Quote:
Originally Posted by mrsD
I would be concerned about taking Elavil and Cymbalta together.
This could lead to serotonin syndrome.
You could discuss tapering off the Cymbalta... this drug is toxic to the liver in some people, and if it is not doing anything positive for you anymore, you need to consider dumping it.
Some patients have a difficult time tapering off Cymbalta, so be prepared for that.
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When I was on a lower dose of Cymbalta my doctor at the time prescribed Elavil 10 mg at night because I was having a very difficult time sleeping. My current doctor doesn't want me to mix Cymbalta and Elavil for the very reason you give - risk of serotonin syndrome.
I do get a benefit from Cymbalta; it's just not as great as it used to be, and I imagine its painkilling properties will continue to fade. It has been enormously helpful as an antidepressant and antianxiety medication, and those effects seem to be holding.