Well I've been on Cymbalta 60 MG. for about 5 weeks now and I haven't had any pain relief. So I saw my pain dr. (I hadn't seen him for about 6 months...Instead I've been seeing his nurse practitioner at the same office. My dr had left a real nasty message on my cell phone about 6 months ago after I had the nerve to call too many times with questions and with prior authorization issues that needed his attention. Since I had no place else to turn for my much needed pain meds, I couldn't tell him where to shove it and move on to another clinic. They gave me the option of seeing the nurse practitioner for my monthly appts, so that's how it worked...For some reason my pain dr. actually walked into the room this time, much to my surprise). It was my primary physician who had started me on Cymbalta 60 MG, but I asked the pain dr if he thought we could increase the dose, since the current level wasn't helping. He proceeded to rip into me for my weight issues (I'm 6-2 and about 360 pounds). Keep in mind that I was about 322 at my very first office visit and he never, not even once talked to me about my need to lose weight. Of course I knew I had to lose weight without him having to tell me. Now, out of the blue, he quite aggressively tells me I have to lose a bunch of weight, or the pain meds will soon stop working. I tell him that it's not easy, since I'm about 95% sedentary due to my horrible, constant pain. He blames Obamacare and says that he needs to justify why he's prescribing all these heavy pain meds. He says if I'm sedentary and not losing weight, what's the benefit of the pain meds (Um, how about pain relief? How about without it, I'd just lose all hope and want to die?). Then he says, if I don't start showing significant and continuous weight loss, starting with the next office visit in 1 month, he will start reducing my dose of pain meds. He said if I can't lose the weight on my own, than I need to go for gastric bypass. So basically, after over a tear and a half of office visits with no talk of weight loss, he's threatening me with losing some of my pain meds if I don't start losing significant weight in 1 month and continue month after month. I left the office fighting back tears. My wife and nephew were waiting for me in the car and I didn't want them (especially my nephew) to see my emotional state at that time. I get within 5 feet of the car and my nephew asks, what's wrong? So I guess I didn't do a very good job of acting strong. So that's where I'm at. I'm terrifies of losing my pain meds. Every time I take a bite of food, I get scared and nervous, even if it's something that's on my diet. My wife told me I should have started crying in the office, so he could see how much of an ***hole he was. I'm so tired of having to walk on eggshells and taking crap, or else risk losing my doctor and thus my lifeline (pain meds). Has anyone else experienced anything similar to this from their doctor? I think my depression has gotten worse since I stopped the Prozac & started Cymbalta. I'm going through all kinds of mood swings, sudden frustration and anxiety. My wife says I've gotten much worse, and she's worried about me...I can go from zero to crying in no time. If I was getting pain relief, I'd consider it a trade-off...Less pain vs more depression. Maybe once my pain improved enough, my depression would get better? Who knows? Im going to ask my primary physician to bump me up to 90 MG of Cymbalta and see what happens. I'm not a very jolly person, this holiday season.
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