Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health

I have been taking Cymbalta for 2 years for depression and

Customer Question
fibromyalgia. In January my...
I have been taking Cymbalta for 2 years for depression and fibromyalgia. In January my insurance was going to run out, so I had started weaning off since November. I was at 120 mg ( 2 60mg a day) I got down to a 60 then I used a 30 while starting Prozac. I can get 90 days of Prozac for $10.00 . 90 days of generic Cymbalta would be $480.00. Well, once I got to where I was doing every other day Cymbalta started have headaches, but they would go away. Now that I am totally off Cymbata I have had a headache, neck pain, very tender in my neck. Thought I had pulled something. Chiropractor said for it to be as tender as it is, she thinks the nerves are inflamed because of the Cymbalta withdrawal. I am not sure what I need to do. I picked up Cymbalta 60 mg last night and have taken two so far,no relief from headache, unless take pain meds. then it is just dull. having hot flashes, get upset easily, chills, etc. Don't have a psychiatrist right now. General MD is giving me my meds.
What would you suggest.
Submitted: 2 years ago.Category: Mental Health
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 4 minutes by:
6/3/2015
Mental Health Professional: Dr. Z, Psychologist replied 2 years ago
Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 10,643
Experience: Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
Verified
This website DOES NOT constitute treatment and only provides information and advice. For treatment (therapy and/or medications) you must go to a licensed professional in your area. Please note that anything said here is not private or confidential, as this is a public forum.
Hello, I believe I may be able to help you with your concern. I am sorry that you are having this issue with your symptoms and the Cymbalta, I can understand how distressing this can possibly be for you. I would like to ask you a few questions to get a better idea of your situation, so that I can better assist you.
1. What is the daily dose of the Prozac you are currently taking?
2. When did you start to notice the symptoms? How long ago?
3. And what is your current age?
Ask Your Own Mental Health Question
Customer reply replied 2 years ago
I am 54. I started taking the Prozac 40 mg. this Friday will be 3 weeks ago. I continued to take 30 mg of Cymbatla with it for one week, then everyother day for a week. I had not taken any Cymbalta since last Thursday. Saturday I started with the head and neck pain. I did start back with Cymbalta 60 last night, and this morning, but I did not take the Prozac this morning. I could not get in touch with my doctor yesterday.
Customer reply replied 2 years ago
I really would have liked to be off the Cymbalta and everything and try a more natural way, but...I have been battling depression for about 20 years. It usually starts out with a panic episode, then I get depressed. I was diagnosed with Fibromyalgia 2 years ago, but I think I may have had it for years, but the antidepressants to care of it while it was mildAny feed back suggestions I would greatly appreciate. I live in a rural area, and getting to a Psychiatirist is hard. I used to drive one way 75 miles to see the one I was using..
Mental Health Professional: Dr. Z, Psychologist replied 2 years ago
Thank you for your responses as it helps me to better understand your situation. I am very sorry that you are experiencing these symptoms, I can understand how distressing this can be for you. Unfortunately what you are most likely experiencing are psychosomatic symptoms (physical symptoms caused by a psychological disorder) related to the Depression that you were being treated for. Cymbalta is considered the leading antidepressant for treating psychosomatic symptoms, so when that medication started to be tapered off your body and mind most likely experienced a relapse in symptoms, which were controlled by the Cymbalta. Even if you did not have these intense physical symptoms before taking the Cymbalta, they could still be related to your psychological disorder as it may have evolved since taking the Cymbalta to include more pronounced psychosomatic symptoms (e.g. your fibromyalgia worsening). Or you are experiencing a form of withdrawal, possibly protracted withdrawal, which can cause a worsening of these physical symptoms you described. If these are withdrawal symptoms than typically they will be temporary.
Starting back on the Cymbalta is a sensible approach, but it may take 1-3 weeks to start noticing the benefits of that medication as it takes time to circulate in your system. Now I realize you cannot take Cymbalta long-term given the costs, so there are a few options your doctor can try:
1. Your doctor can increase the Prozac to 60-80mg as that dose has been shown to provide some benefit for treating psychosomatic symptoms. In addition, your doctor can also try another SSRI antidepressant called Paxil which some limited studies have shown to be a benefit in treating psychosomatic symptoms.
2. Amitriptyline is a TCA antidepressant and has been successfully used to treat psychosomatic symptoms in patients. It was used well before Cymbalta was introduced to the public and is usually considered a second line medication for psychosomatic symptoms if Cymbalta or Prozac fails.
3. There has been a recently limited study that shows Effexor can provide some benefits in lessening psychosomatic symptoms as well. Effexor is also a SNRI antidepressant, like Cymbalta.
Overall though Cymbalta is still considered the best medication for treating both psychological and psychosomatic symptoms, and it did work well for you when you were taking it consistently. Hopefully the other options I mentioned will be effective for you as well, as they are cheaper options that your insurance will cover.
I hope this answers your questions and gives you some guidance on this issue. I wish you all the best with your treatment and I truly hope that your symptoms lessen very soon. Please let me know if you have any questions or concerns as I am happy to assist and support you regarding this issue.
*If you are satisfied with my answer, I would appreciate it if you can provide me with a positive rating so that I can receive credit for helping you today. Thank you
Ask Your Own Mental Health Question
Mental Health Professional: Dr. Z, Psychologist replied 2 years ago
Hello, I just wanted to check-up and see how you were doing and if there was anything else that I can assist you with.
*If you are satisfied with my answer, I would appreciate it if you can provide me with a positive rating so that I can receive credit for helping you today. Thank you
Ask Your Own Mental Health Question
Ask Dr. Z Your Own Question
Dr. Z
Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 10,643
10,643 Satisfied Customers
Experience: Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.

Dr. Z 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
I have generalized anxiety disorder with panic attacks at
I have generalized anxiety disorder with panic attacks at times. For the most part I have improved a great deal through BCT and other lifestyle changes. I had it terrible after I quit smoking for abou… read more
Linda D.
Linda D.
Master\u0027s Degree
720 satisfied customers
I have a history of health anxiety and panic. I went to hear
Hi. I have a history of health anxiety and panic. I went to hear a band Saturday and smoked about 5 cigarettes. I never smoke! I am very health conscious with diet, running, etc. I did smoke a few in … read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
3,984 satisfied customers
My 19 year old son had a panic attack just over two weeks
Hi, my 19 year old son had a panic attack just over two weeks ago and was taken to the ER. Following that he was prescribed several medicines in short period of time. One of the medications is risperi… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
I'm suffering from severe explosive anger, panic attacks,
I'm suffering from severe explosive anger, panic attacks, axiety through the roof. It is totally consuming my family. I've tried everything and the doctors and therapist just not helping me. C … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
165 satisfied customers
I have been having severe panic attacks. I am currently
I have been having severe panic attacks. I am currently waiting to hear back from PA schools and I haven't slept in 5 days. what do i do. … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
I have really bad panic attacks and cant control myself and
I have really bad panic attacks and cant control myself and i have really bad anxiety and can't even go out in public with thinking people are laughing at me … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
165 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
I am having panic attacks. I cannot get to my therapist
I am having panic attacks. I cannot get to my therapist right now. I am not suicidal. I need someone to talk to now. … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
I have been prescribed xanax 1 mg for panic attacks while
i have been prescribed xanax 1 mg for panic attacks while the zoloft starts working in my system. i was taking 2 a day for about a week, and i have taken .5 as needed for almost three weeks now. most … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
I have bad panic attacks and need my medicine. About fifteen
I have bad panic attacks and need my medicine JA: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse? Customer: About fifteen yea… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
I suffered severe panic attacks after my son attempted
I suffered severe panic attacks after my son attempted suicide. I now have partial Anhedonia, depression and I'm on clonazapam. Can I get better?… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,801 satisfied customers
I have been having severe panic attacks and days of
Hello, I have been having severe panic attacks and days of depression which I am pretty sure is being caused by the amount of stress in my life. … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
165 satisfied customers
OKMH925100 Is it possible to treat panic disorder/anxiety
OKMH925100 Hi! Is it possible to treat panic disorder/anxiety disorder without medication?? I'm in my mid-thirties and just started having panic attacks after a very stressful past 4 years (I thought … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
Aniety back on me panic attacks often i dont want to go
aniety back on me panic attacks often i dont want to go anywhere nervous severe insomnia … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
My Dr. prescribed alprazolam 0.5 mg prn for panic attacks
My Dr. prescribed alprazolam 0.5 mg prn for panic attacks that I get, I also have lupus and at times have high anxiety that affects my BP. The dose is 0.5 mg p.r.n. and I get 30 pills for 6 months. Th… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
I have seve anxiey and panic attacks I've been diagnosed
Hi, I have seve anxiey and panic attacks I've been diagnosed with generalized anxiety disorder already and ADHD I was prescribed valium for my anxiety but I eventually got up to five milligrams and th… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
Are you available for my questions about panic attacks? are
Hi. Are you available for my questions about panic attacks? … read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
I suffer from anxiety and panic. I went to a wedding on
I suffer from anxiety and panic. I went to a wedding on Friday night and had approx 3-4 glasses of white wine. I woke up on Saturday in the throws of a horrendous panic attack. I had the attacks under… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 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