Cymbalta activating or sedating
Growth hormone and cytokine therapies are still experimental.
Patients with fibromyalgia have difficulty tolerating regular doses of most medications and supplements.
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.
Selective serotonin reuptake inhibitors (SSRIs) are the drugs of choice for this condition because of their safety and efficacy.
Corticosteroids and nonsteroidal anti-inflammatory medications are useful only as management for coexisting inflammatory processes.
With Tranylcypromine for example a lot of people find it quite sedating.
Typically at lower doses Venlafaxine is quite sedating while above 200mg it becomes quite activating.
Strategies to improve management of such patients include optimizing SSRI dosing (starting at a low dose and slowly increasing the dose to reach the target dose) and ensuring an adequate trial before switching to a different drug.
Benzodiazepines should be avoided but, when necessary, may be used for a short duration or may be used long-term in patients for whom other treatments have failed.