A member asked:

Going to lower cymbalta (duloxetine) from 60 to either 30 or 40 to see if racing thoughts will subside a bit, any advice 30 mg or 40 mg?

9 doctors weighed in across 4 answers
Dr. G. Wen answered

40 first: Try 40 first and see. Or even 50mg (20mg + 30mg). Tapering should be gradual in order to have a better efficacy.

Answered 1/13/2014

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Actually - please: Contact your psychiatrist or prescribing provider asap. Am concerned that the medication may have flipped you into mania or hypomania. This warrants immediate attention.

Answered 1/14/2014

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See below: Please don't do any self-adjustment and contact your prescribing provider to help you adjust medications. Good luck!

Answered 12/27/2014

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Dr. Pamela Pappas answered

Specializes in Psychiatry

Racing thoughts: If you're having racing thoughts in relation to cymbalta, (duloxetine) your psychiatrist needs to know now. Like other antidepressants, Cymbalta (duloxetine) can induce hypomania or mania in susceptible individuals. Please call your psychiatrist about this asap. If you can't reach your psychiatrist, go to an er. It's that important.

Answered 6/24/2014

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