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Doctor insights on: Cymbalta Vs Pristiq For Pain

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Effexor (venlafaxine) vs cymbalta, currently Effexor (venlafaxine) 225, suffering from somnolence, fatigue.Cymbalta in such case?Best regards for your care.

Effexor (venlafaxine) vs cymbalta, currently Effexor (venlafaxine) 225, suffering from somnolence, fatigue.Cymbalta in such case?Best regards for your care.

Psychopharmacology : There are many different small details taken into account when considering medication choices for patients. Effexor (venlafaxine) and Cymbalta have some similarities. From your brief description it appears as though an appnt is needed with your dr. Make a list of concerns, questions. Bring in your meds, talk about the changes you might want to consider to target your concerns. Schedule extra time if needed. ...Read more

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Gabapentin vs amytriptyline for nerve pain?

Gabapentin vs amytriptyline for nerve pain?

Neuropathy: They are different. Often they can used in combination. I tend to reserve Amitriptyline for use at night for patients who are also having trouble with insomnia. Gabapentin must be titrated to minimize side effects. The most common problem i see is practitioners titrating to a high enough dose to get a reduction in pain. ...Read more

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Is venlafaxine better the cymbalta (duloxetine) for nerve pain ?

Is venlafaxine better the cymbalta (duloxetine) for nerve pain ?

They are: Not the same but in the same category as SNRI'S (Seratonin Norepinephrine Reuptake Inhibitors). So bottom line, since everyone is different, you would have to just try one. I will say this: watch out for withdrawal symptoms or side effects such as headaches, sweats, shakes, and irritability. If that happens you have to wean off extremeve slowly always under psychiatric supervision. ...Read more

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What is better for fibromyalgia: cyclobenzaprine or lyrica (pregabalin)?

What is better for fibromyalgia: cyclobenzaprine or lyrica (pregabalin)?

It depends: Every fibromyalgia patient is different and a medicine that works for one patient may not work for another. Cyclobenzaprine (flexeril) is a muscle relaxant that belongs to a class of drugs called the tricyclic antidepressants. Lyrica (pregabalin) is a seizure medicine that is also used to treat pain. While many patients benefit from these medicines, others don't tolerate them. You will have to try. ...Read more

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Cymbalta (duloxetine) or celebrex: what is better for treating osteoarthritis pain?

Cymbalta (duloxetine) or celebrex: what is better for treating osteoarthritis pain?

Work differently!: They both can be used alone or together! Both are effective, but my first Rx would be Celebrex! ...Read more

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What is better for chronoc anxiety lamictal or neurontin (gabapentin)?

What is better for chronoc anxiety lamictal or neurontin (gabapentin)?

Niether: Niether have strong evidence supporting their use in anxiety. Neurontin's effects on anxiety are thought to be mediated through its effects on the inhibitory neurotransmitter gaba (similar to, but much more subtly than, benzodiazepines). Lamictal is still being investigated for use in anxiety because it can reduce activity of the excitatory neurotransmitter glutamine. ...Read more

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Can a fibromyalgia patient on nortriptyline take cymbalta (duloxetine) for depression ?

Can a fibromyalgia patient on nortriptyline take  cymbalta (duloxetine)  for depression ?

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. ...Read more

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Is Amitriptyline and venlafaxine a good combo for neuropathic pain ?

Sometimes these help: Sometimes amitriptyline is helpful for neuropathic pain. It may or may not help to add venlafaxine. Some people feel it helps, some people feel it does not. Everyone responds to the medicines differently. In principle these can both help, and they are worth a try. ...Read more

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What drug has the least side effects to treat pain...Gabapentin lyrica (pregabalin) or cymbalta?

Would pich gabapenti: Any day i would pick Gabapentin over other based on clinical experience with side effects unless Gabapentin is not working well for patient. ...Read more

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Can 60 mg of cymbalta (duloxetine) "possibly" cause anxiety and is 30 sometimes effective/is a cymbalta (duloxetine) to luvox switch difficult for a dr.

Can 60 mg of cymbalta (duloxetine) "possibly" cause anxiety and is 30 sometimes effective/is a cymbalta (duloxetine) to luvox switch difficult for a dr.

Yes, yes, no: While it is possible that Cymbalta (duloxetine) in either dosage while usually an antidepression medication, can relieve symptoms of anxiety. A doctor can usually figure out a technique to switch from one medication to another. The important thing , however is that these are questions which you should be speaking with the doctor who is treating you. There are probably underlying psychological concerns ...Read more

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Isn't nortriptyline a better drug than Gabapentin for neuropathic pain?

Isn't nortriptyline a better drug than Gabapentin for neuropathic pain?

No difference: There is no such thing as "best" or "worst" medication, only those that work and don't work, based on the patient's individual circumstances and genetics. Talk to your pain management specialist for medication adjustment. ...Read more

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What is the best combo. Tramadol with Lyrica (pregabalin) or Tapentadol with Lyrica (pregabalin) ?

What is the best combo. Tramadol with Lyrica (pregabalin) or Tapentadol with Lyrica (pregabalin) ?

Check with your DOC: tapentadol has some serious interaction with effexor (venlafaxine) a medicine you are taking.but tramadol has the same interaction. tapentadol has more addiction potential than tramadol. both have dose adjustment in case of renal and hepatic impairment.same as tramadol. the final world is really to the physician who is willing to prescribed it. ...Read more

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Amitriptyline vs nortripyline for GI uses and sleep?

Amitriptyline vs nortripyline for GI uses and sleep?

Both are used: But amitrypiline gets my vote based on my personal experience over almost40 years and the other amount of use of this med for other uses than only depression. Nortyptilline is an ok antidepressant for the right patient. ...Read more

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Is Trileptal better than lyrica (pregabalin) and Neurontin for face pain?

Possible: Different mechanism of action. Trial each one independantly. If both help use both for additive/synergistic effect. ...Read more

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Is duloxetine different from cymbalta? Please advise!

Is duloxetine different from cymbalta? Please advise!

Same medication: Duloxetine is the generic name while Cymbalta (duloxetine) is the brand name. There may be differences In the fillers and binders in the capsules but the active ingredient is the same. It is an SNRI approved for major depression, general anxiety, fibromyalgia and some types of pain. ...Read more

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