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Old 07-12-2007, 09:46 AM #1
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Question Cymbalta vs Topamax ???????????

Since I have been on 60 mg of Cymbalta with all of this (an AD). I don't think my p-doc will think I will need it, since I am switching to Topamax 50mg after the steriods.

So, if I had only got the steriods to take I would still be taking the Cymbalta, so why not start taking the Topamax. The only reason my PCP wanted me to wait was to see if it is the steriods that worked to stop the cycle of migraines or the Topamax.

I am not renewing my script for Cymbalta at this time. I guess I should just call my p-doc and tell her what has been and is going on, huh?

Just so sick of Doctor's. I see her the end of this month, I think, or is it next month? Have to check. Maybe I should just up my appointment with her. Too much to explain over the phone and she is hard to get a hold of, I have to talk to my case manager that gets everything screwed up, sad to say.

I really would like to start the Topamax today. In fact I should, since I need to be on a AD. Don't want to get all down and depressed on top of all of this.

Any thoughts? I can use all the help I can get.

Sorry to be such a pain in the butt. Lately I have been a post nut, venting away, asking lots of ????, hope I can return all the support and help you have all given me.

Hugs, Nikko
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Old 07-12-2007, 10:30 AM #2
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Nikko

I'm not sure I understand this but are you saying one doctor prescribed cymbalta and another is saying just stop it completely. Without going off on a time frame. I would double check, but I'm not positive but most of these medicines you need to taper down off of. So I wouldn't want to just go off cold turkey without it being told by either the prescribing doctor or a pharmacist that I trust that its okay. I would even consider going say everyother night for a week. And then off.

Now topamax starting on the 50mg to replace the cymbalta, yes I would definately start that, but they can be taken together too. I take both.
So I'm not sure why the doctor has you going off. So I would definately be wondering about this. I think personally I would be wanting to try it on both first. Then maybe going off the cymbalta after say two months if it doesnt help. IT will take at least a little while usually to see some help. But not always from the topamax.

Hoping you figure this out. SOmetimes it takes some time.

donna
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Old 07-12-2007, 10:57 AM #3
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I just assumed that since Cymbalta and Topamax are both AD's that why would I need to take both? I guess I am self diagnosing here.

See my p-doc put me on Cymbalta awhile ago. My PCP just gave me the script for the Topamax yesterday, and yes she knows I take Cymbalta too.

I am just so confused with all this, dopey me .....going to call my p-doc to get her up to date and she what she says.

Thanks, Hugs, Nikko
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Old 07-12-2007, 11:39 AM #4
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who told you topamax was an ad? it isn't. It is used as a mood stabilizer. That is what I am on besides antidepressant. But it has been found to help migraines and food disorders and possibly alcholism. A possible side effect is weight loss. I had some cognitive difficulties when I was on 200 m but now I am on 100 and my memory hasn't been sharper in years besides all this depression and anxiety and irritability and lack of sleep.
Bobby
ps do a search on the net of topamax and migraines.
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Old 07-12-2007, 12:18 PM #5
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I would taper down the Cymbalta and call your pdoc. You don't know what your body will do if you stop it cold turkey.
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Old 07-12-2007, 12:38 PM #6
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OOPS on me, I thought Topamax was an AD......Ok, now I must get my Cymbalta refilled, I could of sworn my Lamictal was my mood stabilizer and my Cymbalta my AD, because my mom takes Cymbalta for depression.

I am really losing it. Bare with me please.

Thanks,,,,,Nikko
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Old 07-12-2007, 01:28 PM #7
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Nikko

I have to say that honestly Lamictal, topamax and I'm guessing this is just a guess mind you, cymbalta can all be or either one taken together. I personally am not saying take all three period. Topamax is definately a migraine, seizure, or can me mood stabilizer sometimes I believe. Not sure about depression for it. Lamictal is definately for seizures, mood stabilization
and I believe it may work on migraines, but I wouldn't quote that one.

DOnna
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Old 07-12-2007, 02:56 PM #8
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I was on cymbalta 60 mg and my doc told me that he has to ween me off of it because of the side effects and the length of time I was on it. He has dropped me from 60 mg to 30 mg for a month and told me if I don't have any problems after taking the 30 mg for a month then I was done, but if I had any side effects to call him right away. I have only one week left to take and the only thing I have noticed is that I get light headed once in a while. I use to get that way when I was taking the 60 mg if I forgot to take it one day. I think it will just go away. I was on cymbalta for 2 and a half years. All I want to say is be very careful. Good Luck!
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Old 07-12-2007, 09:18 PM #9
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Cymbalta -- Anti Depressant
Topamax -- Mood Stabilizer and Headache Med
Lamictal -- Mood Stabilizer, also helps with depression




Hi,
Starting Topamax at 50 sounds high to me. I started at 5. But I'm not a doctor.
You'll work it out.
Leave a phone message with the pdoc that you started on Topamax for headaches.


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Old 07-12-2007, 09:59 PM #10
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After I am done with the Methylprednisolone - which will be Monday I take only one, then I start on the Topamax 1/2 of 50mg tablet, so 25mg for a week , then it goes up to 50mg for a week, then 100mg, 50 in the am and 50 in the pm.

So, I start the Topamax on Tuesday.

I am going to call my p-doc tomorrow for sure though.

I got my Cymbalta filled today too. Didn't need any other complications, there are some side effects with your body adjusting to the prednisolone, so that also starts out at 6 a day and drops down each day until you take only one the last day.

Talk about confusion, that's me!

Hugs, Nikko
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