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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Wean Off Of Cymbalta?

I am currently on cymbalta for fibromalygia ,I started about 1 month ago . I want to stop taking it because of the side effects I am experiencing . Insomnia, tremors , racing heart rate, tired and sleepy during the day. My brain feels foggy and I cannot have an orgasm. I hate the way I feel . I am also on Remicade for anklylosing spondylitis Any advise will be appreciated. , s
Tue, 20 Jun 2023
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General & Family Physician 's  Response
Hi,

Weaning off Cymbalta (duloxetine) should be done under the guidance and supervision of a healthcare professional, as abruptly stopping the medication can lead to withdrawal symptoms.

Here are some general guidelines that may be followed, but it's important to consult with your doctor for personalized advice and to discuss a tapering schedule that suits your specific situation:
* Consult with your healthcare provider: Before starting the tapering process, discuss your desire to discontinue Cymbalta with your doctor.
* Gradual tapering: Cymbalta should be tapered slowly to minimize the risk of withdrawal symptoms. Typically, this involves reducing the dosage gradually over several weeks or months.
* Follow your doctor's instructions: Strictly follow the tapering plan provided by your doctor. This may involve reducing the dosage by a certain percentage or switching to a lower-strength formulation, such as capsules with smaller doses.
* Monitor for withdrawal symptoms: During the tapering process, be aware of any withdrawal symptoms that may arise. These can include dizziness, nausea, headache, irritability, insomnia, and flu-like symptoms. If you experience any concerning symptoms, inform your healthcare provider.
* Supportive care: Engage in self-care practices to support your overall well-being during the tapering process. This may include maintaining a healthy lifestyle, getting regular exercise, practicing stress-reduction techniques, and ensuring adequate sleep.
* Regular follow-up: Stay in close communication with your doctor. They will monitor your progress, address any concerns or challenges, and provide ongoing support.

Remember, everyone's experience with medication withdrawal can vary, and a personalized approach is crucial.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammad Umer Farooq, General & Family Physician
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How To Wean Off Of Cymbalta?

Hi, Weaning off Cymbalta (duloxetine) should be done under the guidance and supervision of a healthcare professional, as abruptly stopping the medication can lead to withdrawal symptoms. Here are some general guidelines that may be followed, but it s important to consult with your doctor for personalized advice and to discuss a tapering schedule that suits your specific situation: * Consult with your healthcare provider: Before starting the tapering process, discuss your desire to discontinue Cymbalta with your doctor. * Gradual tapering: Cymbalta should be tapered slowly to minimize the risk of withdrawal symptoms. Typically, this involves reducing the dosage gradually over several weeks or months. * Follow your doctor s instructions: Strictly follow the tapering plan provided by your doctor. This may involve reducing the dosage by a certain percentage or switching to a lower-strength formulation, such as capsules with smaller doses. * Monitor for withdrawal symptoms: During the tapering process, be aware of any withdrawal symptoms that may arise. These can include dizziness, nausea, headache, irritability, insomnia, and flu-like symptoms. If you experience any concerning symptoms, inform your healthcare provider. * Supportive care: Engage in self-care practices to support your overall well-being during the tapering process. This may include maintaining a healthy lifestyle, getting regular exercise, practicing stress-reduction techniques, and ensuring adequate sleep. * Regular follow-up: Stay in close communication with your doctor. They will monitor your progress, address any concerns or challenges, and provide ongoing support. Remember, everyone s experience with medication withdrawal can vary, and a personalized approach is crucial. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammad Umer Farooq, General & Family Physician