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Did the new doctor determine why your wife was having this pain?
Can you see my question?
Cymbalta (duloxetine) is approved in the US to treat diabetic peripheral neuropathic pain and major depression. Is this the cause of her pain?
It is usually not advisable to take both of these antidepressants together.
Let me copy a portion of an article from www.drugs.com.
Applies to: XXXXX XXXXX
Talk to your doctor before using FLUoxetine together with DULoxetine. Combining these medications can increase the risk of a rare but serious condition called the serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. You should contact your doctor immediately if you experience these symptoms while taking the medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Applies to: duloxetine
DULoxetine may cause liver damage, and taking it with alcohol may increase that risk. You should avoid or limit the use of alcohol while being treated with DULoxetine. Call your doctor immediately if you have fever, chills, joint pain or swelling, excessive tiredness or weakness, unusual bleeding or bruising, skin rash or itching, loss of appetite, nausea, vomiting, dark colored urine, or yellowing of the skin or the whites of your eyes, as these may be symptoms of liver damage. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
The classifications below are a guideline only. The relevance of a particular drug interaction to a specific patient is difficult to determine using this tool alone given the large number of variables that may apply.
Do not stop taking any medications without consulting your healthcare provider.
You can find this on the link below:
If the Cymbalta is not addressing the depression then perhaps she should stick with the fluoxetine (Prozac) and further investigate the cause of her pain. Rather than just mask the symptoms it makes more sense to find out the cause and deal whatever is behind it.
The patent has not yet run out on Cymbalta. Duloxetine is probably not available anywhere. Be careful of scams for this one.
There are some places where you could help on this prescription, but it has side effects and is very difficult to get weaned off of as well.
When using psychotropic drugs it is always safest and wisest to do so under the guidance of the foremost expert in that area - a psychiatrist.
Here are some links for getting a break or possible limited free supply (or reduced cost) of Cymbalta:
If her income is under $42k, then try this assistance program: www.myrxadvocate.com
She may also be eligible for 12 month free supply from the manufacturer, Lily: www.Lillytruassist.com
I know that this was a lot of information but hopefully will help you.
I wish her the best of health and relief and will keep you family in my prayers.
Elliott, MAE, LPCC, NCC, CCMHC