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Mental Health  (Expert Forum)
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Heart Palpitations Withdrawing from Cymbalta
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.

Heart Palpitations Withdrawing from Cymbalta

by deeme, Jun 07, 2007 12:00AM
I have recently tried prozac, lexapro, and most recently cymbalta. The cymbalta was raising my blood pressure too much, so was advised to go off. I followed doctors orders in taking one every other day (dose was 30mg) for 2 weeks, then once a week for 2 weeks. This was way too fast of a withdrawal, and my heart started throwing out pvc's, rapid heartbeat and going out of rythmn all day and has been doing so for 7 straight days.

I recently saw the doctor again and was advised to increase toprol from 50 mg. A day to 100 or possibly 200 if I wanted to. I have with no results, still have the palps all day.

He also advised to start wellbutrin sr, and this is my question:

he advised to start 150mg. 2 x a day. I'm very hesitant to start the wellbutrin, since it can cause more palps as a side effect, and can cause seizures, and am concerned about the toprol with wellbutrin.

Do you think the wellbutrin will help stop the palps? Could it make them worse?

Please advise

thank you

by Roger Gould, M.D., Jun 08, 2007 12:00AM
I think you are right in being concerned. You have to be very careful about cardiac effects so I would ask your doctor to treat the cardiac symptoms and get them under control before adding another antidepressant.
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