A 44-year-old female asked:
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can a fibromyalgia patient on nortriptyline take cymbalta (duloxetine) for depression ?

2 doctor answers
Dr. Ravi Chand
25 years experience Psychiatry
Fibromyalgia: Dear butterfly78765, nortriptyline is an older tricyclic antidepressants which has cardiac and anticholinergic side effects. It would be best to optimize one medication, either one would be fine, Cymbalta (duloxetine) would be preferred due to lesser side effects, major one being 10% patients can get high blood pressure. The answer is purely for educational purposes, please contact your md.
Answered on Aug 15, 2017
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Dr. Ronald Krauser
51 years experience Rheumatology
Yes: Nortriptyline has value in treating fibromyalgia as does cymbalta (duloxetine). They can be taken at the same time.
Answered on Oct 27, 2017
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