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A member asked:

Are you saying wellbutrin is safe to take if one has glaucoma? cymbalta (duloxetine) has increased the pressure and i am looking for a safe substitute

2 doctor answers6 doctors weighed in
Dr. John Baker
Neurology 14 years experience
Glaucoma: There is caution recommended for Cymbalta (duloxetine) in people with 'uncontrolled' angle closure glaucoma, not open angle glaucoma. Wellbutrin is not a common problem with any glaucoma.
Dr. Jon Fishburn
Ophthalmology 30 years experience
Agree. However, almost all antidepressant , antianxiolytic medications have warnings about glaucoma. I always recommend pressure
Oct 28, 2012
Dr. Jon Fishburn
Ophthalmology 30 years experience
Continuing: a pressure check of the eye when starting particularly if the type of glaucoma they have is not fully elucidated (common).
Oct 28, 2012
Dr. Richard Lehrer
Ophthalmology 33 years experience
Depends: Many antidepressants are in the category of tricyclics and others which can cause worsening of narrow angle glaucoma. It is important to check with your eye doctor. In some severe cases, medications can be used even if risky, under close supervision. Different meds can affect pressure differently.

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Last updated Nov 23, 2014

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