I'm an idiot I know that but now I need some practical advice on what to do...I've been on 90mg duloxetine for about 4 years but for the past year or so I've not been taking it properly, eg missing several days in a row and then taking double the dose, I do this partly cos I don't look after myself generally and partly cos I get unpleasant side effects (acid reflux, stomach cramps, nausea) when I take them on an empty stomach and I don't always eat that well. Anyway, the gaps between doses has been getting longer and longer recently (and the side effects when I do medicate worse) but I told myself this was a good thing as I was weaning myself off them. It's now been almost 2 weeks since I took a dose ( and I vomited a few hours later so that may not have been absorbed), the longest I've ever gone, but I've been a mess today, manic almost. Tried to get a GP appt but they were full. What should I do, ride it out or take a dose? Idiot yes I know.