I don't know what you will experience exactly but just from my experience on Cymbalta which I am currently on 30 mg didn't do crap for me and I didn't feel that i was that depressed but more anxious than anything. THen I did figure out I was more depressed than I thought but still depressed so they upped the dosage to 60 mg. 60mg is the standard dosage for Cymbalta. I had asked to be put on 30mg onlyh because I didn't want any side effects (especially sexual side effects)...but my depression was too much. I seem to be a bit happier on 60 mg. but the anxiety is still there. I've been experiencing anxiety for many many years though so I have found ways to help me cope like deep breathing, meditating, and other relaxation techniques which sometimes work...I also deal with the dreadful feeling of anxiety a lot and use the Xanax I have as if it were gold....I only use it when i feel I'm about to lose my mind or feel my heart is beating too out of control and i"m going to throw up or go crazy...Anyuways I hope the transition is good for you....just curious but are you taking these meds for pain as well as depression/anxiety. If so I feel cymbalta has not touched my chronic pain. I thought Lexapro was one that doctors used for pain with depression /anxiety but could be mixing them up. If you do have chronic pain as well ask about Pristique. mY pain management dr. says it is more effective in treating pain with depression/anxiety than cymbalta but I cannot take it because it makes me throw up (it is similiar to Effexor and i throw up with Effexor too...despite being on it for months trying to "get used to it"). Good luck!!!
I would personally urge caution. Do your homework. Cymbalta, as with all snris, isn't usually used if anxiety is the main problem, as it's a stimulating anti-depressant. It also is associated with liver problems, which came out when it recently applied for approval for chronic pain, which it is not currently approved for. It might just be the thing for you, but make sure whoever's prescribing it knows what he or she is doing. By the way, for anxiety, the dosage for Lexapro is 20mg -- it's 10mg for depression. Check the Lexapro website. Good luck whatever you do.
By the way, I don't mean to say don't take a drug because it's associated with liver problems, it just means make sure your psychiatrist checks your liver enzymes regularly the way they used to do with tricyclics. As of now, most of them don't with snris, but they should start.
Hello and thanks for the kind words. My concern is if at this point will I be starting the trial process? An additional 6 weeks to see if it works? In the mean time with the Lexapro out of my system could my anxiety increase? Thanks again.
Ideally, your psychiatrist should slowly taper you off the Lexapro before giving you Cymbalta. There can be withdrawal when quitting anti-depressants, so it should be done slowly and carefully. And one drug even in the same class won't necessarily have any effect on this withdrawal. Cymbalta is in a different class of drugs. So a careful psychiatrist would see how you react to tapering down the Lexapro, then do the switch slowly to see how you react to the Cymbalta. In other words, when done carefully, going off a drug and going on a drug are not quick processes, so yes, you might see an increase in anxiety, but if the Lexapro isn't working anymore, you might not, but you might see an increase in anxiety when you start Cymbalta, particularly since it targets norepinephrine as well as serotonin and is therefore theoretically more stimulating. So yeah, it could take a while to see what happens. If you don't taper off the Lexapro and switch directly to the Cymbalta, it might go fine, but you might also end up with side effects and not know if they're withdrawal from Lexapro or a problem from starting Cymbalta. It's all up to you what to do, but this is what I've learned, the hard way. Good luck.
The doc has me told me to do this way. Week 1: 10 mg Lexapro and 30 mg Cymbalta
Week 2: 5 mg Lexapro and 60 mg Cymbalta
Week 3 and on: 60 mg Cymbalta.