Doctor insights on:
Cymbalta Vs Prozac
Prozac (fluoxetine) lasts longer: Prozac primarily blocks serotonin reuptake. Cymbalta (duloxetine) blocks norepinephrine & serotonin reuptake. Prozac lasts up to 2 wks in your system after the last dose. Cymbalta (duloxetine) also is used to treat pain & depression. Prozac can help for some anxiety disorders, bulimia & depression. It has variable efficacy in borderline personality disorder. ...Read more
Fluoxetine (brand prozac) is an antidepressant in the class known as serotonin selective reuptake inhibitors aka ssris. Fda approved in 1987 for the treatment of major depressive disorder. Subsequently approved for obsessive compulsive disorder, bulimia nervosa, panic disorder, and premenstrual dysphoric disorder. Significantly safer and much better ...Read more
Is there a way to go off cymbalta (duloxetine) by just switching completely over to Prozac the first day and continuing with prozac?
To avoid: Ssri discontinuation symptoms while making the change - a cross titration could be useful. In other words, reducing the dose of one while increasing the dose of the other. And doing this progressively until you are off the first medication and you get to the target dose of the second medication. ...Read more
I'm switching from cymbalta (duloxetine) to Prozac so i can get off do I really have to take Prozac before i can go off it as we'll. Just using Prozac as a halfway?
Check game plan.: Everyone who is being tapered from Cymbalta (duloxetine) does not have to hake prozac. However, there may be good reasons why your doctor wants to switch you to this medication . It is possible that this medications will work better for you. It is always best to talk it over with the prescribing doctor so you understand the game plan. ...Read more
What is the easiest way to transition 30mg of Cymbalta (duloxetine) to 20 mg of Prozac.Been on 30mg for 3 months now-from 60.dr wants to just stop cym & start proz?
After i switch to Prozac after a week of transition from cymbalta (duloxetine) would i be able to wean off Prozac without issues or keep take for a month then wean?
Work w/your doctor: I don't know what your psychiatrist has in mind for your treatment, so it's not appropriate for me to guess about that. You really need to discuss this withhim or her. However, Prozac (fluoxetine) is a very long-acting medication and is sometimes used to taper from other ssri antidepressants. Smaller increments of Prozac (fluoxetine) are also available, and can be used in tapering if needed. ...Read more
I've been taking Prozac 60mg for a few months now. With no improvement, my doc switched me to cymbalta (duloxetine) 60mg. Can i stop the Prozac cold and switch over?
Consult Doc: Prozac (fluoxetine) is a long acting medication and stays in your system for a long time and usually does not need tapering down of dose, however you seem to be on a higher dose, tapering to a smaller dose should before discontinuing. Your doc is the best person to decide that. ...Read more
My m.D just prescribed me cymbalta (duloxetine) after being on Prozac for years. My question is ...Is the cymbalta (duloxetine) a safe medicine, negative reviews scar me!?
Am i at risk of serotonin syndrome i'm switching to to Prozac from cymbalta (duloxetine). One day Prozac one day cymbalta (duloxetine) for a week. Then Prozac all for a month?
Don't know the: Doses. It sounds like this is not a cross titration but rather doubling up the medications for a week? There are some people who develop serotonin syndrome even at low medication doses. However, for most people - the higher amounts of serotonin are the issue. Without knowing doses can't really comment. ...Read more
Sometimes: Wellbutrin does not generally cause weight gain (and is often used specifically because it doesn't), although rarely it might cause weight gain. Prozac is somewhat more likely than wellbutrin to cause weight gain, but again generally does not. Cymbalta (duloxetine) is probably about as likely as Prozac to cause weight gain, but again generally does not cause significant weight gain. ...Read more
My psychiatrist selected Prozac for ocd and off of 30 Cymbalta (duloxetine)...1 week 20 now 40 ..a little restlesst claims this is normal til Prozac in system ok?
Yes.: Some ppl can get akathisia -- limb restlessness with higher doses of SSRI meds. If the restlessness worsens tell your doc. May be evolving akathisia. Remedy may be low dose Benadryl (diphenhydramine) 25mg twice a day. Watch out for sedation and confusion from benadryl (diphenhydramine). ...Read more
What's the best med for severe anxiety. I've tried prozac,paxil,celexa,cymbalta (duloxetine) and am now on lexapro not getting far & all were used with counseling.
Anti-depressant meds I have been on anti-depressants previously. In 2006-2008 i was on wellbrutin, then prozac, then cymbalta (duloxetine). I am depressed again - would the last med (cymbalta (duloxetine)) i took be the best choice at this time.
My doc gave me Buspar (buspirone) since 2 months now and it's not working. Also proved antidepressants like zoloft, efexor, cymbalta, prozac, wellbutrin, paxil?
Hi IV recently gone from 40mg fluoxetine a day to starting duloxetine 30mg. Is duloxetine stronger than fluoxetine ? Or is 40mg Prozac stronger ? Thnx
Responses vary: Each individual patient responds differently to each medication, so there is no way to directly compare fluoxetine and duloxetine or to predict how you will respond to a particular dose. In general, dosing of fluoxetine ranges between 20-60mg, while duloxetine is typically dosed between 30 and 60mg. ...Read more
Differences: These two medicines share similarities, but they have different chemical structures, leading to different actions on the nervous system. Fluoxetine almost exclusively acts on the neurotransmitter serotonin, while duloxetine has a mixed action on both serotonin and norepinephrine. This difference will sometimes result in a person doing better with one medicine versus the other. ...Read more
Duloxetine for Fibro: There are now three drugs that have been approved by the fda for the treatment of fibromyalgia-duloxetine (cymbalta), lyrica (pregabalin), (pregabalin) and milnacipran (savella). Studies has shown no difference in effectiveness between savella and cymbalta. We usually use one of the two along with lyrica (pregabalin). This combination has been the first medications to provide real benefit to fibromyalgia patients in years. ...Read more
Hi! I'm switching from a daily dose of 30mg Duloxetine to 20mg Fluoxetine. Do I need to taper off Duloxetine, or can I switch immediately?
I understand your need for improvement in Depression and Anxiety.
Duloxetine (Cymbalta) is a selective serotonin and norepinephrine reuptake inhibitor antidepressant (SSNRI).
Fluoxetine is a SSRI medication.
See Psychiatrist and inform about side effects of Duloxetine, and discuss risks of sudden withdrawal from it; discuss benefits and side effects of Fluoxetine; and Therapy for stresses in life. ...Read more
Yes: There is no problem taking any ssri antidepressant with the diet pills. These appear to contain caffeine and cocoa, which can increase anxiety. But they do not react with medicines like prozac (fluoxetine). If you take Prozac (fluoxetine) for anxiety, though, be aware of the amount of caffeine you use. ...Read more
SSRI antidepresant : Its been around a while now, but pretty revolutionary when it first came out. It is a selective serotonin reuptake inhibitor most commonly used to treat depression. The ssris were a big step forward due to far less side effects than the tricyclic antidepressants that were the main treatment for depression prior to that. ...Read more
Prozac (fluoxetine): Prozac (fluoxetine) is an ssri medication which can be used to treat depression, anxiety disorders, some premenstrual disorders, and bulimia nervosa (an eating disorder). It inhibits neurons' reuptake of serotonin, so that more remains available in neuronal synapses. Common side effects include nausea, diarrhea, dizziness, drowsiness, sweating, and yawning. There can also be changes in sexual functioning. ...Read more
Several reasons: While 20 mg daily is the usual adult dose, here are several reasons why someone could be on less: 1. Old (>65), young (. ...Read more
Depends on cause: If the cause of the tremors is anxiety then the answer is it may. However the Clonazepam may also. I would discuss with you doctor your diagnoses and if you are on the correct doses of both medications. Also have medical causes of you symptoms been ruled out like thyroid problems, and neurologic. Have you seen a neurologist off all medications so a good baseline can be established? ...Read more
Ashwaganda: Ashwaganda usually well tolerated and shouldn't cause a problem with the Prozac. Examine.com recommends that it may help. Highly recommend that you try to find a naturopathic doctor OR search for a medical professional knowledgeable about "complimentary and alternative medicine" (search those specific terms) and get them to review your situation. ...Read more