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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat The Major Depression, Anxiety And Sleep Apnea?

I am currently taking 10mgs of strattera per day in addition to 80mgs of fluoxetine in an effort to control my depression. In the past, I have been prescribed cymbalta for cronic pain do to fibromyalgia. I experienced side effects including night sweats so bad I would have to change my pjs in the middle of the night as well as increased thoughts of suicide. I have been taking strattera for 3 weeks now and began with night sweats after only 1 week. I spend nearly everyday thinking about suicide and have cut off most of my communication with family and friends. I am currently taking a number of medications including lyrica (150mgs 3 x/day), vicodin, baclofen, trazadone (100mgs) and topamax (50mgs 3 x/day). I have also recently tried abilify and nuvigil. I have been diagnosed with major depression, anxiety, PTSD, fibromyalgia and sleep apnea. Most recently I have had a hysterectomy and two spinal fusions. My doctor has been very cautious about what he prescribes because of past side affects. Is there a similarity in cymbalta and strattera that I should be aware of? Should I be asking my doctor to try something different and if so can you give me any recommendations? My doctor is on vacation this week and I will be seeing him first thing Monday morning.
Wed, 26 Mar 2014
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Psychiatrist 's  Response
HI
Thanks for using healthcare magic

I think, you are too many drugs. There is no need of stratterain your case. It is atomoxetine and normally used in ADHD. You can continue with cymbalta, lyrica, trazodone, topamax,nuvigil and one sleeping pills. There is no need of abilify. It is a antipsychotic and you have no psychotic symptoms. Better to consult your psychiatrist for medication review.

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How To Treat The Major Depression, Anxiety And Sleep Apnea?

HI Thanks for using healthcare magic I think, you are too many drugs. There is no need of stratterain your case. It is atomoxetine and normally used in ADHD. You can continue with cymbalta, lyrica, trazodone, topamax,nuvigil and one sleeping pills. There is no need of abilify. It is a antipsychotic and you have no psychotic symptoms. Better to consult your psychiatrist for medication review. Thanks