Duloxetine

Duloxetine is an antidepressant drug that belongs to the drug group selective serotonin and norepinephrine reuptake inhibitors (SSNRI). This drug is used to treat anxiety, depression, fibromyalgia, nerve pain associated with diabetes, and other chronic muscle pain. It is available in a capsule form, which has to be taken orally.

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How to deal with depression when I do not feel to live?

Query: Hello doctor, I have depression, and it is getting worse. I do not want to live anymore. I just want to go to sleep and not wake up. I do not feel I will be a happy person ever. I can not live like this anymore. I am currently on Duloxetine medication.  Read Full »


Dr. Suresh Kumar G D

Child Health Specialist, Paediatrician, Psychiatrist

Answer: Hello, Welcome to icliniq.com. Your words are reflecting your distressed mental state, and it is obvious that you need more support to get over this difficult period. How long have your depression symptoms been getting worse? Is anything stressful happening recently? Do your family and friends know ...  Read Full »

Can Cymbalta be used for symptoms of OCD?

Query: Hi doctor, I am a 32 year old man. I have been experiencing panic disorder, OCD symptoms and excessive levels of anxiety. In the last few months, major changes in my life have happened. For instance; quitting my job and moving to another city triggered my anxiety symptoms. I usually feel drowned in ...  Read Full »


Dr. Abhijeet Deshmukh

Psychiatrist, Psychotherapist

Answer: Hi, Welcome to icliniq.com. Thank you for describing your query in detail. To start with, you might be absolutely right in saying that the current increase in your anxiety and associated feelings could be secondary to the change of place. Change of residence and workplace is always an anxiety-provok...  Read Full »

How to get rid of constant lower back and neck pain?

Query: Consistent lower back and neck pains. yes, I've been diagnosed with having a cervical disc herniation since 20 years and a lumbar disc herniation since 12 years. An L2 Nerve block procedure was performed in 11 years back. The last MRI I did was 3 years back.  Read Full »


Dr. Atul Prakash

Fitness Expert, Orthopaedician And Traumatologist, Physiotherapist, Spine Health Specialist

Answer: Hello Yes the MRI does talk about the disc bulges both in the neck and the back but it is now clear as to the degree of nerve root compromise as canal encroachment as this will determine the degree of symptoms and likelyhood of conservative management succeeding. I really need to see the MRI films ...  Read Full »

Can I use Paroxetine for bipolar II disorder, anxiety disorder, and agoraphobia?

Query: Hello, I'm looking and would like to discuss my treatment options for my conditions. I've bipolar disorder II, social and generalised anxiety disorders, panic attacks and agoraphobia due to it. In past, I used escitalopram, venlafaxine, fluoxetine, sertraline, lithium, depakote, quetiapine,...  Read Full »


Dr. Vishal Anilkumar Gandhi

Psychiatrist

Answer: thank you for taking help from psychiatrist. you should continue medications on which you are stable at present. 1)duloxetine may be good option for you. it does not increases blood pressure. 2)tablet escitalopram takes around 4 weeks for full effect after starting medications. 3) yup,prozac can dec...  Read Full »

Will switching to Wellbutrin from Cymbalta cause any adverse effects?

Query: Hi doctor, My current medications are 60 mg Cymbalta for depression and 300 mg Seroquel for the sleep disorder. I am in my 40s and I have had a few episodes of depression during my lifetime. I was lucky enough to be able to attend a psychiatrist in a country I lived in for a long time. It was a g...  Read Full »


Dr. Vishal Anilkumar Gandhi

Psychiatrist

Answer: Hi, Welcome to icliniq.com. Thank you for taking help from a psychiatrist. You can take Cymbalta and Seroquel. You are already on both medications, so you should continue both medications. If you fill depressed then take tablet Wellbutrin 150 mg once in the morning for a short period of time, th...  Read Full »

Is there any pharmacological substitute for Duloxetine?

Query: Hello doctor, My mother is 53 years old, nondiabetic. She is hypertensive (150-100) and having all over body pain, fatigue and morning stiffness. We consulted a neurologist and she was diagnosed with fibromyalgia. She was going about daily activities by using painkiller every day (Innova-MR, Diclo...  Read Full »


Dr. Aida Quka

Neurologist

Answer: Hello, Welcome to icliniq.com. Regarding your concern, I would explain that morning stiffness is not a typical sign of fibromyalgia, but it could indicate a rheumatological disorder. Coming to this point, considering her slightly elevated erythrosedimentation, I would recommend performing other...  Read Full »

Please suggest best treatment for fibromyalgia.

Query: Hello doctor, I was diagnosed with fibromyalgia a few years ago. Over the past three years, it has gotten much worse. I take Lyrica two times a day and Tramadol as needed for the pain. I still have a great deal of pain every day. The Lyrica makes me feel like I cannot think straight and the Tramado...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com. Fibromyalgia is a very frustrating condition, but with the help of the patient, a doctor can treat it. I have treated my patients with all the drugs you have mentioned by managing the doses, but I always ask my patients to do meditation that would help the most in this ...  Read Full »

How to overcome the manic episodes caused by Cymbalta?

Query: Hello doctor, I recently was on Cymbalta minimum dose but did not feel better. I felt worse and was told to up the dose then I took 120 mg, still felt bad. So I abruptly stopped this and it triggered discontinue syndrome and hypermania. I have not felt the same since. I am not suffering so much now...  Read Full »


Dr. Aditya Gupta

Psychiatrist, Sexologist

Answer: Hello, Welcome to icliniq.com. Considering the history of mania (even if it is drug-induced), it is not advisable to start Effexor alone in my opinion. So, I would suggest you discuss with your treating psychiatrist regarding starting Seroquel regularly as it also acts on depressive symptoms, or...  Read Full »

Please suggest the dosage of Pregabalin for fibromyalgia.

Query: Hello doctor, My sister takes 225 mg Pregabalin for fibromyalgia at 7 PM, but it is not giving any relief from pain. She has severe back pain. We tried another 150 mg at 10 PM and the pain reduced fairly. What is the right dose and at what time it should be given? I am attaching her medicine list fo...  Read Full »


Dr. Naval Mendiratta

Rheumatologist

Answer: Hi, Welcome to icliniq.com. Well, if that much dose is not effective in fibromyalgia you ought to change it. I understand she is on Quetiapine and also on Effexor (Venlafaxine). I understand that they started it for depression or bipolar disorder. Well, the other drugs you can consider...  Read Full »

Can having Cymbalta lead to no sexual drive in a patient with fibromyalgia?

Query: Hi doctor, My girlfriend has fibromyalgia and is currently on Cymbalta and a muscle relaxant. She said she has no desire for sex but it seems she is having sexual dreams. She does not know that she is doing it but it does not make sense to me. When she was on Tramadol, everything was fine unless she...  Read Full »


Dr. Divya Agarwal

Rheumatologist

Answer: Hello, Welcome to icliniq.com. It is possible that she has no desire or she may be fatigued by the fibromyalgia. Drugs like Cymbalta (Duloxetine) act on neurotransmitters and there is a possibility that they affect a person's emotions and desires. Generally, once the drug goes on for s...  Read Full »

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