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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by manic666 on November 21, 2009, at 7:52:37
i am going into strange a new world for me with this.COMBO. now i take 100mg of sertraline an get jiont pain. when i was on cymbalta , it was crap for me in the depression department but it got ride of aches an pain,s. sssssssso if i was to take 50mg of sertraline an an amount of cymbalta.there may be a chance of nukeing the pain ,an just staying stable on setraline. what about that do you think.
Posted by delna on November 21, 2009, at 8:13:34
In reply to in theory could this work, posted by manic666 on November 21, 2009, at 7:52:37
> i am going into strange a new world for me with this.COMBO. now i take 100mg of sertraline an get jiont pain. when i was on cymbalta , it was crap for me in the depression department but it got ride of aches an pain,s. sssssssso if i was to take 50mg of sertraline an an amount of cymbalta.there may be a chance of nukeing the pain ,an just staying stable on setraline. what about that do you think.
But is it even safe to combine 2 drugs that both increase serotonin levels so strongly. In theory (from what i have read) it is not safe because of increased risk of serotonin syndrome. Maybe in practice it can be done....not sure
Love
D
Posted by Phillipa on November 21, 2009, at 10:12:54
In reply to in theory could this work, posted by manic666 on November 21, 2009, at 7:52:37
Manic how how zoloft you thinking and how high cymbalta. I've had paxil and luvox combined by my doc long time ago but was in very tiny dose 7.5mg paxil and 12.5 luvox. Cymbalta got rid of my pain also. Can't you take motrin for the joints? That's what they do here? Love Phillipa pa the zoloft really got rid of your depression? Seriously your're lucky
Posted by bleauberry on November 21, 2009, at 14:41:02
In reply to in theory could this work, posted by manic666 on November 21, 2009, at 7:52:37
I would feel fairly confident in combining the lowest dose of cymbalta with a moderate dose of zoloft without risk of serotonin syndrome. But there is no way to predict.
However there are much better options. For example, as a pain reliever, Nortriptyline in my experience blows cymbalta in the weeds. I haven't tried amitriptyline, but I suppose it would work as well or better than nortriptyline.
I've tried a lot of pain relievers for Lyme disease complications. The best of the best was a mere 5mg (one half of the lowest dose capsule) nortriptyline nightly. The pains began disappearing by day 3 and were gone by day 5. I liked that it worked so fast and so thorough at such a low dose with hardly any side effects at that dose.
I'm not a rocket scientist or a doctor but I do not favor cymbalta. A few people find it to be miraculous once in a while, but those stories usually end in poopout a few months later. For me it is also a depression worsener, not a depression improver. If someone has issues of depression and pain, in my book the number one first line trial is nortriptyline, maybe amitriptyline instead if insomnia is also an issue.
Nortriptyline also happens to partner very well with zoloft for a more thorough antidepressant response.
My two cents.
Posted by manic666 on November 22, 2009, at 3:28:08
In reply to Re: in theory could this work, posted by bleauberry on November 21, 2009, at 14:41:02
thanks ,you right about cymbalta , the only thing i got from it was pain relief in the begining, come to think obout it it wore off ater a while an i nuked the cymbalta.
This is the end of the thread.
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