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A 49-year-old male asked:

Cymbalta (duloxetine) 60/tegretol 600/lamictal 100/klonopin 2.5..terrible racing thoughts..cannot take lithium and diabetic...any thoughts?

1 doctor answer2 doctors weighed in
Dr. Donald Jacobson
A Verified Doctoranswered
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Talk to your psych: I would personally stop the Cymbalta gradually while adding in saphris, (asenapine) latuda, depakote, or fanapt. Discuss with your psychiatrist first.
Dr. Donald Jacobson
A Verified Doctor commented
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Provided original answer
Your diabetic Dr should confer with your psychiatrist. Plenty of my bipolar disorder patients with diabetes are on atypicals and their diabetologists work with me on it. I would seriously consider a different diabetologist if he or she won't work around your bipolar meds. Bipolar disorder can be much more lethal and certainly more impairing than diabetes.best wishes.
Nov 29, 2013
Dr. Jane Steiner
Psychiatry 43 years experience
Most people will try to avoid antidepressant s in someone who is bipolar, but as you have OCD there should be a good reason why you are taking the Cymbalta. Is it helping your OCD? Have you tried all the more typical OCD drugs like the SSRI's and clomipramine? I think it depends whether the "racing thoughts" are related to worry or mania.
Jan 26, 2014
Dr. Donald Jacobson
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Thanks for the additional info. My screen did not show the OCD part. I agree with you completely.
Jan 26, 2014

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Last updated Jun 9, 2015

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