Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS).


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Old 08-09-2013, 12:19 AM #1
GirlFromNorway GirlFromNorway is offline
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Default Cymbalta - does it help?

I started taking Cymbalta 30 mg yesterday, prescribed by my doctor after I told him that this has helped some other PCS patients. I felt very sleepy, tired and with "flat emotions" about an hour after taking the pill but it has actually made my headache go away completely!! Usually, I have headache 24/7. Why does Cymbalta help against headache? I tried to Google it, but did not find any good answer.

However, I do not like the tiredness it gives me and tonight I was extremely nauseous, but this has improved now. I'm not sure whether I should take anymore of it. Any advises? I find it strange that a "anti depressant" can help with headache. Does that mean my headache is a merely psychological cause?
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Old 08-09-2013, 12:25 AM #2
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I have thought about taking cymbalta often...have never gotten around to it for fear of side effects. I know some people do well with it. I was told it takes a while to get used to it.

I habe no answers but only support! Others can comment on how they feel with it.
Good luck!
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What happened: Legs pulled forward by a parent's hockey stick while resting at the side of the rink at a family skate....sent me straight back. I hit the back of my head (with helmet) on the ice, bounced a few times, unconscious for a few minutes. September 11, 2011. Off work since then…I work part-time at home when I can. It has been hell but slowly feeling better (when I am alone☺).

Current symptoms: Vision problems (but 20/20 in each eye alone!) – convergence insufficiency – horizontal and vertical (heterophoria), problems with tracking and saccades, peripheral vision problems, eyes see different colour tints; tinnitus 24/7 both ears; hyperacusis (noise filter gone!), labyrinthian (inner ear) concussion, vestibular dysfunction (dizzy, bedspins, need to look down when walking); partial loss of sense of smell; electric shocks through head when doing too much; headaches; emotional lability; memory blanks; difficulty concentrating. I still can’t go into busy, noisy places. Fatigue. Executive functioning was affected – multi-tasking, planning, motivation. Slight aphasia. Shooting pain up neck and limited mobility at neck. Otherwise lucky!

Current treatments: Vestibular therapy, Vision therapy, amantadine (100 mg a day), acupuncture and physiotherapy for neck, slow return to exercise, magnesium, resveratrol, omega 3 fish oils, vitamins D, B and multi. Optimism and perserverance.
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Old 08-09-2013, 08:18 AM #3
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In my case YES! It was the turning point in my recovery.

Cymbalta does have side effects such as nausea, fatigue, dizzyness amongst others. Most of these go away in the first two weeks, so you just need to ride this out, it will get better.

In my case PCS was causing light and noise sensitivity, fatigue, insomnia, migraines, low mood - àll these symptoms are very closely tied together.

Cymbalta reversed all of these symptoms I believe, and gradually over a period of 5 months I am completely better. My headaches and insomnia went away straight away, and gradually over time all the other symptoms.

Cymbalta is a painkiller, this is why it's helping your headaches, it is very effective with nerve pain - its painkilling qualities are not fully understood, they were discovered by accident. It does increase serotonin which naturally narrows blood vessels, so this can help reduce migraine headaches. I am really pleased it is helping you.

It is more effective to take it in the morning apparently. I was on 60mg but am now on 30mg with no symptoms after 9 months since hitting my head, I am going to withdraw off it when I come back from holiday as it is a temporary measure to help with PCS, and boy has it worked!
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PCS following head injury November 2012. Experienced dizzyness, light and noise sensitivity, hypercusis, fatigue, insomnia, migraines, facial pain, problems concentrating, irritability, sensory overload, exercise intolerance.

Symptoms mostly resolved, working full time and I am now mostly better. I wake 6am daily since my injury. Was experiencing daily Neuralgia which was controlled with Cymbalta 30mg, Lyrica 200mg daily. Now only on 30mg Cymbalta.

Last edited by mouse1; 08-09-2013 at 08:34 AM.
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Old 08-09-2013, 08:54 AM #4
Tom from Queens Tom from Queens is offline
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Thanks for the info.

Does it also reduce/ cure/ manage "brain fog"?

That, and short-term memory "challenges," have been my main problem (they are perhaps really the same thing...).

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Originally Posted by mouse1 View Post
In my case YES! It was the turning point in my recovery.

Cymbalta does have side effects such as nausea, fatigue, dizzyness amongst others. Most of these go away in the first two weeks, so you just need to ride this out, it will get better.

In my case PCS was causing light and noise sensitivity, fatigue, insomnia, migraines, low mood - àll these symptoms are very closely tied together.

Cymbalta reversed all of these symptoms I believe, and gradually over a period of 5 months I am completely better. My headaches and insomnia went away straight away, and gradually over time all the other symptoms.

Cymbalta is a painkiller, this is why it's helping your headaches, it is very effective with nerve pain - its painkilling qualities are not fully understood, they were discovered by accident. It does increase serotonin which naturally narrows blood vessels, so this can help reduce migraine headaches. I am really pleased it is helping you.

It is more effective to take it in the morning apparently. I was on 60mg but am now on 30mg with no symptoms after 9 months since hitting my head, I am going to withdraw off it when I come back from holiday as it is a temporary measure to help with PCS, and boy has it worked!
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Old 08-13-2013, 01:58 AM #5
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Tom, I dont know because I didn't have these symptoms.
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PCS following head injury November 2012. Experienced dizzyness, light and noise sensitivity, hypercusis, fatigue, insomnia, migraines, facial pain, problems concentrating, irritability, sensory overload, exercise intolerance.

Symptoms mostly resolved, working full time and I am now mostly better. I wake 6am daily since my injury. Was experiencing daily Neuralgia which was controlled with Cymbalta 30mg, Lyrica 200mg daily. Now only on 30mg Cymbalta.
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Old 08-13-2013, 09:13 AM #6
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Default Tried it for 17 days

I was on Cymbalta for 17 days and thought it was helping the side effects were getting better however on the 17 days I broke out in a rash from head to toe particularly bad on my throat (outside).

I am not completely sure if it was caused by the Cymbalta but stop anyway because I was out of town and not sure what else to do.

I am back in town and saw my doctor yesterday, I got medication for the rash and when it is resolved I want to try it again. I thought it was making things better and want to be really sure it was the Cymbalta that caused the allergic reaction. If I get the rash again I will have to discontinue and look for a new drug.

I would say stay on it for at least 6 months to a year, that was my plan in hopes of really clearing something up.

Good luck
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MVA March 2012 pcs, post traumatic vision syndrome, convergence insufficiencies, vision mid line shift syndrome, gaze stabilization and vision tracking. Fatigue, headaches and sore eyes are main issues.

Current activities: chiro, massage, prism glasses, vision therapy, yoga, meditation, aquafit classes and rest.....
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Old 11-03-2015, 08:07 PM #7
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Yes, I would love to know the same as Tom. Does the Cymbalta seem to help anyone with memory/brain fog? If not Cymbalta, has anyone tried anything that's made a significant difference with this?
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Old 11-03-2015, 08:55 PM #8
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No meds have shown to help with memory directly. But, reducing anxiety can help with memory and brain fog. Brain fog can be a manifestation of anxiety.

There are plenty of meds that can reduce anxiety. Benzos (clonazepam, Ativan, Xanax, etc) have questionable use due to withdrawal and other issues. They are not good for brain health. SSRI's, SNRI's, tricyclics (ametriptyline is common for PCS) and others are used successfully even though they all have side-effects. Cymbalta is just one of the many meds.
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