta? Has this thread pooped out too?
I guess so. I responded to Cymbalta only briefly - for about a week. I have a pattern of responding briefly to antidepressants very early in treatment, usually during the second and third weeks. Of course, I was hoping Cymbalta would be different. I guess you never know until you try.
> On another note, Scott, have you heard about the selegiline patch (I believe it's being, or will be, marketed under the name Emsam)?
I am really not too enthused about selegiline because I had absolutely no positive response to the oral form. Then again, I don't remember going any higher than 30mg/day. Perhaps that was too low. Oh well, at least it will be something to hope for. You never know...
Thanks for the suggestion. I haven't heard about anything that would cause a delay in the approval of EmSam, so that's a positive.
Where are you at with things?
- Scott
Posted by SLS on February 3, 2005, at 2:47:59
In reply to Re: Cymbalta (duloxetine) - report, posted by iris2 on February 2, 2005, at 23:48:07
Hi Irene.
> Has anyone ever heard of getting very emotional on Cymbalta? I only took it one day and waws way out there. Need to decide whether to try again and to stay on it longer.
It sounds like an unusual reaction to a single dose of Cymbalta - only because I haven't seen anyone else report that yet. Of course, I don't get to read every post.
Can you be a bit more detailed in your description of what you experienced?
Cymbalta is a powerful drug, as are all of the antidepressants, and I don't doubt for a minute that you could have had such an immediate reaction. This reaction is probably not the desired antidepressant response, though.
"Getting emotional" is not necessarily a bad thing, as it sometimes indicates the very beginnings of a positive response to a medication, especially if the depression itself leaves one emotionless or with flat affect. But I doubt this would apply to you with your regard to your immediate reaction. I will say this, though. Although it usually takes two weeks or longer for an antidepressant to begin working properly, some people describe a brief positive "blip" that can occur withing the first three days.
What other drugs have you tried, and what were your responses to them?
- Scott
Posted by iris2 on February 3, 2005, at 10:26:45
In reply to Re: Cymbalta (duloxetine) - report » iris2, posted by SLS on February 3, 2005, at 2:47:59
Scott,
The reaction I got did not feel positive in any way. I would describe it as extreme heartache. Although it was not a physical pain it almost felt like it. As if something terrible had happened and I could not wrap my mind around it and deal with it.
I have tried so many medications I do not even remember them all. Several SSRIs with no response at all. Several Maoi's and Parnate and Marplan and Moclobimide worked for several years and then pooped out. They were the only ones that worked. I thought effexor was going to work but I was unable to continue on it because of "interstitial cystitis"(I.C.), a bladder disease. I tried Mirapex and Milnacipran recently. I was unable to take either due to side effects. I was on reboxetine and in combination with Maoi's it helped some. I have been on Ritalin for years and it helped some but not so much any more. I was thinking of trying Adderrall? I had a great affect with Amineptine but had to discontinue it again due to the I.C. and have been unable to reproduce the positive outcome after several tries. I tried Provigil and Modafranil and Tianeptine. Years ago I tried two tricyclics but was not on either long enough to have any antidepressant response. I had some positive result with Amisulpride but my prolactin got very high and it messed with my period and body shape and I have bulimia. I also occasionally take perphenazine; long ago I took a lot and was a zombie. ( bad pdoc bad clinic) When I stopped the Amisulpride the second time a tapered onto the perphenazine and it seemed that I got a similar response like the Amisulpride but not as uplifted.
I have tried many more to include several stimulant medications, as I seem to have a positive response to stimulating meds but have not been able to tolerate others again the I.C. I also tried Lithium and was on Depakote in combination with Parnate. Parnate was like a miracle drug for me for a couple of years. I wish I had had a good therapist at the time to take advantage of feeling so much better. There are more but these were on the tip of my tongue. You have helped me before and I appreciate the input. AndrewB is trying to help me but I cannot start what he has suggested until I am able to go off the oxycontin I am on for bladder pain. By the way the oxycontin was prescribed to be taken for the depression too. It does stop the massive anxiety. Now that I am thinking about it I have had to increase the dose the last few weeks for pain and I realize that I have been much less anxious. I know it but I did not realize why.
Thanks,
irene
Posted by ed_uk on February 4, 2005, at 6:10:21
In reply to Re: Cymbalta (duloxetine) - report » SLS, posted by iris2 on February 3, 2005, at 10:26:45
Hi,
>AndrewB is trying to help me but I cannot start what he has suggested until I am able to go off the oxycontin I am on for bladder pain.
What does he want you to start?
Ed.
Posted by JennaStarrett on February 14, 2005, at 19:38:05
In reply to Re: Cymbalta (duloxetine) - report » SLS, posted by iris2 on February 3, 2005, at 10:26:45
Hi everyone!
I have been reading this thread for about 2 hours now.... yall sound very understanding, and I feel like I know some of you already! I just received my sample box of Cymbalta today, and of course had to get the real low down from normal people and not promotion stuff. I just went through an extremely horrible "near death" withdrawal from Effexor XR (which I discontinued because I couldn't remember name, much less be alert for emergency response!- among lots of other things). I have been on Wellbutrin XL for about two months, but for the past few weeks have had the constant broken record in my head about topics to do with my self esteem, social anxiety (even aggitation and LOTS of anxiety). These are my usual problems when I get very depressed (I'm almost certain I have PMDD also). Right now I feel like I have an elephant standing on my chest from the anxiety. BUT HEY!!!! No side effects (go figure). I am hoping the mixture of the Wellbutrin and Cymbalta will help me feel better, I'm just hoping I don't get tons of side effects. Has anyone out there tried this combo? I'm finally back into my normal clothes and can have an orgasm after stopping Effexor. Most of all, What is the withdrawal from Cymbalta like (I don't want to go through another Effexor type withdrawal). Not sure if anyone has got that far yet. Thanks for listening,
Jenna
Posted by sabre on February 18, 2005, at 2:11:22
In reply to Re: Cymbalta (duloxetine) - report, posted by JennaStarrett on February 14, 2005, at 19:38:05
Hello Jenna
I haven't tried Cymbalta yet. How is is going for you so far?
It is unnerving trying new drugs but also exciting hoping that it is the one.
Good luck.
sabre
Posted by barbaracat on February 21, 2005, at 16:29:28
In reply to Re: Cymbalta (duloxetine) - report, posted by iris2 on February 2, 2005, at 23:48:07
Iris,
You're not alone. I had quite a strange reaction to Cymbalta just recently. Long story short, prescribed Cymbalta because I'd fallen into a very severe depression. I was taking lithium and St. John's Wort which was doing fine until I hit a bad stress event.Was leery about an AD because I'm also BP-II and had just also had a dosage change from lithium to depakote and seroquel (I was hospitalized and hence the med change), so there was a lot of med mixing going on. But with Cymbalta at 30mg I had the feeling of doing acid, colors, shifting and sliding landscapes, a 'claw' like feeling in my neck, cramping muscles, extremely emotional. My pupils were dilated and I truly felt there was an intense serotonin thing happening, as there is with psychedelics. I felt that the seroquel was not mixing well with this and didn't like it anyhow.
I ended up throwing away the Seroquel, going back on lithium and holding the Cymbalta at bay because I do feel it was doing 'something' with my mood. I felt absolutely crazy, but not depressed and there were moments of absolute delight. But I was also feeling on the verge of hysteria most of the time.
Two days ago I ditched everything and went back to lithium and St. John's. The very next day I woke up feeling just great, wonderful, as though my brain went though a chemical ECT. I don't understand this and would hate to think the Cymbalta was responsible for this reprieve and oh sh*t, I sure don't want to go back to where I was a month ago.
I'm going to start very slowly back on Cymbalta, a few grains at a time instead of the 30mg at a pop - way to strong for me. I'm interested if I'll experience those same rather extreme and bizarre effects now that my system has cleared out of the other drugs.
Does any one have any thoughts on going very slowly with this drug? Sometimes low amounts do weird things and just prolong the agony of adjustment. - Barbara
> Has anyone ever heard of getting very emotional on Cymbalta? I only took it one day and waws way out there. Need to decide whether to try again and to stay on it longer.
>
> Thanks,
>
> irene
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