Cymbalta To Generic Duloxetine - Crashed


Jun 25, 2015

I have been recently changed from Cymbalta to generic duloxetine.  Whilst on Cymbalta, I was able to cut down from 120 mgs daily to 90 mgs daily.

Now I have had to go back to 120 mgs as I have a terrible depressive crash very close to 3 pm every day.  I have always taken my full dose in one dose in the morning.  Now I am splitting it to avoid the 3 pm crash.  I asked my psychiatrist for Cymbalta specifically as in the US it is prescribed for fibromyalgia which I also have.  I had seemed to be improving on that front too and was hoping to get back to part time work but I have been more or less bedridden for the last two weeks.  Anybody else had problems with the switch over?

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Duloxetine (Cymbalta) For Pain ? Or Antidepressant?

First of all I am not diabetic but I do need help on the above tablet Duloxetine (Cymbalta) which I believe is given to diabetics for pain relief (or so my doc tells me).  I have Cervical spondylosis which gives me extreme pain and for which I take 30 tabs daily plus Morphine and liquid Morphine.   Doc has prescribed Duloxetine which is an antidepressant but which I believe also helps pain. Can anyone on this site who is diabetic tell me about Duloxetine or have they taken it and has it helped with pain?   I am afraid to start taking it as it does not have good reviews and is used mainly as an antidepressant. There appear to be too many side effects, some of which I have already from morphine and it appears to be difficult to come off.   If anyone can comment and help me with this I would be really grateful.   I suffer chronic pain 24/7 and my meds at the moment are having little effect on controlling the pain.  They just keep increasing morphine dose which I am a little afraid of.   Does Duloxetine really work in controlling pain?

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Cymbalta (Duloxetine) :: Severe Hand Tremors

Has anyone had this happen?  I had gone up from the 20mg dose to the 40mg dose and was doing better.  Less depression and the goal was to ease my fibro pain (I currently take Gabapentin and Tramadol) and eventually stop taking Tramadol.  I suddenly started shaking.  I had muscle jumps (can't think of another way to describe it) in my  legs and I literally shook so bad I couldn't turn pages on my Kindle without trying a few times.  It was disturbing.

The doctor called me back said to go back to the 20mb dose.  I continued to shake...but it lessened.  I am now going off it by taking it every other day (20mb) and can't get the Dr. to return my call.

I have tried all the Fibro drugs.  Lyrica didn't work.  Savella caused bad rapid h/b.  Effexor caused muscle jumps in my legs too (but not hand shaking).

If I continued to take it would the hand tremors go away?  No one can answer that.  Pain is worse since I have eased off so it was actually working.  I want to continue if it will lesson, but I don't know if it will.

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Fibromyalgia Syndrome :: Cymbalta/Duloxetine For Pain Not Depression

I had a very successful pain clinic appointment yesterday, by successful I mean i saw a Dr who wasn't a complete arrogant idiot, he was very nice and tried to think out of the box a little. I asked him for lidocaine patches and although he said he did not think they would work because of the pain being deep he was willing for me to try them, he couldn't prescribe them so he's written to my GP, he also suggested capsaicin cream and finally he thinks i should try cymbalta/duloxetine. I explained that id tried various anticonvulsants and hated them due to side effects and that i was not depressed (i probably should be) but i'm not, i get angry more than sad for the chronic situation but i don't feel hopeless and apart from super hellish days i cope fairly well. 

The thing is my little boy is my world, i'm so concerned taking an antidepressant when i don't feel depressed will kick off depression, especially if they don't work and i come off. I used to suffer with depression when i was younger and i know how horrible it is and when your i was in that cycle nothing or no one mattered anymore so i'm concerned as i'd rather continue to live in daily pain knowing my son is getting the "real" me than be on any meds that might change how i feel or how i am towards him. 

Does anyone have experience with these specific meds? Especially taking them for just pain and not depression?

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Weight Gain Due To Cymbalta (duloxetine) Switching To Venlafaxine?

I didn't do well on cymbalta (duloxetine). Initially, I started to feel better, but after a couple of months I started to feel depressed again. I also gained weight.

When I started to withdraw from cymbalta, my weight started to creep up even more. I've always been 7 st, and now I'm 8 st and 5 lbs.

My Psychiatrist wants to start me on venlafaxine, but I'm so worried that I'm going to end up gaining more weight. In the past, I've been on Citalopram and Fluoxetine. None of those worked for me, that's why my Psychiatrist tried the SNRI.

I feel like a complete failure, and am believing I'm unhelpable. Weight gain is a big issue for me, I don't like not being in control.

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Thyroid :: Synthroid To Nature-throid, Crashed In 6 Weeks

I had RAI treatment for Graves 15 years ago. I have only been on Synthroid since. I have ranged form 125 mcg to 200 mcg. I never felt completely well. None of the endos (I have seen them all) in town would prescribe NDT. In November of 2012 I found a wonderful OB/GYN that has a wellness practice. He is very into integrative medicine. Finally, I found someone that will prescribe NDT.

These are my labs while on 175-200 mcg (alternating) of Synthroid.
11-15-2012
Taking 175 200 mcg Synthroid during these test. Not feeling well, fatigued, hair falling out. Switched to 2 grains of Nature Throid after these tests......

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been on lexapro which hasn't helped zoloft and effexor too just wondering if paxil or cymbalta works for anyone please help i have severe anxiety depression panic

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Antidepressants :: Cymbalta Cold Turkey After Quitting

My Two Cents Worth:

First of all I would like to say a heartfelt thank you to everyone who has written about their experience of being on Cymbalta and their struggle
with Cymbalta withdrawal.  I believe that you have saved not only myself but many others from a lot of pain.

I was prescribed Cymbalta 30mg on the 16 April 2012 by my doctor in order to treat depression and anxiety.  I  was told to 'try it' over the next 7 days to see if I could handle the side effects.  He said that in the beginning I would get some nausea but that I should persevere and try to stay on it for at
least a month, which is when it would start to work. He never said anything about it possibly damaging my liver or anything about withdrawal symptoms, just that I shouldn't suddenly stop in the middle of the treatment.

I was nervous about taking it but at the time I was desperate for any kind of help.  I took one 30mg capsule about 12pm with some lunch (to minimise the nausea) but by 2pm I had a very upset stomach with a lot of wind (gas), slight cramping, a very stiff neck, dry mouth and headache.

Around 4pm I fell asleep (without meaning to) while on the couch.  I woke up a couple of hours later feeling completely disorientated, confused and nauseous.  I felt so spaced out and like I was still dreaming.

By 7pm I had such bad nausea I couldn't make dinner (much less eat anything) and a very bad headache. 

I was drinking heaps of water to help with the dry mouth and I also had very bad constipation (something I have to avoid as I have diverticulitis).

The next day (17th April) I felt a lot better (more clear-headed) and decided to Google Cymbalta to find out more about the side effects and if people had experienced the same effects as I had.  I became so scared when I read all the forums and support groups for people battling with horrific Cymbalta withdrawal, I decided to quit it then and there.

I decided to go cold turkey simply because I had only taken one capsule and reasoned that it wouldn't have had much effect on me yet.  I didn't really want to take a half capsule as I didn't want my body getting used to having the drug in my system anymore than it already had.

The rest of the day I was anxious, shaky and had bad diarrhoea.  By bedtime I was headachy (pressure at the back of the head) and with a little neck pain.

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Nothing Works - Celexa, Zoloft, Amitriptyline, Hydroxyzine, Ambien, Cymbalta, Gabapentin

Symptoms starting from 10 years ago(puberty, I'm 22 now)

FULL body joint pain.
FULL body muscle pain and spams.
severe muscle and tendon cramps
randomly nauseated.
IBS
random severe constipation
purge and splurge eating habits.
insomnia
Migraines lasting for days.
muscle weakness.
muscle atrophy
uterine, bladder and rectum prolapse (they said this is because my muscle spasms are so severe in my pelvis it just couldn't do its job holding the uterus suspended.)
Hot flashes
heat rashes
swollen lymph nodes
all symptoms of raynaud's disease.
overly dry tight skin.
all day fatigue
neuropathy
vertigo
major depressive
general anxiety
memory loss
extremely hard to concentrate.
sharp rib/lung pain? when breathing randomly.
spinal pain.
sciatica

--this is all I can think of with my current migraine eating away at me.

test results so far:

Ana tested 3 times over 9 months- 1:1280 homogeneous. 1:1280 speckled. 1:1280 homogeneous
HGB and HCT juuuust under normal levels.
ESR - 11 after just getting off prednisone, 20 4 weeks later. range was 0-20
Calcium level- just below normal
Total protein and albumin level- cusp of low, going down from medium normal range over 6 months
ALT-SGPT - just below normal
trace to moderate blood and leukocytes in urine
small amount wbc and rbc in urine
Promtime just below normal
Negative for RNP, SM, SS-A AB, SSB/LA, SCL 70, DS DNA.
CCP- range is 0-19, I had 20 the first test, and 4 months later it was 35.

now here is my problem. my rheumatologist and PCP are ignoring the Ana. so they said I have Fibromyalgia. but from everything ive read 1:1280 is highly unlikely to be a healthy positive.

they won't diagnose RA because while I was positive for ccp is a "mild positive" and I didn't have inflammation showing in my blood work.
they've had me on celexa, Zoloft, amitriptyline, hydroxyzine, ambien, Cymbalta, gabapentin, flexeril, Percocet(after delivering) and every OTC they recommended. I've been to physical therapy, pelvic floor therapy, and chiropractic.

NOTHING HAS HELPED.

What am I missing? should I get a knew Rheum? any ideas whats going on really? any ideas on what can help?

I'm exhausted, physically, mentally, emotionally.

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