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Old 04-08-2009, 05:42 AM   #1 (permalink)
 
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Default lexapro & cymbalta

Hello, I am currently on 15 mg lexapro for general anxiety and obsessive thoughts/perfectionism for around 8 months.

My doctor today decided to put me on cymbalta.

Do I have to taper off lexapro or just jump to cymbalta?

Also if I need to taper, I suppose that I don't have to taper lexapro very slowly (as if I wanted quit AD completely), I mean can I split the lexapro dose in half (7.5) and the cymbalta capsule in half also?

Can I use them both? Because my doctor told me that I could use both if I like.

Thanks in advance.
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Old 04-08-2009, 06:31 AM   #2 (permalink)
 
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Just jump to Cymbalta.
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Old 04-08-2009, 06:44 AM   #3 (permalink)
 
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Right answer, Sir.
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Old 04-08-2009, 08:10 AM   #4 (permalink)
 
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Thanks guys, thats what my doctor said, but I wanted to be sure.

So how to you find the change from lexapro to cymbalta?
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Old 04-08-2009, 12:25 PM   #5 (permalink)
 
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Why is he switching you, if you don't mind me asking?
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Old 04-09-2009, 01:02 AM   #6 (permalink)
 
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Hi euphoria, to tell you the truth he put me on both, because I still have intrusive thoughts after using lexapro for some time.

But today I am thinking that I am on 15mg lexapro only for 6 weeks and there was improvement from when I was using 10mg.

So believe it or not he told me to up my dose to 20mg lexapro. Since I was very hesitant, then he told me that better than 15mg lexapro, for my condition is prozac or lexapro 10mg combined with cymbalta.

From what I believe he is a doc supporting high doses of SSRIs/SNRIs, as he explained to me that first I have to be cured completely and then wean off. So this can be achieved with therapy and enough medication.

Now after browsing yesterday for almost all day forums etc, I saw terrible withdrawals from cymbalta and also that it doesn't come in liquid form and therefore it is very difficult to taper slowly.

Ultimately do you think that 10mg lexapro combined with 60mg cymbalta, will be better than 20mg lexapro?

Have you ever heard lexapro & cymbalta together?
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Old 04-09-2009, 04:54 AM   #7 (permalink)
 
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I am not a fan of combining SSRIs with other SSRIs or SNRIs.
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Old 04-09-2009, 05:12 AM   #8 (permalink)
 
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Thanks Medline. Do you suggest any other combination with lexapro?
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Old 04-09-2009, 05:14 AM   #9 (permalink)
 
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eg. with Wellbutrin if energy, SSRI-induced sexual problems or weight-loss are issues.
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Old 04-09-2009, 05:26 AM   #10 (permalink)
 
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Yeah I heard about Wellbutrin, I will bring it up to my doctor (who always says yes to meds anyway). However out of the problems you posted, I am having only the sexual disfunction and this since I upped my dose to 15mg and added Propecia for hair loss. So I don't know if the problem rise from the lexapro increase or the addition of Propecia (documented side effect of it) or both.
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Old 04-09-2009, 07:28 AM   #11 (permalink)
 
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Quote:
Originally Posted by Medline View Post
I am not a fan of combining SSRIs with other SSRIs or SNRIs.
I was almost going to make a thread about this until you mentioned it in this thread. Why are you not a fan of combining SSRI's or SNRI's? I am currently on Zoloft for the second time, and it surprisingly is helping with my depression some already (assuming this isn't hypomania), but I have never tried Luvox before so I am wondering what it would be like to take it with Zoloft. The interest in Luvox is also due to Luvox CR's approval for social anxiety disorder as well as OCD (i.e. regular Luvox would have the same indications if taken multiple times daily).
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Wellbutrin SR 300mg, Eskalith CR 900mg, Luvox 100mg

Things I have tried:
Lexapro, Zoloft, Celexa, Prozac, Paxil, Effexor XR, Remeron, Wellbutrin SR, Eskalith CR, Topamax, Valium, Xanax, Ativan, Ambien, Restoril, Desyrel, Ritalin, Adderall, Dexedrine, Inderal, Lopressor, Thorazine, Lamictal, Abilify, Depakote, Geodon, Seroquel, doxepin, chloral hydrate
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Old 04-09-2009, 08:29 AM   #12 (permalink)
 
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I don't see the pharmacological point in combining several drugs that do literally the same thing.
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Old 04-09-2009, 11:03 AM   #13 (permalink)
 
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Does it worth to experiment which one fits me better, or better stick with lexapro and maybe raise the dose to 20mg ?
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Old 04-09-2009, 11:25 AM   #14 (permalink)
 
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I would raise the dose to 20mg.
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Old 04-09-2009, 10:46 PM   #15 (permalink)
 
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thanks Medline
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Old 01-08-2010, 08:55 PM   #16 (permalink)
 
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Medline is right, plus its hard to tell which drug is actually helping if your taking both antidepressants
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