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Re: cold turkey cymbalta-not working

Posted by ed_uk2010 on March 20, 2014, at 5:17:35

In reply to cold turkey cymbalta-not working, posted by joe f on March 14, 2014, at 17:04:24

> 2 months on 30 mg Cymbalta...dr told me to quit cold turkey...horrible..last 5 days..emotional..crying anxious...should I just go back to 30 for now? Too many crying jags and dizziness..or ride it out?

These sudden symptoms, including the classic withdrawal sign of dizziness, sound very much like withdrawal symptoms, not a return of your depression. Withdrawal symptoms occur very quickly after stopping Cymbalta. You may feel very emotional and cry at the slightest thing. A depressive relapse tends to occur later after stopping Cymbalta, and does not include dizziness.

Fortunately, withdrawal symptoms can be dealt with by restarting Cymbalta and reducing the dose gradually. You can do this by opening the capsule and reducing the number of granules taken, over a few weeks. The granules are coated and should not be crushed or chewed, just swallow whole with a drink of water. The capsule shell itself does not need to be taken, it's basically just a piece of gelatin. The key is to reduce gradually over a few weeks, the rate of reduction depending on whether you experience any symptoms. The manufacturer's leaflet may advise not opening the capsules. This is because the granules are coated and may be damaged if you chew them. So long as you don't crush the contents you'll be fine.

If you plan to start a new antidepressant, some antidepressants will reduce the withdrawal symptoms and allow you to cross over to the new drugs without reducing Cymbalta so gradually. Starting an SSRI, for example, should reverse the dizziness and intense emotions/crying.

Hope you feel better soon. I think you will.

 

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poster:ed_uk2010 thread:1062501
URL: http://www.dr-bob.org/babble/20140307/msgs/1062810.html