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nucynta and cymbalta

A 22-year-old female asked:
Dr. Manuel Lopez diaz
28 years experience Emergency Medicine
No interaction : There no interaction between Nucynta (tapentadol) ER and Cymbalta sometime for chronic pain conditions they are prescribed together .
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2 thanks
Dr. Moshe Lewis
25 years experience Physical Medicine and Rehabilitation
Not recommended: There is a concern about serotonin syndrome in having these medications at the same time or even very close together.WHile we realize that this is a s ... Read More
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1 thank

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A 36-year-old female asked:
Dr. Donald Jacobson
A Verified Doctor answered
A US doctor answered Learn more
They are both long: Acting enough that the timing is likely irrelevant. www.drugs.com has the following warning on any combination of sedating meds.Monitor: central nervo ... Read More
Dr. Thomas Steele
59 years experience Psychiatry
Potential problems: Those are fairly high doses of each. There is a risk of excess sedation, but also a more serious potential risk of serotonin syndrome. This is the sor ... Read More
A 34-year-old female asked:
Dr. Sarah Blake
20 years experience Pain Management
Facet Injections? Tr: Have you discussed with your doctor lumbar facet injections or medial branch blocks? Have you tried lumbar traction?
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1 thank
Dr. David Rosenfeld
27 years experience Pain Management
See below: You have lots of options. Gabapentin or Gralise or savella (milnacipran) for the fm. There are many other opiods (and non opioids) to replace the nu ... Read More
Dr. Qamar Khan
17 years experience Pain Management
Facet Arthropathy: These are joints in the spine where the bones articulate and can develop bone spurs and cause pain typically with extension. I would consider seeing ... Read More
A female asked:
Dr. Bennett Machanic
52 years experience Neurology
Research suggests: That use of narcotics in fibromyalgia may be a bad choice in the end and drugs such as Cymbalta, Savella, (milnacipran) and Lyrica offer better longte ... Read More
A 35-year-old female asked:
Dr. Heidi Fowler
25 years experience Psychiatry
One option: Don't know your diagnosis. Discuss acpuncture with your physician as a possible adjunct to your treatment regimen.
A 66-year-old male asked:
Dr. Ruth Seaman
A Verified Doctor answered
A US doctor answered Learn more
A multi-use medicine: Duloxetine increases the amount of norepinephrine and serotonin in the tiny space between neurons for a few microseconds. More importanly for the tre ... Read More
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2 thanks
A 75-year-old female asked:
Dr. Robert Kwok
33 years experience Pediatrics
Question vague, but: You posted your question on our free, public, informational forum... where diagnoses, medical advice, or medical care are not given. Try a private con ... Read More
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1 thank
A 46-year-old male asked:
Dr. Pamela Pappas
42 years experience Psychiatry
Rarely: It is very rare, but yes it can.
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1 comment
A 31-year-old member asked:
Dr. Mark Reynolds
33 years experience Psychiatry
Duloxetine: The most frequent side effects with Cymbalta (duloxetine) include nausea (so take with food), headache, dry mouth, sleepiness, sweating and initially ... Read More
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23 thanks

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