anxiety, irritability tiredness, sleeping problems headaches, dizziness profuse sweating nausea, vomiting, diarrhea “brain zaps”—electric shock-like sensations that can cause pain and disorientation
For example, feelings of sadness might return if you’re taking Cymbalta for chronic depression.
Cymbalta caplets typically come in 60 mg, 40 mg, 30 mg, and 20 mg doses. The maximum recommended daily dosage is 120 mg (two 60 mg caplets daily). Both the drug manufacturer and the FDA give frustratingly vague guidance regarding dosage reduction and how long tapering should last. Essentially, tapering off Cymbalta is a trial-and-error process for both you and your doctor.
The amount of time you’ll need to taper yourself off of the medication depends on how long you were taking it, as well as your dosage. If you’ve been taking Cymbalta for a long time, you’ll need to take your time as you wean yourself off of it. Keep in mind that the tapering process will be easier if you’re switching to a similar medication, which will ease your withdrawal symptoms. Cymbalta caplets are filled with coated granules, which means you can open the caplet, remove a certain number of granules, put the caplet back together, and take it as normal. Research some of the websites dedicated to micro-tapering off medications like Cymbalta, and talk to your doctor about the pros and cons of trying it. [6] X Research source Opening/closing capsules and counting granules requires fine motor skills that not all patients possess. [7] X Research source You may be able to have a compounding pharmacy do the micro-tapering for you. [8] X Research source
Essentially, the Prozac helps mask the effects of CDS. However, this method won’t work for everyone, and some patients may end up having more serious side effects and/or withdrawal symptoms. You must work closely with your prescribing physician when trying this method.
Fight the urge to withdraw from your social circle because you don’t feel well. When someone in your circle asks how they can help, be specific as to what you need. Ask them to go to the store for you, tidy up a bit, or just be a sympathetic ear while you vent your emotions.
Connecting with other people who know just what you’re going through can really make a difference. You might get the boost you need to keep working through CDS. You may be able to find in-person support groups in your area as well.
Talking openly about your struggle with CDS is a sign of personal strength, not weakness.
There may be in-patient and/or out-patient recovery programs available in your area. Ask your prescribing physician or mental health professional for guidance, and consider seeking recommendations from online support groups.
Unfortunately, CDS can cause nausea, vomiting, and diarrhea, which in turn can suppress your appetite. You may need to work with your doctor and a nutritionist in order to find a diet that is both healthy and tolerable for you.
For example, try walking instead of running. Or, ride a stationary bike indoors (at a slow pace) instead of a standard bike outdoors, which also will make you less susceptible to falls or accidents due to dizziness. Exercising with one or more friends means you’ll have someone close by if you do experience major symptoms. They’ll also provide you with beneficial companionship. Talk to your doctor about the right exercise regimen for you.
Frequently mentioned supplements include: activated charcoal; fish oil; GSH; melatonin; magnesium; 5-HTP or L-tryptophan; Vitamin B; L-Tyrosine or DLPA; Himalayan salt or sea salt. You should try one supplement at a time so you can check for side effects and any benefits regarding CDS. Supplements can interact with medications you’re taking, so always consult with your doctor first.
