I'am taking Duloxetine 120mg for Depression and Pure O (OCD) since Feb. 2017. Unfortunately, I still have intrusive thoughts and some symptoms of depression (low mood, no energy etc.), although I can handle my everyday life somehow. However, the whole situation is not satisfying for me and my family. I'm constantly tired, lethargic, grumpy, hungry and unhappy. So what's next? I've already tried to augment with Seroquel (300mg; horrible, horrible experience) and Abilify (2,5mg-5mg, quit working after two months).
What's about switching the baseline med? Can I go back to SSRIs like Citalopram, Fluvoxamine or Paroxetine?* Or is it pointless, since the doctors kept telling me that Duloxetine and Venlafaxine were far more potent than the SSRIs...
*Lexapro did considerably well in the past, but it unfortunately pooped out after two years. Sertraline did nothing for me (I'm an ultra rapid metabolizer).
I'll just preface this with info: I've tried about 30 different meds, many combos, including Cymbalta in the past (3 yrs, mixed results), It didn't greatly improve my depression, mainly made me numb, sweaty, nauseous, a bit restless/wired with sleep issues. The crazy withdrawals if I took a bit late were horrendous, so went off.
Despite this, my pdoc really wants me to start Effexor (even though withdrawal is even worse). Can someone please reassure me that it worked well for you? My symptoms are: chronic, treatment-resistant depression (with some crying/mood lability), very intrusive negative ruminations, anhedonia). Is it really worth trying despite my unremarkable/mixed experience w/ Cymbalta, and fear about withdrawal syndrome? Also what were the negatives for you (i.e any weight gain, anxiety, restlessness, paranoia, insomnia?) Thanks all.
About to go off abilify. Went from 2.5 mg - 1.25 mg 5 days ago.
since yesterday anxiety, agitation and akathisia has gone through the roof. My intire body tingles, burns etc. And it feels like i’m about to explode. Just can’t relax.
I was only on the drug for 4 weeks.
Any ideas how long this is going to last?? And has anyone experienced this as well?
damn you drugs.. Amiright
Psych Dx: treatment resistant depression (major + persistent), generalized anxiety, adhd
Psych Rx: bupropion 450 qd, buspirone 15 bid, adderall 20 am 10pm, clonazepam .5 prn
Other Dx: celiac, gerd, vulvodynia/vulvar vestibulitis, oab, seasonal allergies, idiopathic chronic nausea, neuropathy, myalgia, & arthralgia
Other Rx: myrbetriq 50 qd, pantoprozole 20 bid, topical estrogen qd, topical clobetasol prn, topical lidocaine prn
OTC: mucinex 12-hour bid, vitamin D3 qd, fish oil qd, probiotic qd, zyrtec qd, nasacort qd, saline spray bid, melatonin prn
Previous Psych Rx: seroquel, depakote, lamictal, remeron, trazadone, lithium, ambien, sonata, zyprexa, lexapro, prozac, temazepan, xanax, rozerem
So I've clearly been on a lot of meds over the years (since first being put on seroquel in early 2013) partially because I was initially misdiagnosed with bipolar disorder. I've been on my current cocktail for quite awhile, and I had been doing pretty well with my depression but it's gotten significantly worse lately due to some life events + unyielding chronic pain that has been getting worse for the last two years.
For the neuropathy I tried gabapentin for several months and it did absolutely nothing. I've been suggested Lyrica (which even with my good insurance is still $100 a month or $200 for 3 months with a mail order pharmacy which is a lot more than I can reasonably afford) and Cymbalta.
Does anyone with depression and/or neuropathy have any experience with taking Cymbalta and Wellbutrin together? The two SSRIs I've taken (lexapro & prozac) in the past both gave me severe gastrointestinal side effects and I wasn't able to stay on them long enough to see if they even helped. It would be great to have a cheap, generic drug improve my nerve pain and depression, but I'm nervous about trying another SSRI.
I'm also fairly uncomfortable with the idea of going off bupropion, bc it's been pretty damn effective if not adequately so. Because when I wasn't on bupropion I was a MESS and I'm afraid of going back to that level of depressed.
Also curious if anyone has any success with using any med, Cymbalta or otherwise, as an adjunct treatment for depression?
I have recently gotten back to therapy so I'm hoping that will help some but it's hard to follow through on anything from my therapist (or from my physical therapists, doing anything besides going to work & sleeping) bc of executive dysfunction, constant fatigue, pretty severe anhedonia, general feeling of emptiness.
Since Trintillex had absolutely no effect (on my anhedonia), my pdoc suggested Effexor. I'm very wary about Effexor due to the horrible withdrawals I had with Cymbalta 10 years ago. I don't remember it helping me much, not worth the withdrawals. If I missed 1 dose by mistake, I would be a trembling mess with full-on brain zaps, anxiety, crying spells, the works...
I have tried all of the SSRI's and most make me numb, tired & kill libido. These meds help acute depression, but what about for stable-ongoing low mood-anhedonia? Like when you feel no excitement/joy in anything?
Effexor has an even shorter half-life than Cymbalta, which worries me. Question: Will Effexor help symptoms of anhedonia, low mood, low motivation? What was the main difference you felt between the two? (did they feel relatively the same, or did one work much better with less/different side effects??)