Cymbalta

Specialties NP

Published

Hello all! I'm wondering if any of you have used Cymbalta in any of your patients? I have a few patients who are currently on Effexor XR and are having side effects, but need an SNRI as opposed to just an SSRI. I'm thinking that Cymbalta may give them another option, but the side effect profile looks remarkably similar to that of Effexor. Anyone have any experience using it in your patients? Thanks in advance!

Jan

Although it is not a SNRI, I take Wellbutrin. No sexual side effects, no weight gain. I haven't had success with pure SSRIs so I figured I would try something that acted on dopamine and norepinephrine. Like effexor, it does increase anxiety. I am tempted to come off for that reason.

Yellow Finch, I am curious to know what your dose of Effexor XR was before you switched to Cymbalta.

I am also hearing that Cymbalta is good for anxiety and yes, I've heard it is also weight neutral because of the norepinephrine effect as well. I have an equal amount of patients on Cymbalta vs. Effexor and have a lot of patients who love Cymbalta and the same can be saidi for Effexor. I do wonder if Cymbalta is as effective for anxiety although the patients say that it is helpful. Many say that it has helped with pain issues. I am concerned about weight gain for many of them.

Have you had many patients gain weight or had patients get cravings on Effexor XR vs Cymbalta?

Curious to know. Thanks.

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