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Muscle twitches post staph infection

Hi i recently had staph infection about a few months ago and i was treated with a 100mg sulfar based medication and a 100mg deoxycycline i think which is the same one used to treat acne , while also being on cymbalta 60 mg daily dosage. During that time i had a few puffs of a cigarette but i didnt know til after my friend had put marijuana in it as well. My heart started beating fast and i felt like i was having a hear attack so i went home and took the deoxycycline and i calmed down after about an hour. But ever since then i ve had involuntary twitches and my cymbalta effect has plummetted. What should i take to get rid of the twitches and i am switching depressants asap...
Asked On : Fri, 6 Apr 2012
Answers:  1 Views:  338
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Psychiatrist 's  Response
thank you for your query. there is no common drug interaction between doxycycline and duloxetine (cymbalta). however, duloxetine can increase the effect of cannabis on the central nervous system to some extent. however, that too appears unlikely with only a few puffs of marijuana. also, it does not explain the continuous muscle twitches since then.
If I a patient with your symptoms comes to me, I would reassure him not to worry about drug interactions and heart attacks. however, in my opinion, it seems the heart beating fast (palpitations) and muscle twitches are manifestations of anxiety, due to a relapse or worsening of the primary symptoms for which duloxetine was prescribed. this is also supported by the fact that effects of duloxetine (cymbalta) has plummeted. I would have either increased the dosing of duloxetine, or top it up with another antidepressant or switch altogether to another antidepressant.
please consult your treating psychiatrist for adjusting the dosage of your medications.
hope i've been able to satisfy your query. please don't hesitate to contact me for any further clarifications.
Answered: Thu, 29 Aug 2013
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