Does anyone know anything about Duloxetine? My rhuemotologist wants me to swap citalopram for it.

[phipps]

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It helps with nerve pain
www.biopsychiatry.com/dualaction.htm

hth

Thank you. Now I am and assume he meant to say he wants to swap my other tablets but I am sure it was the AD's. He forgot to give me a prescription anyway.

and its a good anti depressant.. SNRI rather than SSRI which cipriaml is. Means it works well on neuropathic pain.

Sorry for lots of posts, kids keep messing with my keyboard!

I will have to wait until he writes to the GP and see what he says. I see a different one for depression and he is not going to like someone changing my drugs.

Duloxetine is one of the newer ADs, has different uses at different levels. It is generally seen as a 2nd tier/level AD, if citalopram or fluoxetine not proven to help etc. It was originally producd for incontinence and then its AD qualities at different doses were discovered. It is akin to venlaflaxine which is an SNRI or mirtazapine.

However, am sure your gp will want to know the rheumatologists reasonings as it is a different AD etc.

Citalopram does work for me except for gaining weight which is listed as a side effect.

Ah ... several of them have that as a side effect. Could it settle out, as mainly it increases weight gain by increasing appetite? Could they refer you to a dietician - most gp practices have one visit them I think.

I have cut right down on any rubbish, things like chocolate, crisps, and have been exercising and have lost about 2lbs. Very disheartening. The weight has gone on without me really noticing. I lost 2 1/2 stone in the first 2 months of having my baby and have put 2 stone back on since then.