And I feel much better it been 2 weeks that effective but didn't work on social anxiety I'm very worried about this it's working on social anxiety this Med?
I'd probably give it a little longer to work, sometimes takes a month. But definitely talk to your doctor about your concerns. Maybe doctor can add something else to take with the Cymbalta or increase the dosage. I also find that talk therapy works on my issues like this; so consider that as well if you aren't already trying that. Good luck.
Hi itsik. I know how your feeling... really I do. I'm agoraphobic. For me that means I only leave my place with my daughter. I've known people who talk through their door, they don't open it. I don't even answer my door. The only person I'd open my door for is my daughter, and that's impossible because she has ms, and has one leg she can't use at all. People intimidate me. I've been agoraphobic for 18 yrs. Don't let it mess up your life like it has mine. I'm going to give you some info from the mayo clinic. Keep in mind that it's reeeeeaaaaly long. Take what applies to you and pitch the rest. He goes:
Social anxiety disorder (social phobia)
Preparing for your appointment
Tests and diagnosis
Treatments and drugs
Lifestyle and home remedies
Coping and support
The two most common types of treatment for social anxiety disorder are medications and psychological counseling (psychotherapy). These two approaches may be used in combination.
Psychological counseling (psychotherapy) improves symptoms in most people with social anxiety disorder. In therapy, you learn how to recognize and change negative thoughts about yourself. Cognitive behavioral therapy is the most common type of counseling for anxiety. This type of therapy is based on the idea that your own thoughts — not other people or situations — determine how you behave or react. Even if an unwanted situation won't change, you can change the way you think and behave.
Cognitive behavioral therapy may also include exposure therapy. In this type of therapy, you gradually work up to facing the situations you fear most. This allows you to become better skilled at coping with these anxiety-inducing situations and to develop the confidence to face them. You may also participate in skills training or role-playing to practice your social skills and gain comfort and confidence relating to others. (I think this is a good idea. Role-playing.)
Your mental health professional may help you develop relaxation or stress management techniques.
First choices in medications
Several types of medications are used to treat social anxiety disorder. However, selective serotonin reuptake inhibitors (SSRIs) are often the first type of medication tried for persistent symptoms of social anxiety. SSRIs your doctor may prescribe include:
Fluoxetine (Prozac, Sarafem, others)
The serotonin and norepinephrine reuptake inhibitor (SNRI) venlafaxine (Effexor) also may be an option for social anxiety disorder.
To reduce the risk of side effects, your doctor will start you at a low dose of medication and gradually increase your prescription to a full dose. It may take up to three months of treatment for your symptoms to noticeably improve.
Other medication options
Your doctor or mental health provider may also prescribe other medications for symptoms of social anxiety, including:
Other antidepressants. You may have to try several different antidepressants to find which one is the most effective and has the fewest unpleasant side effects.
Anti-anxiety medications. A type of anti-anxiety medication called benzodiazepines (ben-zo-di-AZ-uh-peens) may reduce your level of anxiety. Although they often work quickly, they can be habit-forming. Because of that, they're often prescribed for only short-term use. They may also be sedating. If your doctor does prescribe anti-anxiety medications, make sure you try taking them before you're in a social situation so that you know how they will affect you.
Beta blockers. These medications work by blocking the stimulating effect of epinephrine (adrenaline). They may reduce heart rate, blood pressure, pounding of the heart, and shaking voice and limbs. Because of that, they may work best when used infrequently to control symptoms for a particular situation, such as giving a speech. They're not recommended for general treatment of social anxiety disorder. As with anti-anxiety medications, try taking them before you need them to see how they affect you.
Stick with it
Don't give up if treatment doesn't work quickly. You can continue to make strides in psychotherapy over several weeks or months. And finding the right medication for your situation can take some trial and error.
For some people, the symptoms of social anxiety disorder may fade over time, and medication can be discontinued. Others may need to take medication for years to prevent a relapse.
To make the most of treatment, keep your medical or therapy appointments, take medications as directed, and talk to your doctor about any changes in your condition.
Now, wasn't that fun? NOT!!! I'd like to give you more info, but I''m lost. Here's valuable info from drugs.com Once again, very long.
Important information about Cymbalta
Do not use Cymbalta if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include furazolidone, isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. After you stop taking Cymbalta, you must wait at least 5 days before you start taking an MAOI.`
Treatments for depression are getting better everyday and there are things you can start doing right away.
Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.
Avoid drinking alcohol while taking Cymbalta. It may increase your risk of liver damage.
Before taking Cymbalta
Do not use Cymbalta if you are allergic to duloxetine, or if you have untreated or uncontrolled glaucoma.
Do not use Cymbalta if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include furazolidone, isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. After you stop taking Cymbalta, you must wait at least 5 days before you start taking an MAOI.
To make sure Cymbalta is safe for you, tell your doctor if you have:
liver or kidney disease;
seizures or epilepsy;
a bleeding or blood clotting disorder;
high blood pressure;
bipolar disorder (manic depression);
a history of drug abuse or suicidal thoughts; or
if you are being treated with methylene blue injection.
Some young people have thoughts about suicide when first taking an antidepressant. Your doctor will need to check your progress at regular visits while you are using Cymbalta. Your family or other caregivers should also be alert to changes in your mood or symptoms.
Older adults may be more sensitive to the side effects of this medication.
Do not give Cymbalta to a child without medical advice.
Take Cymbalta exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.
Try to take Cymbalta at the same time each day. Follow the directions on your prescription label.
Do not crush, chew, break, or open an extended-release capsule. Swallow it whole.
It may take 4 weeks or longer before your symptoms improve. Keep using the medication as directed. Do not stop using Cymbalta without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
Well, isn't this a kick in the pants?
I take Cymbalta, Lamotrogine(lamictal) and Gabapentin(The gabapentin is causing short term memory loss, weight gain and longevity of life for me.) I'm certainly not saying these symptoms will happen to you. Cybalta is an excellent med for me. I like the energy. And it does work for pain, of course. You may need another med to accompany Cymbalta. I'd check with my doc about that.
Hey, itsik. Holler if you need anything. That was a good a question. It caused me to think, but don't tell anyone that I "think." I may get a bad reputation. Anna
- Cymbalta Information for Consumers
- Cymbalta Information for Healthcare Professionals (includes dosage details)
- Side Effects of Cymbalta (detailed)
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