Top
30
Doctor insights on: Cymbalta Vs Pristiq

Share
2

2
I've been on escitalopram for yrs. My dr. Advise to change it from cymbalta now to pristiq (desvenlafaxine) I have a very low tolerance on sideeffects any advise?

Pristiq (desvenlafaxine) side effects: Pristiq, (desvenlafaxine) an SNRI is approved to treat Depression. Most SSRIs and SNRIs r well tolerated and have few side effects. Often, side effects produced by these meds resolve in about a week. 2 limit side effects of any med, it is recommended to use the minimum dose necessary. Talk with ur doc about the side effects you've had in the past and make a plan in advance to manage any side effects if they arise. ...Read more

3

3
I am on 40mg of pristiq (desvenlafaxine) and 5mg of cymbalta and I cannot sleep a wink. What should I do?

I am on 40mg of pristiq (desvenlafaxine) and 5mg of cymbalta and I cannot sleep a wink. What should I do?

Tell prescribing Dr: In the meantime consider improving sleep hygiene. Retire & rise same time each day. Bedroom should be dark & cool - used only for sex & sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs & no alcohol or tobacco w/i 2 hrs of sleep. Dinner should be moderate sized & finished at least 2 to 3 hours before sleep. Can try warm milk, chamomile tea or melatonin ...Read more

4

4
Was taking 100mg Pristiq (desvenlafaxine) a week ago and doctor switched to 30mg cymbalta. I, want to go alone, can I just stop completely please?

On the Internet?: I think all of us would speak with one voice on this very important subject. We would advise you to not get any advice about your mental health treatment from a stranger. Even a stranger who is a physician. Only your physician who knows you best and who cares for you should be asked this question. It is not safe to make changes to your mental health treatment on your own or with strangers. ...Read more

5

5
Doctor has changed medication from Pristiq (desvenlafaxine) to Cymbalta, what is the main difference please and am now more likely to gain weight please. Thank you?

Cymbalta, Pristiq (desvenlafaxine): Both medications are dual action antidepressants. At high dose Pristiq (desvenlafaxine) may be a triple action antidepressant.
Short term studies show little weight gain in both meds.
However individuals vary with regard to side effects as well as their response to a particular antidepressant.
Long term studies indicate that similar drugs can cause significant weight gain in susceptible individuals. ...Read more

6

6
Why would cymbalta make a difference than the anti depressant Pristiq (desvenlafaxine) pleaseb?

Why would cymbalta make a difference than the anti depressant Pristiq (desvenlafaxine) pleaseb?

Different people: People have different responses. This is true for all medicines.

Some medicines work better for some people than for others. It's not entirely trial and error, but it can be surprising how differently people respond to medicines.

Changing one medicine to another- the goal is that it would be more effective and cause fewer side effects. ...Read more

7

7
Given pristiq (desvenlafaxine) and cymbalta. Those drugs kept me up all night. Is seroquel more sedating?

Meds: Pristq and Cymbalta (duloxetine) act in a similar manner and increase risk for high blood pressure, sexual side effects and potentially life threatening serotonin syndrome
consult your md before making any changes. ...Read more

8

8
I was on cymbalta, recently changed to pristiq (desvenlafaxine). Since the change I have noticed an increase in joint pain. What is your thought.

I was on cymbalta, recently changed to pristiq (desvenlafaxine). Since the change I have noticed an increase in joint pain. What is your thought.

? more effective: Cymbalta may be more effective for pain control. Pristiq (desvenlafaxine) has never been fda approved for pain managment while Cymbalta has. These are somewhat similar meds but I always prescribe Cymbalta for pain control when appropriate because it has the data supporting its effectiveness. ...Read more

9

9
Was allergic to Effexor XR but helped the most! Today tried pristiq (desvenlafaxine) and itching! Next I'm trying cymbalta but don't want weight gain! : ( ( ( (?

Was allergic to Effexor XR but helped the most! Today tried pristiq (desvenlafaxine) and itching! Next I'm trying cymbalta but don't want weight gain! : ( ( ( (?

Acctualy…: Cymbalta (duloxetine) has a side effects: loss of appetite, nausea, dry mouth, constipation, tiredness, drowsiness. Constipation is the most common, but adding magnesium to the mix is helpful.
The allergic reaction to this drug is also rare.
I hope it will be the right medication for you. ...Read more

10

10
I tried celexa, effexor, cymbalta, pristiq, (desvenlafaxine) lexapro, zoloft, wellbutrin, which barely helped. What else could I try? How do u feel about paxil?

I tried celexa, effexor, cymbalta, pristiq, (desvenlafaxine) lexapro, zoloft, wellbutrin, which barely helped. What else could I try? How do u feel about paxil?

Agree w/Dr. Buggie: I agree with dr. Buggie about the need for psychiatric evaluation and ongoing treatment. Wellbutrin does not help with anxiety. Paxil (paroxetine) is a reasonable choice, but whether it's right for you I cannot say. You're also on Adderall xr, which can exacerbate anxiety in some. Psychotherapy is an important part of treatment for anxiety also -- but you didn't mention pursuing that. ...Read more

11

11
Taking Cymbalta+Pristiq (cross-titration), Seroquel, (quetiapine) & Remeron. If I get an UTI & need take antibiotics, will it interact w/ drugs or ECT anesthesia?

Taking Cymbalta+Pristiq (cross-titration), Seroquel, (quetiapine) & Remeron. If I get an UTI & need take antibiotics, will it interact w/ drugs or ECT anesthesia?

Just inform Drs.: Treating a UTI is very important so just inform the Dr (s) all about the other conditions and Tx. They can make any needed adjustments and advise you of what to expect. Communication is the key. Tell, ask and stay w/ it till everyone is clear. Also query about wayd to minimize long-term use of so much medication. As soon as possible, try to cut back especially if you add psychotherapy. Best! ...Read more

12

12
It is said that cymbalta's serotonin to norephinephrine is 1:1. Does that make it an even ratio...And is it then stronger/weaker than effexor/pristiqe?

It is said that cymbalta's serotonin to norephinephrine is 1:1. Does that make it an even ratio...And is it then stronger/weaker than effexor/pristiqe?

Even: Cymbalta has a balanced/even effect on serotonin and norepinephrine, 1:1 ratio of blocking reuptake of both molecules. Technically, that would make it weaker than effexor, (venlafaxine) which has roughly 3:1 norepinephrine to serotonin reuptake inhibition. Clinically however, they are both beneficial for many similar diagnoses, it's just a matter of finding out which is better for each individual. Good luck! ...Read more

14

14
Neuro is adding Lexapro 2 my meds, hope u can c my med list now! & on Cymbalta (duloxetine) but then quit Cymbalta (duloxetine) after 2wks. These 2 meds safe 2 take together?

Neuro is adding Lexapro 2 my meds, hope u can c my med list now! & on Cymbalta (duloxetine) but then quit Cymbalta (duloxetine) after 2wks. These 2 meds safe 2 take together?

Dose duration matter: Cross-tapering antidepressants is often done to prevent negative side effects from coming off a medicine. Even a medicine that isn't working well enough is often doing 'something' and patients may miss it when it's gone. Although Cymbalta (duloxetine) interacts with A LOT of drugs, Lexapro doesn't. Over a short period (2 weeks), at reasonable doses, there shouldn't be problem. ...Read more

16

16
What is pristiq (desvenlafaxine) used for?

What is pristiq (desvenlafaxine) used for?

Pristiq (desvenlafaxine): Pristiq (desvenlafaxine) is a fairly new antidepressant -- it's a metabolic product of Effexor (venlafaxine). It can be helpful with various types of depression and anxiety disorders. Some have even found it useful in menopausal hot flashes. ...Read more

18

18
Any side effects from cymbalta (duloxetine)?

Any side effects from cymbalta (duloxetine)?

Duloxetine: The most frequent side effects with Cymbalta (duloxetine) include nausea (so take with food), headache, dry mouth, sleepiness, sweating and initially a decrease in appetite. Some people can have insomnia or vivid dreams. In general side effects are mild and go away within a few days. ...Read more

19

19
Can pristiq (desvenlafaxine) cause headaches?

Can pristiq (desvenlafaxine) cause headaches?

Yes: Usually these headaches are mild, transitory, and respond to tylenol (acetaminophen). ...Read more

20

20
Possible side effect to cymbalta (duloxetine)?

Possible side effect to cymbalta (duloxetine)?

G.I. symptoms.: The most common side effects of Cymbalta (duloxetine) are nausea, dry mouth, constipation, sleep change, diarrhea, appetite change, fatigue, dizziness, vomiting, and increased sweating. However, because of the uniqueness of your chemistry, anything can be a side effect. ...Read more

Dr. Alan Ali Dr. Ali
2 doctors agreed:
21

21
Can you take Ambien with cymbalta (duloxetine)?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
Can you take Ambien with cymbalta (duloxetine)?

Cymbalta (duloxetine): Ambien on "as needed" basis is safe with cymbalta (duloxetine). ...Read more

23

23
Can I take gravol with pristiq (desvenlafaxine)?

Can I take gravol with pristiq (desvenlafaxine)?

Medication safety: Using dimenhydrinate & desvenlafaxine together may ^ risk for "dizziness, drowsiness, confusion, and difficulty concentrating" per the Drugs. Com drug interaction checker. However, that does not mean that they can't be used together - just that it creates potential risk. Discuss with your doctor or pharmacist. ...Read more

24

24
Why does cymbalta (duloxetine) make you so tired?

Why does cymbalta (duloxetine) make you so tired?

Side effect: Many medicines can you feel tired as a side effect. Cymbalta (duloxetine) can do that as well. If you believe that is why you're having a problem, talk to the doctor who wrote the rx about your symptoms. ...Read more

25

25
Can I take cymbalta (duloxetine) & serc together?

Serc: Serc is a histamine h3 receptor antagonist. It is safe with Cymbalta (duloxetine) at low doses. Review with your doctor. ...Read more

26

26
Will cymbalta (duloxetine) help depersonslization?

Will cymbalta (duloxetine) help depersonslization?

Probably not: That is a complex disorder not easily treated with just a pill. See a psychiatrist. ...Read more

29

29
What are side effects of pristiq (desvenlafaxine)?

What are side effects of pristiq (desvenlafaxine)?

Pristiq (desvenlafaxine): Works well for some, with minimum side-effects, mainly slight nausea & headache &mild BP elevation at high doses. ...Read more

30

30
Can I take midol while on pristiq (desvenlafaxine)?

Midol & Pristiq (desvenlafaxine): Yes you can, if ok with your doctor. ...Read more