I was going to add also that before this med, I was worrying about my health constantly, obsessing over health issues, along with the panic attacks, and had not had problems with that either until the past week, and all of a sudden that is all back now too.
You better quit Cymbalta. It is useless for panic attacks. You have to take another type of medication. If you want to quit, do it very slowly. Like 2% increments every 15 days or so.
Cymbalta is a powerful medication. I am still suffering withdrawal effects from it after 2 years of been Cymbalta free
Cymbalta has no useful indication for anxiety/panic, which is precisely why it isn't approved for this use. The drug is reserved for the treatment of depressive affects only.
Under the supervision of a medical doctor, reduce the dosage to 30 mg. Take 30 mg for one week. The second week, take 15 mg every other day, then stop. You've not been on it long, and the idea is to get off of it as quickly as possible - before it alters your chemistry significantly.
Cymbalta carries an exceptionally long half-life, and the onset of the drug's action is delayed for roughly 4-6 weeks. After 6 weeks, the drug has accumulated to steady-state, and the untoward reaction that you present with would manifest at that time.
Cymbalta is a powerful inhibitor of the reuptake of Norepinephrine. Norepinephrine (Noradrenaline) is a metabolite of Adrenaline. The drug is an autonomic nervous system stimulant, and would increase the frequency of panic attacks if one were predisposed to them.
Would suggest Anafranil (Clomipramine) for your obsessional thought process. 25 mg, q.h.s. initially, titrating upward to 75 mg, q.h.s. as-needed and tolerated. Speak with the doctor. Paxil is another option, albeit a less-effective one.
The reason I am on Cymbalta is because trials of SSRIs have failed...I have had very severe reactions to Paxil, Zoloft, Lexapro, Celexa, Prozac, along with others I have tried. Cymbalta actually seemed to be working after about a month, but now that I'm going into month 3 I seem to be having problems. I did have depression as well as fibromyalgia, so it has worked for those issues...the panic attacks had disappeared, but I have been constantly nervous feeling. I guess I'll have to discuss this with my doc on Friday. I had some abnormal hormone levels on my blood work and maybe after discovering this, he will look at other sources of my anxiety and mood problems.
i agree with the other posts, cymbalta does not help anxiety, it made mine worse. what about adding an antianxiety med and going back down to 30mgs of the cymbalta? i hope you start feeling better soon. take care. remar
As you can see...there is a lot of varied opinions and viewpoints on whether certain types of medications are appropriate for panic disorder. Many people feel strongly that SSRI's (as a similar example) are simply NOT an appropriate choice for someone with PD. I personally disagree.
What I would like to stress is that...in some cases...that is true...but there have been a TON of people with PD (with or without a substantial depressive component) that have been significantly helped by an SSRI medication...everyone is different...there is no "never" or "always" when it comes to these things.
You obviously have tried a lot of SSRI meds without success...the thing that strikes me is...despite some of these complaints you are having...the Cymbalta seems to be doing SOMETHING for you..therefore I am uncomfortable saying to throw the towel in so soon...just b/c of the varying thoughts surrounding the use of "non-anxiety" type meds for PD....and b/c of these symptoms.
Your symptoms are actually fairly common ones...and usually these types of side effects start to gradually improve as you continue the treatment. Certainly...you need to have an open line of communication with the prescribing doc about all of this, which it sounds like you do.
Also...the abnormal blood work may be more the culprit than anything...I'm not sure what levels are involved...but I can think of a few things off the top of my head that would cause similar symptoms if the levels were off. That may end up being your problem in this situation.
IMO...don't give up on the Cymbalta just yet...you really haven't been on it very long, and as you know....these kinds of meds take some time to really start working (some people have required longer than the average). Even if it ends up being that the Cymbalta isn't for you..at least you can say you have given it a fair shake, ya know? What sticks out the most for me is that indeed, you HAVE noticed some positive changes after starting it.
I personally have had great success with many different SSRI's (pretty much any I have taken)....for PD....so of course I am a big supporter of at least giving them a try. PLUS....PD certainly carries a HUGE depressive component for the majority of people. You can only live with chronic or constant panic attacks for so long before depression kicks in....in one way or another. Which is one of the reason these other meds can be effective.
Again...everyone is different...and I always encourage that people allow themselves to have their own experiences...and not be colored too much by what others have to say (either way...good or bad).
Best of luck...let us know what the doc says and how you are doing...hope you are feeling better soon.