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A member asked:

Tramadol significantly improves my anxiety, attention and vigilance (associated with norepinephrine). should i look in to snris like fetzima/cymbalta?

A doctor has provided 1 answer
Dr. Paul Grin answered

Specializes in Pain Management

See a physician: While all SNRIs inhibit both serotonin and norepinephrine reuptake, research indicates that some of the newer agents may be more selective for these neurotransmitters than others. See your prescribing physician for medication adjustment.

Dr Fowler and another doctor agreed

Answered 5/30/2015

2.8k views

Thank

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People also searched for:

How can snri's such as Cymbalta and Effexor (venlafaxine) control anxiety if they work on norepinephrine..would not this increase anxiety?
How can a medication like cymbalta (duloxetine) which raises norepinephrine help with anxiety as Cymbalta (duloxetine) is approved for general anxiety at 60 mg.?
What is the recommended dose of cymbalta (duloxetine) for Chronic joint pain/anxiety? Is it safe to take 50mgs of tramadol 3x a day with 20mg cymbalta (duloxetine)?
Would an snri cause more anxiety in a person with an anxiety disorder since it increases norepinephrine in the brain?
I have generalized anxiety that causes chest pains and shortness of breath. Would a SNRI make it worse b/c of the added norepinephrine?

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