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(Revd) Cymbalta-When will the start-up SEs go away

Posted by cache-monkey on September 24, 2004, at 14:51:07

In reply to Cymbalta - When will the start-up SEs go away?, posted by cache-monkey on September 24, 2004, at 14:11:15

[I forgot to add that I've also been experiencing crazy neck/back tension that follows the anxiety in its daily cycle...]

Hey folks,

I just started Cymbalta on Tuesday. Mainly for dysthymia and GAD. Funny thing is that both of those had gone mostly subclinical for a little while, with about 2 "bad days" a week. That's largely due to smoking half a pack of cigarettes a day in combination with a low dose BuSpar. The main reason I started Cymbalta was to stop the couple "bad days" and to see if I could get myself off the nicotine without going into a depression.

Tues-Thurs, I did 15 mg around noon. Within an hour I started to get very sweaty and anxious, plus get racing thoughts and very tense neck and back muscles. This got worse over the afternoon, at which point I took a nap to shut it out. The anxiety lifted a little bit in the late evening, and I think the muscle tension got better. But, than I started to feel really cold chilly. Couldn't sleep until really late, much later than my normal bedtime, largely due to the persistence of the racing thoughts.

Am trying 30 mg today; still waiting for it to kick in. But would like to know from people with experience with Cymbalta (and maybe SSRIs/Effexor):
Are things like sweating, anxiety and racing thoughts are just start-up side effects? How long do they hang around for?

Thing is, I wasn't feeling that bad before and this is definitely getting in the way of my productivity right now. I have a big presentation to my department (I'm a grad student) coming up in a few weeks, and I'm not sure if I need this right now. I'm wondering if maybe simply upping the BuSpar and keeping up the smoking for now might not be a better course.

Any input would be appreciated.

Best,
cache-monkey


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