Thanks for the reply..
Well, let me kindly tell you that there is no difference between taking one 60 mg as compared to taking two 30 mg of cymbalta , so you shall not bother your self with this ...
And now coming to the re-emergence of your anxiety and depressive mood symptoms are concerned , well this is not unusual to have this kind of fluctuation in the symptoms when you are on the anti depressant drugs for mood symptoms like depression and for anxiety , as it takes some time , perhaps be few months before one can have a stable , non- fluctuating symptom free state , so do not feel that the drug is not working , or that the two 30 mg are less effective , as this kind of fluctuations between up and down of symptoms is quite exepected on the way to complete remission from the illness..
So, do not make any changes and continue taking the drug in the same dose , you have responded to this drug , which is a good sign that it will eventually relieve you of your anxiety and depressive mood symptoms , so stay on it .. Now as far as nausea and constipation are concerned , they might not actually be related to the drug use , and may be independent symptoms , because constipation and nausea can occur anytime and to anyone without having to be related to the use of any drug , so just treat them symptomatically by taking an anti emetic drug and having more of fibre diet which will treat your constipation or by drinking coffee .
I hope this helps..
Wish you all the best...
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