Re: Citalopram 10mg > 20mg
Originally Posted by
LilyPad1991
Duloxetine worked so well for me for so long and I'm worried I've ruined that by trying to come off it.
While discontinuing ADs can increase the risk of them not working, I doubt you have anything to worry about given it was a one off and you didn't actually stop taking duloxetine. Plus, the SNRIs and TCAs tend to be less likely to quit than the SSRIs generally.
I am aware that tampering with the beads is against the manufacturers advice but given that the dose sizes are so limited and the withdrawal off duloxetine is so intense, it's a decision I made.
I agree with the drug company on this, but you'd think by now there would be are greater range of dose sizes available. It has been a problem since duloxetine became available. Until there is I think the TCAs are the better option. They are usually a lot easier to quit. Should you need to come off duloxetine in the future switching to a SSRI and tapering off it may be easier.
The role of maternal anxiety is definitely a big thing to consider given my apparent predisposition to anxiety. The main thing I worry about is the withdrawals experienced by the baby following birth.
I understand your concerns. As per my previous post this is one of those problems which have no right solution.
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The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before acting on anything stated.