Posted by Peter on December 13, 2014, at 0:57:28
In reply to Re: Stablon with Cymbalta? Experience, thoughts?, posted by RicCory on April 2, 2008, at 17:45:35
>> hey Ric! I know I'm re-opening a 6-year old thread - and that you may not even see this - but I would love to know how you did on the Cymbalta/Stablon combo. I've been taking CYMBALTA for about 10 years, but most of that time at only sub-therapeutic doses, like 20mg - because I was on such an enormous mix of meds and my pDoc was always making adjustments, trying to taper me off some while raising others, etc... About 2 months ago I had a complete breakdown and all my symptoms - social anxiety, agoraphobia, severe depression - got too intense. My pDoc first tried adding Remeron, as I'd never tried it before, but I had a bad reaction to it (intense derealization and worse anxiety, surprisingly). He then decided that the best thing to try would be to work with what I was already taking instead of introduce a brand new drug to my hypersensitive brain. So he had me increase my CYMBALTA from 20mg to 30mg for 2 weeks, then to 40mg about a week ago. I only began to feel the veil lift ever so slightly yesterday, & am sure he will have me keep increasing its dose. However, I already feel the familiar emotional numbness, and markedly decreased libido.
I've been fascinated with Tianeptine ever since first reading about it; but I assumed that it was not an option for me since its a serotonin reuptake enhancer and I've been on a bunch of meds that work to increase serotonin. So I assumed tianeptine would push me into some horrible SSRI/SNRI discontinuation syndrome. But if there's a possibility that I can safely take it along with my CYMBALTA to further help my mood and to mitigate the SNRI side effects, I would love to talk to my pDoc about trying it out. So, can you let me know how your trial was combining the two? I hope you see this; and sorry for my wordiness - I tend to go on and on :(
Thanks,
Peter> Okay, so here's my plan of attack:
> CURRENTLY ON:
> --Stablon (12.5 mg x 3)
> --Wellbutrin SR (150 mg x 2)
>
> MOVING TOWARDS:
> --CYMBALTA (40 mg then 60mg to maximize effect of NE and thus motivation)
> --WELLBUTRIN SR (150 mg x 1 in the morning to avoid sleeplessness issues of the second late afternoon dose)
> --STABLON (12.5 mg x 1 *** I want to see if this single dose a few hours before sexual activity will mitigate the negative sexual side effects related to soaking in serotonin [reuptake inhibition] through its short-term facilitation of reuptake enhancement)
>
> In my analytical mind--this sounds like the ideal solution! Imagine if one actually existed!!!
>
> I'll try to keep updating if others are interested.
>
> RC
>
poster:Peter
thread:819696
URL: http://www.dr-bob.org/babble/20141120/msgs/1074187.html