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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Depression , Chronic Fatigue And Body Pain

I am depressed I've been on Cymbalta for 10 years ,don't think it helps any more .. I am going through a divorce but I've been getting worse I feel chronic fatigue, aches all over I need a different medication idea there are not many doctors around here that know anything it's awful .. no mental help doctors either I'm about to give up.. please help
Tue, 22 Sep 2015
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Psychiatrist 's  Response
Hello thanks for asking from HCM for your health related queries

I can understand your concern. Cymbalta is Duloxetine and is a SNRI drug. You are taking the drug since last 10 years but due to current situations the symptoms have relapsed and are causing significant problems. In such case there is need to change the medicines. Other medicines like Venalafaxine, Mirtazapine, Tianeptine etc can help you. These medicines will help to reduce the depressive symptoms and you will find great improvement. Apart from this as the symptoms have aggravated due to divorce problems so cognitive therapy can also help you. Visit a doctor for proper evaluation and treatment.

Thanks, Hope this helps you. Take care
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Psychologist Dr. K. V. Anand's  Response
Dear
Welcome to HCM
We understand your concerns

I went through your details. Please do not give up. In fact, you cannot give up, because you cannot stop trying. First of all, You should be able to distinguish between disappointment and depression. Disappointment also brings on symptoms identical to depression but they are short lived. You are going through a divorce. You are disappointed, not depressed. Disappointment is acute and clinical depression is chronic.

You are disappointed, disgusted, stressed and therefore you feel chronic fatigue. That is normal. Within a few days this acute stage will pass. Just believe it will pass. Exercise is one way to keep your body and brain neurons toned up. Being with friends and well wishers and getting their motivation and support is also advisable. Drink plenty of water and take deep breaths several times a day.

If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible.

Hope this answers your query. Available for further clarifications.
Good luck. Take care.
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Suggest Treatment For Severe Depression , Chronic Fatigue And Body Pain

Hello thanks for asking from HCM for your health related queries I can understand your concern. Cymbalta is Duloxetine and is a SNRI drug. You are taking the drug since last 10 years but due to current situations the symptoms have relapsed and are causing significant problems. In such case there is need to change the medicines. Other medicines like Venalafaxine, Mirtazapine, Tianeptine etc can help you. These medicines will help to reduce the depressive symptoms and you will find great improvement. Apart from this as the symptoms have aggravated due to divorce problems so cognitive therapy can also help you. Visit a doctor for proper evaluation and treatment. Thanks, Hope this helps you. Take care