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Anyone on Cymbalta???


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#1 kokochanel

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Posted 08 July 2010 - 01:21 PM

hi everyone! im new to this and i am going to be quick cos i am freezing here in the study room without the heater (damn winter!). i am on cymbalta for PND and anxiety. i am on 30mgs in the morning and feel fantastic- no panic attacks or constant anxiety about silly yhtings. i didnt have much depression to start with, but i did have a touch of it...
anyway, i am desparate for another baby and im not sure if i can give up on cym,balta as it helps to keep me NORMAL tongue.gif . i want to know if anyone is on this drug and has been or is pregnant and breastfeeding. i would also like to know anyones experiences on this drug - side effects, time of the day you take it, dose and if you have felt a change for the better - and in what time frame did you begin to feel good? also what affects did it have or is having on your baby- esp. birth weight.
really would love to hear from all you out there! ph34r.gif (i just threw in this smiley cos i thought he looked cute)
***Crystal Mae born 28th November 2009***
my sweet little angel

#2 atua

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Posted 08 July 2010 - 02:40 PM

i'm on zoloft and was taking it whilst pg and whilst bfing.

i have taking cipramil whilst bfing but don't have any experience with cymbalta.

what does your care team say? it's all risk v risk as you know and if the risk of you being off it is higher than the risks of being on it than there is your answer smile.gif

zoloft had no effect on James birth weight - he weighed 70g less than his singleton sister and was a week earlier than she was - otherwise all same/same, no respiratory issues, no birth weight issues, no side effects at all that are evident at this stage of his development smile.gif
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#3 kokochanel

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Posted 08 July 2010 - 07:22 PM

hi atua- thankyou for your reply to my thread. wow- thats encouraging- no probs with ad's and being preggo! and your bubs in that pic look so beautiful!!!
i agree with u- the risk vs benefit thing and my gp had told me this. but as cymbalta is a relatively new drug, i think its full affects in use during pregnancy and beyond have not been studied in human trials sleep.gif . but i just want to know if there r any mummies ou there who have happened to be on this drug and got pregnant without getting off it. i was told by the doc that the risk of having an unstable perinatal mother is far greater risk of problems when compared to a mother who is enjoying perinatal life being on pills. i am just concerned that i could be messing up the brain chemistry of the bub. and in a study of expecting rats and cymbalta, pregnant rats produced offspring with lower birth rates compared to their al naturale counterparts. i just wish i could be NORMAL like eveyone else and not have to take this rubbish!!
but i think what will end up happening is my doc will put me on an alternative med- like zoloft or effexor- something that is known to be safe in pregnancy and bf. but i just love cymbalta- it is the right ad for me!
***Crystal Mae born 28th November 2009***
my sweet little angel

#4 Tigridia

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Posted 08 July 2010 - 07:30 PM

I'm on cymbalta (and some other drugs) for a neurological pain condition. I was on 90mg/day in my first pregnancy (which ended in m/c, but nothing to do with the meds). My neuro and GP were happy with this arrangement.

We have now reviewed the meds and decided that I will drop to 60mg/day when pregnant againand then 30mg/day for the second trimester, none for the third trimester. This is because my pain improves in pregnancy and I can get away with less medication. The reason for discontinuing this med in the third trimester is due to supposed problems with withdrawal for babies if they are born while you are taking the med. I was recommended by my neuro not to take it while b/feeding but we will review as time goes on. I may have to go back up in doses if necessary.

The short version is that yes, you can take it but it needs to be assessed on a case by case basis and determine what is right for you. You may also be able to take another AD that is safer in pregnancy. This is the only med that works for me so I don't have that option, but you may.
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#5 Em-Jay

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Posted 08 July 2010 - 08:33 PM

Sorry I have no experience with Cymbalta, but I was going to suggest that you book an appointment with a psychiatrist who specialises in PND - they are much more up to date with the medications safe to use in pregnancy than regular GP's and Psychs smile.gif

I see a specialist PND psychiatrist, and am on Cipramil (20mg) at the moment (30 weeks pregnant). I only started taking this medication during this pregnancy, as I have had bad PND in the past and it was starting to come back. I feel like a different person on this medication smile.gif

I am going to be taking it throughout the rest of the pregnancy (am not weaning off it) and will take during the breastfeeding period as well smile.gif
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#6 kokochanel

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Posted 09 July 2010 - 06:18 AM

thanks everyone- and to the post b4 em-jay's (Tigidia?? excuse spelling blush.gif ) i am interested to see how u will go with this. weaning off this drug is supposed to be a nightmare- heaps of forums about it- ive even read where people have split the tabs, tookout a portion of the granules and closed the capsule up again as to gradually wean off- by 5 mgs a week. i dont know if u have weaned off this drug b4... i'll be very interested how u go when the time comes. ive weaned off an ad b4- aropax- and i had to go very slowly- or else the withdrawals would send me bonkers- once i couldnt even work cos the "brain zaps" were too debillitating (peeps who have weaned off ad's b4 will know what i am talking about) and had to be sent home!!

so how do u all feel about the possibility of being on ad's for the rest of your life? how does it make you feel and how do you cope with that? have any of you just grown to accept it??
***Crystal Mae born 28th November 2009***
my sweet little angel

#7 Tigridia

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Posted 09 July 2010 - 10:29 AM

kokochanel - I have gone up and down between 60 and 90 a couple of times with no problems whatsoever so I'm not particularly worried about it. It is one of those things that is ok for some people and not for others. I've been on over 30 meds in the last 3.5 years so I have quite a bit of experience in changing doses and meds. Quite a few of the meds have been ADs and the only one I ever had trouble with was Effexor. I went on and off that twice and the first time was fine by gradually decreasing the dose over time. The second time I had to go cold turkey due to a hospital treatment that meant I was going to be on another contraindicated drug. The withdrawal was pretty brutal and I did get the brain zaps, nausea, vomiting and disorientation. I know a lot of people have trouble changing doses, but a lot don't so you may be fine.

Definitely talk to your doctors about what they want you to do. Before my first pregnancy the plan was for me to stay on cymbalta (90mg) if I needed to. The plan has changed because we think I can cope OK on less and therefore the risk/benefit scenario has changed. I'm actually more worried about not being on the meds while b/feeding as once all the pregnancy hormones go I'm back to high levels of pain (I still have pain while pregnant but it's much better).

I'm not worried about being on this med for most of my life as I've tried so many things before and had no success and this works for me. My situation is a little different as I'm not being treated for depression although I do have some depression due to the chronic pain and the cymbalta helps with that too. I am always better mentally when on a AD and it can be hard to cope without one.
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#8 SEA

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Posted 09 July 2010 - 01:20 PM

Hi there

I'm on Cymbalta for PND and anxiety. I've been on it for almost a year now, and was taking it while breastfeeding. I take 30mg each morning. I haven't tried weaning off it yet, but there have been a couple of times recently where I have forgotten to take it for a day and had the 'brain zaps' and they're horrid!

Have a chat to your care providers, but as far as mine were concerned it was fine when breastfeeding smile.gif

#9 Tigridia

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Posted 09 July 2010 - 01:25 PM

Hey SEA, I thought it was you who was taking cymbalta while b/feeding. I am hoping that if things don't go to plan I can take at least a small dose if needed while breastfeeding. I know that it is not recommended but only because they don't know what it does so again it's a risk/benefit thing. Of course I'm a long way off from the breastfeeding point as I'm yet to get pregnant again but thanks for reminding me that it is possible.
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#10 SEA

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Posted 09 July 2010 - 06:50 PM

No worries at all smile.gif I didn't notice any effects on Henry while I was feeding, and he was still having about four feeds a day when I started on it. If anything, he was calmer, but that could have been as a result of me feeling better and being more relaxed too.

#11 kokochanel

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Posted 09 July 2010 - 08:09 PM

hi SEA- thankyou for your reply. i am on the same dose- 30mgs- and i now take it in the morning. i was intially taking it at night time and i could not sleep or i would wake up after just 2 hours of sleep and be buzzing blink.gif so just recently i have started taking it in the morning and i am getting a better sleep. i also drink plenty of fluids with this tablet as it seems to help with its effect.
so how would you describe your PND and anxiety? when did it all begin- straight after giving birth or a few months? and did you have a previous history of anxiety and depression?

my anxiety and PND began as soon as my bub hit 6 months. i dont know why- just all of a sudden really! i guess i had alot going on at the time- but i endured more stressful times just after she was born too...? oh well, its just one of those things. i began to have anxiety attcks and get severe paranoia and crazy thoughts wacko.gif . i thought if i just ended my life, then i wouldnt have to worry about all the stress and upset i felt like i was causing because i was so anxious all the time and it made my partner worry alot. i felt like i was in a deep well and i couldnt see the light. so i made a doctors appointment with a doctor i found on the beyond blue website- who specialises in anxiety. she put me on Cymbalta and i swear, in a matter of 2 days i felt like i was me again laugh.gif . it was amazing. i have had bad days tho- and the doc said this would happen- and that i may even need to increase the dose! but i feel so good atm and i am incoorporating other relaxation techniques and activities to take my mind off things to help me. geting out and seeing friends or keeping in touch with people who understand has really helped me as it makes me feel like i am not alone blush.gif . and now that i have been taking cymbalta for a few weeks now, i now realise how depressed i really was- and for a long time! i didnt even realise! and i now enjoy life- even more than i had b4. best of all, i now enjoy my little girl a million times more wub.gif . i feel reborn. i wish i was on this sooner. thats why i want to know if i can take it if i fall pregnant again- i dont want to come off this drug as it helps me to be the person i am meant to be!! i have had anxiety and depression b4- i have endured alot of family/personal trauma since i have turned 20. i wonder what i may have been like if i had a non-eventful life??????? huh.gif
well , SEA, its good to know that its ok to breast feed while taking this drug. what do you intend to do when you want another baby????? what has your GP recommended that you do???
***Crystal Mae born 28th November 2009***
my sweet little angel

#12 Em-Jay

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Posted 10 July 2010 - 08:49 AM

My experience of PND started while I was pregnant with my first. Pretty much as soon as I got my BFP I began getting excessively worried about silly things, irrational thoughts, hyper-vigilence and was basically in a state of constant stress and panic.

Once she was born it got worse, I was excessively worried about her health and germs etc. I developed a bit of a compulsion to wash my hands a billion times a day before I ever touched her and began having fully blown panic attacks about 3 or 4 times a day. At my worst my weight plummeted to 43kg (from being to scared to eat anything) and I couldn't leave the house without having a panic attack. I eventually got treatment (but not with AD's as I was petrified that they would make me vomit). It took a good 18 months of CBT and counselling before I felt somewhat human again.

This time when I was pregnant it was alot better, and I didn't feel as sick as I did last time (mentally speaking), however I recognised that some of the 'signs' were returning so was put on a full-on preventative action plan by my obs. I see a specialist psych that specialises in PND, I am on meds for the first time and I am attending a 6 week course that specialises in helping with PND - all before bubs comes.

So I'll let you know how I go smile.gif

ETA: I have had a relatively non-eventful life, and I still suffered - the risk factors are so complex it's mind-boggling!!!
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#13 kokochanel

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Posted 10 July 2010 - 09:26 AM

thanks em-jay- keep me in the loop- i would love to hear how u r getting on and coping as time goes by. especially after your boy is due - how exciting a boy!!! tongue.gif

its interesting how mums who havent suffered from anxiety/dep in the past can still get it after bub arrives. i guess it makes me feel at peace with the fact that i cant blame my past for making me the unstable mess i am today sleep.gif how did the mums of yonder years cope? surely it would have happened to them- what did they do? where did they go? i cant imagine not having my friend s and the internet for support!!! but i guess they would have been surrounded by aunties and mums and inlaws and nanna's and god knows who else to help out... if that makes any difference??? maybe their PND just went away.....

my PND/anxiety was insane. i thought that i was going to go mad or be possessed by something and hurt people.i did a sayonce back in school and i was scared the spirit that came thru was going to came back and hurt me and hurt my family wacko.gif . crazy isn't it. i thought i was going to end up like those mums you hear of in the news who end up hurting their babies and their partners.i also thought someone would come in the house and hurt me and my baby, so i had my partner get rid of all the knives in the drawers, just incase. i also had dreams that i was watching my baby in the bottom of a pool or at the bottom of a filled bath and wasnt going in to save her. i just stood there, watching her drown.
i absolutley love my daughter and i love my partner and for some reason i was having these awful awful thoughts. i didnt want to be alone with the baby. as soon as my partner came home from work i was in bed with a valium and listening to relaxation music to try and calm down. i didnt sleep for 3 nights inna row sad.gif . sleep deprivation exacerbates paranoia and i got worse. by the day time i was at a friends house and she was taking care of my daughter while i wallowed on her couch. she has her own baby too. i felt like i was a burden on everyone. i kept saying sorry to everyone involved in my care cos i felt i was being such an inconveineince to them all. then i started the cymbalta. and voila! back to the old me again!!! laugh.gif

this is my experience.

i feel ashamed that i felt this. all my friends who have babies seem to breeze through it and not be affected by anything. their shift from personhood to motherhood was a swift transition and i am so jealous of this.
***Crystal Mae born 28th November 2009***
my sweet little angel

#14 Em-Jay

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Posted 10 July 2010 - 06:31 PM

Honestly, just try and let go of the guilt and shame. You can't help it!! In a support group that I attend for mothers with perinatal mood disorders, your situation does not sound uncommon at all! Even your thoughts about 'watching' your baby die, and the removing knives thing I have heard women in the group describe very similar things in detail. In fact my SIL did the same thing with the knives, in case somebody broke into her house and used them to hurt her daughter.

So what you are describing is not as uncommon as you think!! I am so glad that you are feeling better, and judging by what my psych has said - if you have had PND once you are at a much much higher chance of getting it again, so you will probably want to be proactive in looking after your mental health whilst TTC and pregnant as well as after bubs is born! For me that included therapy, stopping work early and medication throughout pregnancy smile.gif
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#15 kokochanel

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Posted 10 July 2010 - 08:24 PM

wow- i wish i could attend a support group like what u have described. that would be so good- i wouldnt feel like such a freak!! so u have heard other women say similar stuff to what i described in my previous post??? i honestly thought i was going mad- getting schizophrenia or bipolar or something crazy. and then i thought that my partner would leave me because im such a psycho and then i had all those awful thoughts.... it was like a snow ball effect. sleep deprivation was the worst- and it wasnt the baby keeping me up- it was the constant chatter in my head!!! was like a mouse on a wheel going a hundred miles an hour in my brain. i could not switch off. terrible.

but now with cymbalta i enjoy life with my little girl and partner so much. that drug is a miracle. i should be working for that company selling the stuff i talk about how much i love it all the time!!!

so do u have any tips/advice/words of encouragement you have gained from the support group you attend that you could share with me? i would love some knowledge to enlighten me on the whole thing. recovery success rates?? success stories??? anything.
***Crystal Mae born 28th November 2009***
my sweet little angel




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