How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Suzanne Your Own Question

Suzanne
Suzanne, Mental Health Professional
Category: Mental Health
Satisfied Customers: 919
Experience:  LCSW, RN. Mental Health, Relationship & Parenting issues.EMDR, Hypnosis.
32195369
Type Your Mental Health Question Here...
Suzanne is online now
A new question is answered every 9 seconds

Was on Paxil for 4 years- multiple life stress events such

Resolved Question:

Was on Paxil for 4 years- multiple life stress events such as fertility treatment, parents health declining then both died, alcoholic disabled brother, birth of triplets in 2004, built new house,2 major hurricaines, plus more. Had such severe fatigue that I saw a psychiatrist and I requested a different drug than Paxil. Was placed on Cymbalta and now up to 90 mg qd. Was having fatigue that required much extra sleep. Hard to exercise due to lack of energy..still 20 lbs overweight from birth of triplets in 2004. The psychiatrist added Nuvigil to help offset the drowsiness from Cymbalta. I decided to see a neurologist.....had sleep tests done and found to have sleep apnea & form of narcolepsy called EDS. I can trace EDS beginnings back to 18 years old & I am now 47. I've always slept lots but fatigue from college study nites, then shift work & triplets have disguised the disorder. Stress had led to depression in the past. Do you think it is feasible to come off the Cymbalta since I am more rested with CPAP and being treated for the EDS? The cymbalta is adding to the drowsiness & it was being used for what I would see as situational depession. With better rest I should be able to exercise more to aleviate depression as well as better energy with Nuvigil. Psychiatrist wants me on Cymbalta for rest of my life???? I am basically a blessed happy person who has had lots of stressors and undiagnosed EDS and sleep apnea. I have just been tired all my life it seems.
Submitted: 4 years ago.
Category: Mental Health
Expert:  Suzanne replied 4 years ago.

Thanks for bringing your question to JustAnswer.

 

I'm glad you finally got someone to give you the correct diagnosis. I'm amazed a psychiatrist would tell you to be on Cymbalta for life....and if you need psychiatric help in the future, I would look for a new one. If he's not aware of the affects of sleep apnea and narcolepsy he has no business treating you. The link between sleep apnea and depression is well documented in the professional literature.

 

At least one doctor believes that Prozac can help with the withdrawal symptoms.

 

The withdrawal from Cymbalta can take about a month or two, as you slowly lower the dose to well under 30mg a day ,(preferably around 10mg/day) then when you have it as low as you can, go to taking it every other day, then every third day before stopping completely. This should minimize the side effects.

 

I've worked with many people who have withdrawn from antidepressants, and the most worrisome side effect seems to be a tendency to weep at the drop of a hat. This scares some people into going back on them...but the weepiness does subside with time. Be very gentle and good to yourself during this process.

 

Ask your neurologist what he would think about you taking amino acids that boost serotonin, such as L-tryptophan, while you are withdrawing from Cymbalta. Please don't take it without his approval, as you have a complicated situation.

 

If for some reason you decide to stay on the Cymbalta for now, try taking it at night. That way the drowsiness will work for you, not against you.

 

There are some online support groups for people with narcolepsy which you may find helpful.

 

I admire your attitude and determination in the face of all the stressors you've been through in the past few years!

 

If this has been helpful, please click on ACCEPT. If you need more info, just ask...

Best Regards,

Suzanne

 

 

 

 

 

 



Edited by Suzanne on 8/1/2010 at 9:17 PM EST
Suzanne, Mental Health Professional
Category: Mental Health
Satisfied Customers: 919
Experience: LCSW, RN. Mental Health, Relationship & Parenting issues.EMDR, Hypnosis.
Suzanne and 2 other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education