Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health
This answer was rated:

Back in 2006 I was prescribed Cymbalta 60mg because I was

very depressed and have a...
Back in 2006 I was prescribed Cymbalta 60mg because I was very depressed and have a lot of pain on my nerve system. Doctors made all tests to find out where the pain came from, and everything went negative, so one doctor told me it was neuropathic pain and other told me it was fibromyalgia.Anyway when I started taking cymbalta I started to feel much better, I move to a different state with lots of sunshine and that help me also, I even started a business and did really good for years, I was very focus on my business and well concentrated.Over the years I also had to deal with my wife mental health, over several years she went two times to a mental hospital, and based on wrong diagnosis she was told to have bipolar, but all medications didn't work for her and after several years we ended up looking for solutions in Mexico with a good recognized psychiatrist and psychologist who finally took her off from all those medications and help her with alternative medicine and therapy and she got better, but it took years and I was desperate but at the same time I believe I was able to deal it because of my medications I guess.After looking how good results my wife had, I decided to consult with this doctor also, since now was 10 years that I was taking cymbalta 60mg. I actually feel good with the medication, but I was scared that been 10 years on the medication can produce long term effects that can be worst for my quality of life. I started taking the medication at age 28 until age 38. I was afraid that at age 45 I can deal with worst things, and that's because I started dealing with high blood sugar, and several urinary tract infections since the last 3 years.So I decided to consult with this doctor and her advised was to stop the medication, so for 3 months she lowered my dose from 60 to 40, 30, 20 and nothing, but then after I took off the last pill, I had 2 weeks of hell nightmare. I have chills every time I remember. I feel like I was dying. Then after several weeks all those hardcore side effects disappeared over time, but then I started feeling change of moods for like a month, then next month anxiety, now 5 months after not taking cymbalta, I feel like I want to die, but I don't have the courage to take my life, but if I die is something like not big deal that I feel.My business is destroyed, I can't concentrate, I have an online business and just stopped working with my clients because I can't do it, I can't work, can't concentrate on my work. I have this anxiety, so desperate like never before, always sad, but sometimes just like magic not sad anymore.But everyday since January 2017, is anxiety everyday, sometimes shaking, goose bumps, chills.Went to a neurologist and he prescribed me klonopin, but that thing seems not to work. Yes, I can sleep with that, but I have the feeling that I feel more depressed with that.Bot***** *****ne, I don't know what to do, every doctor has a different opinion, last doctor recommended me magnesium valproate and I really don't understand why, so I decided to not proceed with that and look for more options.I'm scare of anti depressants after those withdrawal effects I had with cymbalta, but at the same time I feel that I need professional help because I can't control my emotions. Please help me!
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 33 minutes by:
4/3/2017
Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2,253
Experience: MBBS ; M.D Psychiatry, MS. Health Informatics
Verified

Hello,

Thanks for your query.

I can understand your situation and what you must be going through.

You took the last dose of Cymbalta (Duloxetine) 5 months ago?

What was the dose of Klonopin you tried earlier and for how many days?

Ever tried any other antidepressant other than Cymbalta?

Are you currently seeing a doctor and taking any treatment?

Kindly mention all the symptoms you are experiencing currently and since when?

Any significant medical history?

Any significant drug history?

Are you taking alcohol, tea, coffee if yes, please comment on the quantity.

Please answer these questions and I will get back to you as soon as possible.

Ask Your Own Mental Health Question
Customer reply replied 8 months ago
You took the last dose of Cymbalta (Duloxetine) 5 months ago?
YESWhat was the dose of Klonopin you tried earlier and for how many days?
0.5MG at night only when needed, but I've been using it every night since 3 weeks nowEver tried any other antidepressant other than Cymbalta?
Before cymbalta I tried prozac for like 1 week but felt really bad and my doctor changed to cymbalta.Are you currently seeing a doctor and taking any treatment?
NOKindly mention all the symptoms you are experiencing currently and since when?
The day of my last cymbalta pill I had brain zaps, night sweats, vision tunnel for like 2 weeks. After that, I slowly started to feel tired, lost 15 pounds in the last 3 months, feel chills in my whole boddy, then started to feel a lot of anxiety, like there's no way I can deal with anything, not interested in anything.Any significant medical history?
In 2004 I was diagnosed with hyperthyroidism and received radioactive iodine, after that I started taking medication, till today I took everyday Synthroid 125MCG.Any significant drug history?
NO Drugs, No smokingAre you taking alcohol, tea, coffee if yes, please comment on the quantity.
Since been on klonopin I'm not taking alcohol, before that like 1 beer every week. I don't drink tea, and I drink coffee every morning, 1 cup and sometimes 2.

Thanks for the detailed reply.

Kindly try these online quiz and let me know about your score.

Online quiz

Online quiz 2

And what about your thyroid status ?
"In 2004 I was diagnosed with hyperthyroidism and received radioactive iodine, after that I started taking medication, till today I took everyday Synthroid 125MCG. "

Have you undergone any investigations for it recently or consulted a doctor for it?

Ask Your Own Mental Health Question
Customer reply replied 8 months ago
The first quiz for depression my score was: 64
The second quiz for anxiety my score was: 39My last blood test for thyroid was all good but was like 6 months ago, and I'm planning to check again this week.

Thanks for trying the quiz.

It is evident that just after stopping the Cymbalta you probably suffered from a discontinuation syndrome/ withdrawal symptoms. In most cases, these symptoms usually subside by its own in few days to few weeks. In your case also the severity of your symptoms gradually decreased as mentioned in your previous reply.

Now,after 5 months of stopping cymbalta, you have scored very high on both the anxiety and depression screening quiz and most likely the symptoms you are currently experiencing could be because of severe anxiety and depression and not withdrawal symptoms due to cymbalta. In my view, you should again consult a psychiatrist and discuss with him or her about starting an antidepressant, which could be a long acting antidepressant like Fluoxetine in combination with benzodiazepine like Clonazepam (Klonopin).

Fluoxetine is a SSRI antidepressant which has a very long half life and it is comparatively easier to taper it down easily because of its long half life. This combination of Fluoxetine with Clonazepam should be sufficient enough in controlling the severe anxiety and depressive symptoms you are experiencing currently.

Additionally, you can also start online Cognitive Behavior Therapy which can help a lot in controlling your current symptoms. You can try it for free via these following websites

Living Life To The Full

MoodGym

What like to know your views regarding my suggestions.

Ask Your Own Mental Health Question
Customer reply replied 8 months ago
Based on your experience and knowledge, what is the softest antidepressant with the least side effects? What do you think about going back to cymbalta?

See all antidepressants are unique in a sense and patients response vary from one antidepressants to other in terms of side effects.

In my view, for anxiety and depression, Sertraline, Escitalopram and Fluoxetine are usually well tolerated by most of the patients specially when given in combination with a benzodiazepine like Clonazepam.

Fluoxetine is mainly useful in patients who don't want sedation or excessive sleepiness as a side effect. It also does not cause weight gain. Sertaline and Escitalopram are another very good option. I frequently use a combination of Escitalopram and Clonazepam with very good results in patients suffering from anxiety and depression.

In patients who are very sensitive to side effects, antidepressants should be started in a lowest possible dose and then gradually titrated upward to higher dose.

Now regarding Cymbalta, since you responded well to this medicine earlier, it can also be a good option specially if your doctor start it with a lowest possible dose after doing a detailed clinical evaluation. The appropriate dose will depend on the clinical evaluation. If your doctor start Cymbalta again, in that case, in future once your doctor want to stop it,the drug should be taper down at a very slower rate to avoid withdrawal symptoms.

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

4,013 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
Im struggling alot about handling. Strws. Sad and i dont
Ever since i was little i always struggled with waking up sad and then bursting into tears for no reason… read more
Linda D.
Linda D.
Master\u0027s Degree
744 satisfied customers
Is this a paid service? History of depression and anxiety.
Past 8 months. Relationship problems make it worse.… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
A week ago Saturday I took 20mg's of Latuda for my Bipolar
A week ago Saturday I took 20mg's of Latuda for my Bipolar Disorder when I was upset I crushed it with my tooth not realizing that I was not supposed to do that. I had a sore throat after. I was afrai… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
I have generalized anxiety disorder with panic attacks that
I have generalized anxiety disorder with panic attacks that I treat and keep managed with BCT, exercise, eating a well balanced diet, and breathing exercises. For the most part this works well. This p… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,013 satisfied customers
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
744 satisfied customers
I would like to know if it is possible for anxiety to cause
Hello,I would like to know if it is possible for anxiety to cause bladderproblems like urinary retention and bladder overactivity. Like if you fear it and you are constantly conscious regarding it, it… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,013 satisfied customers
I feel this feeling of guilt and sadness and I'm not sure
I feel this feeling of guilt and sadness and I'm not sure why Would you happen to have an explanation for that … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
735 satisfied customers
OKMH115211 My daughter struggles with anxiety depression
OKMH115211 My daughter struggles with anxiety depression OCD. She has tried numerous medications without any luck. She is at a new inpatient facility and her psychiatrist put her on zyprexa and Prozac… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
Bipolar2,anxiety, avoidant pd.having swirling pinballing
bipolar2,anxiety, avoidant pd.having swirling pinballing dark thoughts. depressed, frustrated, feeling hopeless. I have taken many different meds in the past but what i am taking now doesn't work that… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
I feel sad so much I need help dealing with how I feel
I feel sad so much I need help dealing with how I feel because it's affecting with my relationship with my boyfriend and my happiness in general… read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
169 satisfied customers
I have bipolar disorder and take usual cocktail of meds. I
I have bipolar disorder and take usual cocktail of meds. I tend to depression … read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
What can I do to help my son who is bipolar? He has been
What can I do to help my son who is bipolar? He has been fine for 3 years and now his daughter is blaming him for not having enough money to pay for another school because she dropped out of school wh… read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
169 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.)
3,938 satisfied customers
I I have extreme anxiety especially social anxiety I over
I I have extreme anxiety especially social anxiety I over worry about everything and I have PTSD from being stabbed and assaulted I've been prescribed Xanax for years and I got up to 2 mg which was wo… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,938 satisfied customers
Second opinion] OKMH98-130 I've been very sad and in a bad
second opinion] OKMH98-130 I've been very sad and in a bad state of mind ever since my mother figure passed away last year. I suffer from insomnia ever since. Loss of interest in daily activities. I p… read more
Juliet Cooper
Juliet Cooper
Doctorate of Psychology
29 satisfied customers
OKMH98-130 I've been very sad and in a bad state of mind
OKMH98-130 I've been very sad and in a bad state of mind ever since my mother figure passed away last year. I suffer from insomnia ever since. I've been sad often. I noticed my mood is better when I'm… read more
Linda D.
Linda D.
Master\u0027s Degree
744 satisfied customers
OKMH524211 My father is diagnosed with Bipolar disease and
OKMH524211 Hello there. My father is diagnosed with Bipolar disease and have been suffering from the disease for over 20+ years. Im his eldest son, 24 years old, and have witnessed his first Manic epi… read more
Linda D.
Linda D.
Master\u0027s Degree
744 satisfied customers
I have Bipolar disorder clinical depression and anxiety I
I have Bipolar disorder clinical depression and anxiety I have a 16 y/o son who is exhibiting a lot of depression he's always been kind of a loner but he's showing more symptoms low self esteem doesn'… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,893 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