Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health

My wife Lynn has been on Klonopin for 6 years at 1.5mg per

Customer Question
day and Cymbalta for 3...
My wife Lynn has been on Klonopin for 6 years at 1.5mg per day and Cymbalta for 3 years at 60 mg per day. Quit both cold turkey 3 weeks ago tomorrow. Horrible withdrawals. She's trying to hand in there as does not want these drugs in her system. I have read about tappering and wonder where we go from here? My thought is maybe be done with the Klonopin but get her back on Cymbalta at a low dose and tapper? Remember she already has three weeks under her belt of hell and does not want to waste that either. Please help, I can not stand to see her suffer this way.

Thanks

Kent Girton
Submitted: 8 years ago.Category: Mental Health
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 39 minutes by:
5/3/2009
Mental Health Professional: Dr. Vikas, Psychiatrist replied 8 years ago
Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2,253
Experience: MBBS ; M.D Psychiatry, MS. Health Informatics
Verified
Hello Kent,

I am sorry to hear about your wife condition.

Klonopin should be taper by .25 mg every 3 days to reduce the chances of withdrawal effects.If a patient experience withdrawal,dosing may be need to be tapered very slowly may be over months.
Also sometimes it is necessary to differentiate between reemergence of symptoms from withdrawal also as both are somewhat similar in presentation sometimes.

Duloxetine (Cymbalta) should also be taper down to avoid withdrawal effects such as dizziness, nausea,headache , tingling sensations, irritability etc).
Usually patient tolerate 50% dose reduction for first 3 days and and next 50% reducion for another 3 days.

In case if withdrawal symptoms emerge during discontinuation, it is advisable to restart / raise the drug to stop these symptoms and then restart withdrawal much more slowly under the treating doctor guidance.

In my view, if she is still having withdrawal symptoms after 3 weeks, they need to be differentiated from reemergence of disease symptoms and you should consult her treating doctor before taking any step.

Regards
Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2,253
Experience: MBBS ; M.D Psychiatry, MS. Health Informatics
Verified
Dr. Vikas and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Ask Dr. Vikas Your Own Question
Dr. Vikas
Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2,253
2,253 Satisfied Customers
Experience: MBBS ; M.D Psychiatry, MS. Health Informatics

Dr. Vikas is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, 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 VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

3,984 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

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

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
Buenas tardes, Sufro de Ataques de Pánico y mi psiquiatra me
Buenas tardes,Sufro de Ataques de Pánico y mi psiquiatra me recetó Paxil CR 25mg y Clonazepan 1mg. La verdad cuando busque la receta en la farmacia fue que vi la prescripción pero ahora me da miedo to… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
My best friends father died two weeks ago. I have been the
My best friends father died two weeks ago. I have been the familys point person there everyday and helping through all the meltdowns. I also have anxiety disorder with occasional panic attacks. The la… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
I have anxiety disorder and panic attacks. Lately when I get
I have anxiety disorder and panic attacks. Lately when I get worked up or irritated if I yell or feel anger I almost instantly get a dizzy feeling like I will faint or something. One of my biggest sym… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
3,984 satisfied customers
Hope you can help me. I have been taking Cipramil for 7
Hello there, hope you can help me. I have been taking Cipramil for 7 years now and for the last 2 years i believe it's not working anymore. A doctor tried me on the new drug prestiq for a week and i f… read more
Family Physician
Family Physician
Doctoral Degree
140 satisfied customers
I've had anxiety due to trauma... I've had anxiety due to
Hello, I've had anxiety due to trauma... Hello, I've had anxiety due to trauma in the city I lived in, I moved out to a different city, I accidentally spoke to somebody associated with the trauma , in… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,904 satisfied customers
Okmh1020211 My wife (44 yrs of age) takes 1mg 2x day of
okmh1020211 My wife (44 yrs of age) takes 1mg 2x day of Ativan for RSD/CRPS. She has had some mild depression and we wondered if something like St. Johns Wort interacted with Ativan.… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
I took 37.5mg effexor this morning on empty stomach. Di not
I took 37.5mg effexor this morning on empty stomach. Di not for nearly 3 hours. Got very dizzy and unbalanced for next 8 hours. OK now. Effexor side effect? … read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
I started taking lexapro and on day 5 for anxiety. I just
I started taking lexapro and on day 5 for anxiety. I just started klonopin. I haven't been eating or sleeping. I want to stop the lexapro. Is that alright to do after just taking it for 5 days. Or do … read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,904 satisfied customers
OKMH77211 Could this be anxiety? The last week, my heart
OKMH77211 Could this be anxiety? The last week, my heart rate has dropped about ten points. Off and on, I get these tones of terrible nausea and fatigue. I got dizzy with headaches and my vision is a … read more
llw26
llw26
Private Practice
Doctoral Degree
11 satisfied customers
I was wandering if you can help me. I had very strong panic
Hello I was wandering if you can help me. I had very strong panic attacks the last 2 years and I am taking seroxat 20mg. But the last 3 months I am feeling dizzy and like weak... can you tell me if I … read more
llw26
llw26
Private Practice
Doctoral Degree
11 satisfied customers
Can you stop taking Venlafaxine xr 75 mg 2 to 3 a day
can you stop taking Venlafaxine xr 75 mg 2 to 3 a day ------can you stop taking this med cold turkey with no side effects, i did this and have been ill for the last 2 days, dizzy, cold sweats,… read more
llw26
llw26
Private Practice
Doctoral Degree
11 satisfied customers
I have been (under the guidance of a psychiatrist) tapering
I have been (under the guidance of a psychiatrist) tapering off klonapin and now have been completely off it for 2.5 weeks. I didn't notice much besides a slight increase in anxiety. Then about 5 days… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
My husband was recently put on the antidepressant Zoloft at
Hello, my husband was recently put on the antidepressant Zoloft at 50 mg a day. He was diagnosed with non- Hodgkin's lymph Oma three years ago. Had chemo and two rounds of radiation. Had to have all o… read more
Dr. Scott
Dr. Scott
Doctor
885 satisfied customers
I have been taking 200mg of Nortryptiline at night following
I have been taking 200mg of Nortryptiline at night following a serious suicide attempt during a depressive episode (I have bipolar disorder). I also had psychotic symptoms as part of my depression and… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
I was wondering if vyvanse and strattera are able to cause
Hello, I was wondering if vyvanse and strattera are able to cause strokes or heart attacks in healthy young adults at a dose of 20mg. If so why would this happen. I was also wondering if it can worsen… read more
llw26
llw26
Private Practice
Doctoral Degree
11 satisfied customers
My brother is having wierd sensations almost on a daily
Hi, My brother is having wierd sensations almost on a daily basis. He experienced tachycardia about 3 monthss ago, and feels severe nerve pain going near his head, to the stomach etc. Ct/ mri's of nec… read more
Dr. Vikas
Dr. Vikas
Psychiatrist
2,253 satisfied customers
What causes morning anxiety? Every morning for the past
What causes morning anxiety? Every morning for the past month I have been woken up with high amounts of anxiety, dizziness and almost to the point of gagging, can anxiety cause this and why the gaggin… read more
Linda D.
Linda D.
Master\u0027s Degree
721 satisfied customers
I am on a Avanza 30 mg but my phschiatrist wants me to have
I am on a Avanza 30 mg but my phschiatrist wants me to have a 25 mg seroquel as well. It makes me so dizzy next day. For the whole day. Does it wear off … read more
Dr. Z
Dr. Z
Psychologist
Doctoral Degree
9,633 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x