Psychiatrist Questions

ANXIETY AND DEPRESSION

Well i wanted to ask for your opinion

I have been taking the anti-depressant Cymbalta-(duloxetine)-60 mg once day. I have been taking it since 2006 . So like 17 years. For depression and anxiety. all these years it has worked wonderfully for me. With no problems

Until a couple of weeks ago

i have been going thru a rough patch

Which started about 2 weeks ago.

And it seems like my cymbalta isnt doing what it suppose to.So i went to my dr last Monday June 19th , a week ago. And she increased my dosage to 90mg.

So i take 60 in the morning and 30 at night.

And she told me if in a week i felt like wasnt helping me to double the dosage, to 120. today, is the june 28th and

i feel like the 90mg hasnt done anything. i still feel anxious and depressed . And i called the dr today and dr said to go ahead and start increasing it to 120mg total daily. i just wanted to get a 2nd opinion.

Female | 44 years old

4 Answers

Hello! Depends on situation. Proper assessment needs to be completed. I think it needs to be given a little time
My answer to this question: Have your psychiatrist refer you for genetic testing. Genetic testing will show which antidepressants will work best for you. Dr. Badiola
Hello, first in my opinion anti depressants are to be used for one or two years. But as psychiatrist generally do not understand depression they just keep prescribing or raising doses rather than healing the illness. I say this as I am one of the primary doctors who helped bring Cymbalta to market years ago. But as I am not your treating physician you may increase to 120 as that dose has been proven to help some patients.=20 I strongly suggest a therapist who will help you with the disease so medication can eventually be unnecessary. JJM
sometimes a medicine stops working in which case increasing it wont help. Cymbalt must be weaned VERY gradually though if you are going to try a different med so be aware of that. Im wondering also if some of the depression is not over more situational factors, which med cant fix. That is more the role of therapy. So you may have two things going on here. I hope this is helpful. Carol A Tavani, MD, MS, DLFAPA Executive Director, Christiana Psychiatric Services Office: 302 454 9900 Mobile: 302 540 2656