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Dr. Pravin
Dr. Pravin, Physician
Category: Medical
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Experience:  MBBS DNB
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Can you take Cymbalta with Adipex

Customer Question

Can you take Cymbalta with Adipex?
Submitted: 4 years ago.
Category: Medical
Expert:  Dr. Pravin replied 4 years ago.
Chat Conversation Started
skindoctor2000 :

hello

skindoctor2000 :

since when have you been on it?

Customer :

I was prescribed Adipex recently from the same dr. that prescribes me Cymbalta.

Customer :

Cymbalta for over 2 years

Customer :

Adipex for a month

Customer :

I just have heard that you should take SSRI's with Adipex. I take the cymbalta every other day for anxiety.

Customer :

I am down to 30 mg every other day.

Customer :

Are you still there?

skindoctor2000 :

you can experience jitteriness, racing thoughts, stomach cramps, dry eyes, palpitations, tremors, and restlessness with the two drugs taken together



skindoctor2000 :

they are generally avoided

skindoctor2000 :

the reaction has been reported in reviews of many Drug Jounrals

skindoctor2000 :

journals

Customer :

Is there anything that would make them dangerous to take together

skindoctor2000 :

they can start interacting between3 to 4 weeks

Customer :

Why would my family doctor prescribe them them?

skindoctor2000 :

yes



risk of serotonin syndrome, which is a rare but serious and potentially fatal condition thought to result from hyperstimulation of brainstem 5-HT1A and 2A receptors
that can be dangerous

Customer :

then?

skindoctor2000 :

is your family doctor a General Family Physician or has he done a Postgraduation degree

Customer :

General I believe

Customer :

What is serotonin syndrome?

skindoctor2000 :

then he is not experienced in this interaction i believe: Ask him if he knows what Serotonin syndrome is

skindoctor2000 :

Symptoms of the serotonin syndrome may include mental status changes such as irritability, altered consciousness, confusion, hallucinations, and coma; autonomic dysfunction such as tachycardia, hyperthermia, diaphoresis, shivering, blood pressure lability, and mydriasis; neuromuscular abnormalities such as hyperreflexia, myoclonus, tremor, rigidity, and ataxia; and gastrointestinal symptoms such as abdominal cramping, nausea, vomiting, and diarrhea.


Customer :

But if I have taken the Adipex for 30 days while on the Cymbalta and nothing happened would you say that I am less likely to be at risk for this?

skindoctor2000 :

yes less likely luckily

skindoctor2000 :

but there is a case where the reaction developed 4 weeks later too

skindoctor2000 :

i suggest you speak to him about it today or tomorrow so he can put you on an alternative medicine

skindoctor2000 :

is that fine?

skindoctor2000 :

have you understood or agree with what I have mentioned?

Customer :

Alternative medicine for which one?

skindoctor2000 :

for adipex

skindoctor2000 :

he can continue cymbalta

Customer :

What are alternatives that don't interact with Cymbalta?

skindoctor2000 :

why did he start ADIPEX FOR?

skindoctor2000 :

are you there?

Customer :

Yes, sorry. To loose weight

skindoctor2000 :

well I would suggest that you should not take adipex for sure

Customer :

Because of the Cymbalta or because you just don't like Adipex?

skindoctor2000 :

there is no medicine in particular that can be taken to loose weight along with dulexitine as there is a heavy chance of interaction

skindoctor2000 :

no its not that I dont like Adipex

skindoctor2000 :

there is no medicine in particular that can be taken to loose weight along with dulexitine as there is a heavy chance of interaction

skindoctor2000 :

what was cymbalata given for?

Customer :

Anxiety. I have been on and off anti depressants since I was 19 because of anxiety disorder.

skindoctor2000 :

so it is important for you to be on cymbalata as compared to adipex

skindoctor2000 :

areyou there?

skindoctor2000 :

do you have any other questions?

skindoctor2000 :

hello are you there?








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