
Suggest Treatment For Depression And Anxiety While On Cymbalta And Wellbutrin

Yes Paxil is better option for anxiety and panic.
Detailed Answer:
Hi, thanks for asking from HCM
I am sorry for your loss. Cymbalta is Duloxetine and is a SNRI drug. The drug is commonly used in depressive disorders and also has efficacy in anxiety disorders.
Paxil or Paroxetine is a SSRI drug and is used in anxiety and depressive disorders. Yes Paxil will be better option if your main distressing symptoms are anxiety and panic. Paxil will also help in sound sleep and will control the symptoms. If we consider depression with somatic symptoms or pain symptoms then Cymbalta is better option.
So you can talk with your doctor regarding Paxil. Avoid stopping the doses of Cymbalta suddenly. Tapering of doses will prevent any withdrawal symptoms.
Thanks. Take care


Better to reduce the doses over 2-3 weeks.
Detailed Answer:
Hello again
Even Wellbutrin dose should be tapered. Though the drug doesn't cause much withdrawal symptoms but if doses reduced by tapering then the risk of withdrawal is minimised.
You are currently on 300 mg and you can reduce the dose to 225 mg per day (150 and 75) for one week and then 150 mg per day for next week followed by stopping the drug completely. This will reduce any chances of withdrawal.
Talk to your doctor for Paxil and other dose adjustments.
Thanks.


In that case continue with 120 mg Cymbalta.
Detailed Answer:
Hello again
Well if she wants to continue with Cymbalta then that is good. Increased dose of Cymbalta would help to control your persisting panic symptoms.
Once you become stable then trial of shift to Paxil can be taken.
Thanks.

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