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In what follows I’m relying heavily on two websites that try to keep up to date, John Grohol’s Psych Central and John Mc Manamy’s Mc Man’s Depression and Bipolar Web.

Mc Manamy, a bipolar survivor, deserves special credit for keeping his site running on donations and subscriptions, and avoiding Big Pharma advertising. Medications for depression fall into several major groups: MAOI inhibitors, tricyclics, SSRIs and SNRIs, and a few others that are hard to classify. In Europe, these were (pre-SSRI) usually considered the first line of treatment, preferred over tricyclics, while in the U. they are often resorted to only when everything else has failed.

Let’s review the current medications in common use for treatment of depression.

I am not a physician; I can’t say anything about dosing instructions, and I can only give general guidelines about what kinds of meds are appropriate for what kinds of conditions.

Advise families and caregivers of the need for close observation and communication with the prescriber Swallow Cymbalta whole. Do not open the capsule and sprinkle its contents on food or mix with liquids. If it is almost time for the next dose, skip the missed dose and take the next dose at the regular time.

Do not take two doses of Cymbalta at the same time.

I had a hard time keeping my eyes open and was sleeping a lot when I was taking Paxil. I have an appointment to see my doctor Thursday and we both talked about going back to the beginning and really evaluating what medications were the best.

I seem to be having a hard time concentrating and may need to talk to my doctor about trying some kind of ADD medication. M4 Then you should look into Cymbalta but I must warn you that it's pretty much as hard as Effexor to come off. Then maybe a increased dose could be discussed with your doctor depending on what dose you take right now. I need to work on finding a way to keep my energy levels up and while dealing with all of these issues.

Cymbalta (Duloxetine) is a drug that us utilized primarily to treat major depression.In my limited experience, when MAOIs work they seem to make people a little hyper and obsessional—people will get an idea and follow it far beyond where others would have given up—but they are energized and do feel much better.Until the advent of SSRIs, tricyclics were the standard treatment for depression.I was on lexapro for a while but wasn't sure about it.Tried a couple others, one of which made me almost suicidal...can't remember right now.Periodically reassess to determine the need for maintenance treatment and the appropriate dose for such treatment — For most patients, initiate Cymbalta 60 mg once daily.