Brief Answer:
Try to take another antidepressant
Detailed Answer:
HI
thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query.
Cymbalta consists of
duloxetine, which has very good response in somatic symptoms. If after taking 60 mg of cymbalta, you are still feeling anxiety or depression, means it is not effective in your case. Bupropion is good antidepressant, but at higher dose, chances of seizure would be increased. I think in your case, you can take another antidepressant like
tianeptine or escitalopram or
paroxetine. These drugs have good effect in geriatric depression. For that you can consult your
psychiatrist.
Rest medicine like avodort or
montelukast and sybicort, you have to take. It would help to control asthmatic attack, but sybicort could increase underline depression or anxiety, but there is no good alternative. Get you ACTH and CRH level to rule out any underline hormonal abnormality.
In case, you need further help, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
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