My psychiatrist decided to switch me from Cymbalta to Viibryd about 3 weeks ago and the tapering of cymbalta has caused me some awful side effects. My diagnosis is Panic
Disorder with Agoraphobia
. So far no medications have really helped too much, and so we're hoping Viibryd will do the trick.
My question is in regards ***** ***** tapering of cymbalta. I started out on 60mg of Cymbalta, while concurrently beginning the starter pack of Viibryd at 10mg. After 5 days of 60mg of Cymbalta and 10mg of Viibryd, I was told to stop the cymbalta completely in the hopes that the Viibryd would catch it. This did
not work, and I was having horrible panic attacks, sweating
, tremors, nausea and awful brain zaps. Because of this, my doctor put me back up to 40mg of Cymbalta, while I started the 20 mg of Viibryd. I continued this until I started the 40 mg of Viibryd, which at that point I dropped the Cymbalta down to 20mg.
After 24 hours of dropping down to Cymbalta 20mg and increasing Viibryd to 40mg, The brain zaps, tremors and nausea returned with a vengeance. I went to the doctor again, and he told me to bring the Cymbalta back up to 40 mg, while concurrently taking the Viibryd 40mg. Tonight is the first night that I took both the cymbalta 40 and viibryd 40 and I am not having any brain zaps but still am having some muscle twitches and headaches. The new plan my doctor suggested is that I take the cymbalta at 40mg and viibryd at 40 mg for a few weeks so that it levels off before we continue to taper off the cymbalta.. and this time we will taper it by 10 mg at a time while continuing the Viibryd at 40mg.
So this is my question/concerns: I feel as if I will never be able to get off the cymbalta at this point..which Is a huge fear of mine. I am also petrified of developing serotonin syndrome from being on both the cymbalta and viibryd at 40mg each.
My question is.. is there any other safe way to taper cymbalta which will be less likely to cause as horrible symptoms that you could suggest. And, if it safe for me to continue with what my doctor has perscribes (the Cymbalta at 40mg and the Viibryd at 40mg). Because its at the point where I almost just want to tough it out, deal with the brain zaps, and just go back down to 20 mg cymbalta for a few days and then just stop it completely while continuing the Viibryd.