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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by daisym on November 8, 2005, at 23:37:44
My pdoc thinks that the wellbutrin is ramping up the cymbalta, which is giving me ticks, tremors and an upset stomach. The stomach I can handle, the rest bug me. He wants me to hang in a few more days and if it doesn't get better, lower the wellbutrin dose.
Any advice?
Posted by Racer on November 9, 2005, at 1:44:24
In reply to Wellbutrin and Cymbalta?, posted by daisym on November 8, 2005, at 23:37:44
Advice? {sheepishly} Follow his advice?
I know, not the best thing when you feel so yucked out. It's just that it probably is the right advice -- you're still in the adjustment phase, and that's when things tend to be bad. If you can tough it out, you'll see how things are likely to work out with this combo.
From my own perspective, lowering the WB would be my first suggestion, though, maybe sooner and if necessary raise it again later? That's not good science, because it's making multiple changes at one time, but it might help a lot with your fidgets. I still have excess fidgets, although some of that is me -- anxious, used to maximising calorie expenditures, often by fidgeting and hoping it burns calories. Some, though, is in excess of "just me."
I'm sorry things is not good, Missy. I hope it gets better soon.
Oh, and I've got a story you'll appreciate. Email?
Posted by daisym on November 9, 2005, at 10:08:13
In reply to Re: Wellbutrin and Cymbalta?, posted by Racer on November 9, 2005, at 1:44:24
I can't believe how much reassurance I want around taking these medications. Somehow I got the idea that getting me off wellbutrin was the plan. Don't know where I heard that...
I'm around off and on today so email me. I could use a good story.
Daisy
Posted by Phillipa on November 9, 2005, at 20:04:16
In reply to Re: Wellbutrin and Cymbalta? » Racer, posted by daisym on November 9, 2005, at 10:08:13
Daisy I've always heard the wellbutrin amped you up. It did me anyway made me hypomanic after one week. Fondly, Phillipa
Posted by gardenergirl on November 10, 2005, at 1:32:09
In reply to Re: Wellbutrin and Cymbalta? » daisym, posted by Phillipa on November 9, 2005, at 20:04:16
Hmm, I used to take Celexa and Wellbutrin. I'm trying to remember how it felt. Not that great, and I don't think it was all that activating. No real side effects, either.
Hope you get to feeling better soon.
gg
Posted by daisym on November 10, 2005, at 23:08:49
In reply to Re: Wellbutrin and Cymbalta?, posted by gardenergirl on November 10, 2005, at 1:32:09
We decided to back off the dose of each -- taking each every other day. This seems to be much better, except I'm horribly dehydrated and I'm crying a lot.
There is a report out on dealing with PTSD/trauma and it indicates that wellbutrin is not the first choice because it doesn't help anxiety and can be activating. But a combination that includes wellbutrin has been found to be helpful. So hopefully I'm on the right track.
Posted by Racer on November 11, 2005, at 12:34:44
In reply to Re: Wellbutrin and Cymbalta?, posted by daisym on November 10, 2005, at 23:08:49
> We decided to back off the dose of each -- taking each every other day. This seems to be much better, except I'm horribly dehydrated and I'm crying a lot.
>I agree that WB isn't the best choice for trauma, for the reasons cited, but taking Cymbalta every other day is likely to be a nightmare for you -- Cymbalta has a short half-life, so you're likely to experience some withdrawal effects if you're taking it every other day. I'm on a lowish dose now, 40mg, and on the day after forgetting to take my dose, I was already starting to experience some nasty withdrawal effects. Every other day is fine for a drug with a longer half-life, like Prozac, but not for the shorter acting drugs like Cymbalta or Effexor.
I forget your dosages, but how about lowering the WB a good deal, which shouldn't have much in the way of withdrawal effects, and continuing the Cymbalta daily? I know you're suffering, but I'd hate to see you enter into the sort of nightmare zone that I think I'd experience if I were to try taking Cymbalta every other day.
Good luck.
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