Some med changes

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tmjpain
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Date Joined Oct 2008
Total Posts : 2022
   Posted 7/9/2009 8:04 AM (GMT -7)   
My pain dr. is changing my antidepressant to Cymbalta. What are your thoughts on this med? Is it working well for you? Do you take at night or am? He has added some Oxy IR  10-20mg for breakthrough which he said will be better than the Percocet. I am on MEslon, changing from twice a day to three times a day. My pain has been horrible so I hope for a little relief soon and some much needed sleep. My body is exhausted. Also google Emotional Freedom Technique - I have had two treatments and they are finding out I have some subconscious blocks from my childhood that are blocking me from moving forward in my pain program. They feel we have gotten to some important aspects towards me being able to heal. Today I will have some trigger point inj. and nerve blocks. I end up with my whole head frozen so no pain, yea, and some needed sleep.
 
I continue to pray to see my light at the end of the tunnel. I will get well and get back to work!!
 
Thanks for listening.
 
Hope you all have a little bright spot in your day today and some sun!!
 
Suzane

Chartreux
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Date Joined Aug 2006
Total Posts : 9622
   Posted 7/9/2009 8:38 AM (GMT -7)   
The Cymbalta might help, it helped for me, but it cause night sweats and so I was taken off it...
I will wish you good luck with it and hope it can help! without any side effects of course!!!
Keep us posted, and give it a few days to work for you...
Soft Hugz...
((((((((((((((((((((((((((((((((((((Suzane)))))))))))))))))))))))))))))))))))))))))))))))))))))))))
**********************************************
* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc, Fibromyalgia, Gerd,
Enlarged Pituitary Gland, Sjogren's and Ocular Migraines

********>^..^<********>^..^<********>^..^<********


Gretchen1
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Date Joined Jan 2007
Total Posts : 3459
   Posted 7/9/2009 9:12 AM (GMT -7)   
I have a friend with MS that takes Cymbalta for nerve pain.  She isn't really depressed but the cymbalta does take the edge off.  She needs a breakthrough med but the cymbalta has helped. 
 
From what others have posted on the MS board, it either works fine or it does nothing.  I hope it works for you.
Gretchen  ~  diagnosed with MS July 2006
 
I have no lesions on my soul and so I will live with no limits.


bsjaguar
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Date Joined Jun 2009
Total Posts : 974
   Posted 7/9/2009 9:52 AM (GMT -7)   

A rheumy prescribed me cymbalta which I tried for about 6 wks. but got no relief from it at all.  My pain is muscular related though so maybe it will help you.  Good Luck!

Jag


PAlady
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Date Joined Nov 2007
Total Posts : 6795
   Posted 7/9/2009 2:19 PM (GMT -7)   
Tmj,
As you know, medications differ for everyone, so you'll need to see how it works for you. I don't know what anti-depressant you're being switched from. Remember these can take several weeks to reach their max. effectiveness. I took cymbalta briefly, and loved it, except it interfered with another medical condition I have, so I had to stop.

Yes, it's generally for nerve pain and depression. The 30mg dose helped my mood, but not the nerve pain, but the 60mg dose was the only medication that made my feet feel normal again. I wish so much I could take it. I take effexor, which is similar but not nearly as good at helping with the neuropathic symptoms in my feet.

If you're only at the 30mg dose, don't give up if you don't feel any relief. Just keep in touch with your doctor and after a few weeks he/she may want to increase the dose.

PaLady

tmjpain
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Date Joined Oct 2008
Total Posts : 2022
   Posted 7/9/2009 4:05 PM (GMT -7)   
Thanks everyone. My pain is very muscular in nature involving pretty much the shoulders and up.
The antidepressant I was on previously was Cipralex. Cymbalta releases two neurotransmitters as opposed to one with the Cipralex. My endorphins are not being produced or released so that is what we are working on. Also the depression of course because of the chronic pain. Constant headaches at 9-10/10 is no picnic for sure!
I was wondering because I have been on an antidepr. for a while (since Feb) is it possible that the Cymbalta could work sooner than the normal 4-6 wks?

Suzane

skeye
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Date Joined Mar 2008
Total Posts : 2976
   Posted 7/9/2009 7:11 PM (GMT -7)   
Hi Suzane,

I was on Cymbalta at up to 90 mg/day for at least 4 mo, if not longer (I've been on so many meds now that I tend to forget!). If I remember correctly, I took mine at night. It didn't help me at all (with either pain or depression), but I'm probably a bad example, as I am resistant to most medications. My doctor is fascinated by me because he has never seen anyone as resistant to medication as me & we have no idea why my physiology is so strange.

I don't think (but don't know for sure either) that you'd react faster to the Cymbalta because you were on another antidepressant before, as they are different drugs & have different actions, so it will still take a while for the new med to build up to therapeutic level in your system. Best of luck to you! I hope you find some relief with the new med!

Oh, I also wanted to mention that I have tried EFT. A family member persuaded me to try it about a year ago. I spent several hours on the phone with some guy & found the whole thing really odd. It didn't help me at all, and of course, they guy was "dumbfounded." He ended up saying that it must not have worked because I really have something physical going on (duh!). Lets just say that I was not impressed. But I don't want to discourage you from it & I hope that it can provide you with some relief! Every little thing that helps is worth it!

skeye

Post Edited (skeye) : 7/9/2009 8:19:20 PM (GMT-6)


tmjpain
Veteran Member


Date Joined Oct 2008
Total Posts : 2022
   Posted 7/9/2009 11:25 PM (GMT -7)   
Hi Skeye
Thanks for your opinions, they are greatly appreciated. I will definitely give the Cymbalta all the time it needs to work. Like I mentioned, one of my problems is the lack of neurotransmitters and they are doing everything to get the endorphins produced and released. It's one of the big problems when one is in chronic pain as you probably are aware. I also do meditation four times a day and use a device called CES to help release the endorphins.
Re:EFT it has worked wonderfully for me with the two sessions and we have unblocked some major problems as I mentioned earlier. This guy was fabulous and has great credentials. He is having excellent outcomes treating soldiers after having dealt with the effects of serving in the war. Sorry it didn't work for you. i know it's not for everyone. I didn't even know about this technique and the people at the headache and pain relief center felt that I was having a block as I was not advancing in the pain program and sure enough they were right!

Suzane

Hello~Kitty
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Date Joined Jun 2005
Total Posts : 610
   Posted 7/10/2009 4:02 AM (GMT -7)   
I take Cymbalta 60mg before bed, and it helps quite a bit for my nerve pain and depression, but it also has done wonders to help control my migraines, as I havent had one of my severe ones since I started the cymbalta 9 months ago. But truthfully the withdrawals of ever having to stop cymbalta scares me alot, if I forget to take one dose, I will start to feel horrible. I get these weird feelings that I call brain zaps, like my brain has some weird mini seizure. So really I havent gone more then a half a day with missing a dose, but I'm scared to know what would happen after a half a day....But then I remind myself that I will always probably need an antidep med cause I'm pretty sure my depression is here to stay. But I will admit that i did expect more from this med, my anxiety is still nowhere in control, but I have no idea how that can be controled at all, I really need to get in to see a doctor that specializes in depression but wont happen but that's a whole other story that I wont get into lol. But everyone reacts to meds way diffrently then the next person, so you shouldn't listen to one's good or bad experience and think that it will happen to you, we all are so diffrent in how our body uses the meds.

-hellokitty

Chronic Pain Moderator

Dx-Gallstones at age 14 that caused Fibromyalgia in 1998. Chronic Pancreatitis at age 15 from Pancreatic Divisum. Fell down cement basement stairs on my bottom in 2001. Got severe migraines after the epidural from my 2nd childbirth in 2002. Was rear-ended by a lady doing 55mph in 2004 then 2 months later rolled my car down a hill and did even more damage to my back. Depression caused by having chronic pain. Asthma from allergies.

meds- Suboxone for pain, Cymbalta for pain and depression, Lyrica for pain and migraines, Imitrex for migraines, Ibprofen for migraines, Ventolin Albuterol inhaler for asthma. Phenergan for nausea, Seroquel for sleep.

"I know God will not give me anything I can't handle. I just wish that He didn't trust me so much."         -Mother Teresa


skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 7/10/2009 6:31 AM (GMT -7)   
Kitty,

I had the same problem with "brain-zaps" when I was withdrawing from Cymbalta. We went really slow, but I still got them. Not so much fun, although I have heard that this is fairly common!

Skeye

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 7/10/2009 9:27 AM (GMT -7)   
Kitty,
Cymbalta probably isn't the best choice for controlling anxiety, but it's not really designed to. Some other anti-depressants help with anxiety, but again this is individual. There are many other ways to help anxiety that can be done on a self-help basis. There's a great workbook called The Anxiety and Phobia Workbook by Edmund Bourne, Ph.D. that you can probably get even at the library or fairly inexpensively for a used copy on amazon. It's based on Cognitive Behavioral Therapy (CBT). Guided iimagery and relaxation strategies are also helpful. So don't feel you have to rely only on medication for anxiety.

PaLady
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